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| title | chunk | source | category | tags | date_saved | instance |
|---|---|---|---|---|---|---|
| Lateral flow test | 2/3 | https://en.wikipedia.org/wiki/Lateral_flow_test | reference | science, encyclopedia | 2026-05-05T07:29:56.678548+00:00 | kb-cron |
Most tests will incorporate a second line which contains a further antibody (one which is not specific to the analyte) that binds some of the remaining colored particles which did not bind to the test line. This confirms that fluid has passed successfully from the sample-application pad, past the test line. By giving confirmation that the sample has had a chance to interact with the test line, this increases confidence that a visibly-unchanged test line can be interpreted as a negative result (or that a changed test line can be interpreted as a negative result in a competitive assay).
=== Blood plasma extraction === Because the intense red color of hemoglobin interferes with the readout of colorimetric or optical detection-based diagnostic tests, blood plasma separation is a common first step to increase diagnostic test accuracy. Plasma can be extracted from whole blood via integrated filters or via agglutination.
=== Speed and simplicity === Time to obtain the test result is a key driver for these products. Tests results can be available in as little as a few minutes. Generally there is a trade off between time and sensitivity: more sensitive tests may take longer to develop. The other key advantage of this format of test compared to other immunoassays is the simplicity of the test, by typically requiring little or no sample or reagent preparation.
=== Quantitative tests ===
Most LFTs are intended to operate on a purely qualitative basis. However, it is possible to measure the intensity of the test line to determine the quantity of analyte in the sample. Handheld diagnostic devices known as lateral flow readers are used by several companies to provide a fully quantitative assay result. By utilizing unique wavelengths of light for illumination in conjunction with either CMOS or CCD detection technology, a signal-rich image can be produced of the actual test lines. Using image processing algorithms specifically designed for a particular test type and medium, line intensities can then be correlated with analyte concentrations. One such handheld lateral flow device platform is made by Detekt Biomedical L.L.C. Alternative non-optical techniques are also able to report quantitative assays results. One such example is a magnetic immunoassay (MIA) in the LFT form also allows for getting a quantified result. Reducing variations in the capillary pumping of the sample fluid is another approach to move from qualitative to quantitative results. Recent work has, for example, demonstrated capillary pumping with a constant flow rate independent from the liquid viscosity and surface energy.
== Patents == This is a highly competitive area and a number of people claim patents in the field, most notably Alere (formerly Inverness Medical Innovations, now owned by Abbott) who own patents originally filed by Unipath. The US 6,485,982 patent, that has been litigated, expired in 2019. A number of other companies also hold patents in this arena. A group of competitors are challenging the validity of the patents. The original patent is apparently from 1988.
== Applications == Lateral flow assays have a wide array of applications and can test a variety of samples including urine, blood, saliva, sweat, serum, and other fluids. They are currently used by clinical laboratories, hospitals, physicians and veterinary clinics, food analysis labs and environmental testing facilities. Immediacy in obtaining results is normally the key factor in choosing this technique, although simplicity and lack of a need for formal equipment are also important factors. These features allow ICTs to be used a at-home test or in pharmacies. Because of their exceptional quality, rapid test are also used routinely in well-equipped laboratories when the demand for test is low. The broad applications of rapid test can be realized because of their simplicity accompanied by high quality analytical production. The sensitivity and specificity of these techniques tend to be comparable to those of other more complex methods, and on occasion significantly better. Other uses for lateral flow assays are food and environmental safety and veterinary medicine for chemicals such as diseases and toxins. LFTs are also commonly used for disease identification such as ebola, but the most common LFT are the home pregnancy and SARS-CoV-2 tests.
=== Infectious diseases === LFTs that detect infectious diseases may test for the antigen (molecules from the pathogen itself) and/or the antibody (the human body's defensive response to antigens). The choice of which one to test for depends on the specific disease. For example, HIV tests generally look for the antibody as immunoreactive p24 antigen levels diminish as the infection progresses where as the antibody level stays high. The p24 antigen remains valuable for reducing the window period as it shows up in detectable levels in blood before the antibodies do. As a result, combined tests are available for HIV. LFTs that detect nucleic acids have been developed but are still too new to see much use.
==== COVID-19 testing ====