We describe a new fully automated procedure for the quantitative measu
rement of CA 15-3: the microparticle enzyme immunoassay (MEIA) technol
ogy developed by Abbott Labs, for the IMx(R) automated immunoassay ana
lyzer, The new IMx CA 15-3 test uses two mouse monoclonal antibodies,
115D8 and DF3. The test has a dynamic range to 250 kilounits/L and a m
inimal detectable dose of CA 15-3 <0.2 kilounits/L. On dilution, linea
rity is excellent, with recoveries ranging from 94% to 101%. Studies w
ere conducted at four sites to evaluate the performance characteristic
s of this assay, The intra- and interassay CVs were <4.7% and <5.6%, r
espectively, and showed a between-laboratory CV <5.9%. Test results of
the Abbott IMx CA 15-3 (y) were correlated with those obtained with t
he Centocor(R) CA 15-3 RW (x), a solid-phase heterologous RIA. Linear
regression analysis on results for 1973 samples yielded: y = 0.97x - 2
.09 (r = 0.9899, S-y\x = 22.2, range 1-4089 kilounits/L).