Comparison of the novel Maglumi ferritin immunoluminometric assay with Beckman Coulter DxI 800 ferritin

Background: The demand for routine measurement of ferritin is constantly increasing in clinical laboratories due to the clinical value of this biomarker for diagnosing anemia. Therefore, this study was aimed to compare the newly commercialized Maglumi ferritin immunolumino-metric assay with a validated commercial and fully automated technique. Methods: The comparison study included 95 consecutive inpatient serum samples referred to the local laboratory for routine ferritin measurement. Serum was separated, divided in two paired aliquots and immediately analyzed with both Beckman Coulter DxI 800 and Maglumi 2000. Correlation was assessed with Deming fit and Spearman's correlation, the mean bias was estimated with Bland-Altman plot. The concordance between methods was calculated as percentage agreement and kappa coefficient. Results: An excellent correlation was observed between Maglumi and DxI (r=0.997). The mean bias was 34 ng/mL and the strength of agreement between values obtained with Maglumi and DxI was 98% and 100% at the lower and upper limits of the reference range. The agreement was also 98% for diagnosing iron deficiency and 94% for diagnosing iron overload. Conclusions: Maglumi immunoassay may be regarded as a suitable alternative for routine and fully-automated assessment of ferritin in clinical laboratories.