Skip to main content

Table 1 Edge of failure set points for fluorescent artifacts on TG analysis. The significance the IFE and substrate consumption on TG as analyzed by three software packages: TS, OR, and SH

From: Sources of bias and limitations of thrombinography: inner filter effect and substrate depletion at the edge of failure algorithm

Identified Edge of Failure¶

Fluorescence Artifact

Edge of Failure Experiment

Thrombinoscope (TS) Software

In-house ORIGIN (OR) Software

CL Shiny App (SH Software)

TPH Normalization Method

IFE

FVIII-DP spiked with [AMC]: 0, 47, 70, 102, 200 µM

FVIII = 1 IU/mL:

Corrected at [AMC] < 115 µM

FVIII = 0 IU/mL:

Corrected [AMC] < 75 µM

FVIII = 1 IU/mL:

Overestimated results at [AMC] > 170 µM

FVIII = 0 IU/mL:

Corrected [AMC] > 170 µM

FVIII = 1 IU/mL:

Successful at all AMC concentrations

FVIII = 0 IU/mL:

Successful at all AMC concentrations

FVIII = 1 IU/mL:

Successful at all spiked [AMC]

FVIII = 0 IU/mL:

Successful at all spiked [AMC]

Substrate Consumption*

Reduced ZGGR-AMC at range: 0-836 µM

n/a*†

n/a*

n/a*

n/a*

Reduced ratio of ZGGR-AFC supplemented to ZGGR-AMC

ZGGR-AFC: 0, 200, 400, 600, 700, 750, 800 µM

n/a*†

n/a*

n/a*

n/a*

Procoagulant Samples

ATIII-DP ± heparin with range of TF concentrations successfully induced substrate consumption

n/a†

Not corrected at any TF concentration

Successfully corrected at all TF concentrations

Corrected at all TF concentrations but lag time was modulated

  1. ¶ Edge of failure is defined as the failure of CAT correction algorithms to calculate a TG curve
  2. * Substrate consumption was never fully achieved most likely due to Tα2MG activity
  3. † These experiments were performed on a Biotek Synergy plate reader, and thus commercial CAT/TS Software experiments were not recorded