Generic scheme for independent performance assessment in the molecular biology laboratory.

BACKGROUND A variety of proficiency testing schemes are available for specific molecular analyses, but there is an acute need for more widely accessible schemes to assess and demonstrate general competence in DNA analysis. METHODS Fifteen laboratories, including academic, clinical, and commercial organizations, were recruited into the prototype assessment exercise. A range of test samples were provided, and participants were required to extract DNA from simple matrices, perform PCR amplification, and score the samples as positive or negative by electrophoretic analysis of the amplification products. Results were requested as both gel images and a completed results table, and the performance of each laboratory was then scored on the submitted analytical results. RESULTS Overall, laboratories performed the analysis successfully, with participants scoring a high proportion of the samples correctly in the two rounds of the scheme. However, not all of the laboratories were able to achieve amplification for all samples, and the performance of some laboratories was not consistent in the two rounds. In addition, several analytical problems were encountered at all stages of the process, including DNA extraction, PCR amplification, and correct recording of results. CONCLUSIONS The generic approach described here has enabled effective cross-sectoral benchmarking of laboratories from a variety of analytical sectors. The problems encountered by some participating laboratories highlight the need for quality control and checks at all stages of the process to ensure accuracy of results. A statistical analysis of the results (ANOVA) allowed meaningful comparison of the consistency and sensitivity achieved by laboratories, demonstrating that an effective balance was achieved between the level of data obtained from laboratories and the time expenditure required from participants.

[1]  M. Neumaier,et al.  Experiences with External Quality Assessment (EQA) in Molecular Diagnostics in Clinical Laboratories in Germany , 2000, Clinical chemistry and laboratory medicine.

[2]  Mario Pazzagli,et al.  External quality assurance program for PCR amplification of genomic DNA: an Italian experience. , 2003, Clinical chemistry.

[3]  Clemens R. Müller,et al.  Quality control in mutation analysis: the European Molecular Genetics Quality Network (EMQN) , 2001, European Journal of Pediatrics.

[4]  P. E. Garrett Quality control for nucleic acid tests: common ground and special issues. , 2001, Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology.

[5]  Mark Norris,et al.  The UK Experience , 2005 .

[6]  H. Parkes,et al.  Interlaboratory study on thermal cycler performance in controlled PCR and random amplified polymorphic DNA analyses. , 2001, Clinical chemistry.

[7]  M. Neumaier,et al.  Fundamentals of quality assessment of molecular amplification methods in clinical diagnostics. International Federation of Clinical Chemistry Scientific Division Committee on Molecular Biology Techniques. , 1998, Clinical chemistry.

[8]  W. Geilenkeuser,et al.  External Quality Assessment of Molecular Biology-Based Methods Used in Laboratories of Clinical Chemistry and Human Genetics , 1998, Clinical chemistry and laboratory medicine.

[9]  W. Grody,et al.  Quality control in molecular genetic testing , 2001, Nature Reviews Genetics.

[10]  D. Seligson,et al.  Clinical Chemistry , 1965, Bulletin de la Societe de chimie biologique.

[11]  J. O. Irwin,et al.  The estimation of the bactericidal power of the blood , 1938, Epidemiology and Infection.

[12]  H. Middleton-Price,et al.  Quality Assurance in Molecular Diagnosis : The UK Experience. , 1996, Methods in molecular medicine.

[13]  J. Robertson International standardization of gene amplification technology. , 1998, Biologicals : journal of the International Association of Biological Standardization.

[14]  E. Bakker Methods in Molecular Medicine: Molecular Diagnosis of Genetic Diseases , 1997 .

[15]  H. Burkardt,et al.  Standardization and Quality Control of PCR Analyses , 2000, Clinical chemistry and laboratory medicine.