Application of a non-cavitating ultrasonic standing wave to suspended micro
particles brings the particles into close approximation and has been used p
reviously to enhance the performance of several diagnostic agglutination te
sts. The sensitivity of rotavirus detection by ultrasound enhanced latex ag
glutination was compared with conventional test-card agglutination. Applica
tion of ultrasound gave a 32-fold improvement in the sensitivity of detecti
on of rotavirus antigen in buffer compared with the test card method. A nov
el turbidimetric approach was used to measure agglutination occurring follo
wing the test-card procedure (in place of visual examination) and following
exposure of commercial rotavirus latex reagents to a 4.5 MHz ultrasonic fi
eld (in place of microscopy). The sensitivity enhancement over the conventi
onal method achievable through ultrasonic exposure was comparable whether a
gglutination measurements were made visually or turbidimetrically and demon
strates the potential for turbidimetry in combination with the ultrasonic m
ethod. Turbidimetry offers an alternative to visual assessment that may be
more easily incorporated into automated systems.