Table 1 Detection of monoclonal protein using mass spectrometry assays among patients considered not to have monoclonal gammopathy of undetermined significance (MGUS) in the Olmsted Screening Study, but subsequently developed the disorder during follow-up.

From: Detection and prevalence of monoclonal gammopathy of undetermined significance: a study utilizing mass spectrometry-based monoclonal immunoglobulin rapid accurate mass measurement

 

Assay type

 

Serum immunofixation

MALDI-TOF

miRAMM

Baseline samples considered negative for MGUS by serum protein electrophoresis and serum-free light-chain assay

   

 Number of patients tested

226

226

226

 Number of patients with detectable monoclonal protein, (%)

24 (10.6)

113 (50.0)

149 (65.9)

Samples from time of clinical MGUS diagnosis

   

 Number of patients tested

226

226

221

 Number of patients with detectable monoclonal protein, (%)

226 (100)a

188 (83.2)

200 (90.5)

  1. MGUS monoclonal gammopathy of undetermined significance, MALDI-TOF matrix-assisted laser desorption/ionization-time of flight, miRAMM monoclonal immunoglobulin rapid accurate mass measurement
  2. aBy definition, clinical MGUS was diagnosed based on a positive serum immunofixation