Description

Matrix effect refers to the impact of an artificial sample on a test method or instrument unrelated to the measured analyte. This can cause significant problems when comparing the accuracy between different laboratories using the same material for proficiency testing. According to the NCCLS guidelines, if the cause of the problem can be identified then it is called an interference; if it cannot be identified, then it is termed a matrix effect.


 

Sources of the effect:

(1) buffers

(2) stabilizers

(3) preservatives

(4) lyophilization

(5) viscosity

(6) enzymatic activity in human fluids or tissue extracts

(7) nonhuman, mammalian source material (different species)

(8) chemical source material (fluorocarbons in blood gas surveys)

(9) change in protein isoforms or macromolecular structure

(10) protein and/or salt concentration

(11) detergents and wetting agents

 

When to suspect a matrix effect may be present:

(1) methodologic bias when running material compared to when running patient samples (nonlinearity in a linear assay)

(2) different methods performing differently on the material while performing similarly on patient samples

(3) transient change in instrument performance after running the sample

 


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