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Published:
Journal of Analytical Toxicology,
ISSN 0146-4760,
Volume 30, Number 8, October 2006,
pp.617-620
TECHNICAL NOTE: Validation of an ELISA Method for Screening
Methadone in Postmortem Blood
Matthew Juhascik, Steven Habbel, William Barron, and George Behonick
UMass Memorial Forensic Toxicology Laboratory, Worcester, Massachusetts 01605
In this study, we evaluate Venture Labs’ enzyme-linked immunosorbent
assay (ELISA) for the detection of methadone in postmortem specimens. Sixty-one
postmortem specimens that previously screened positive for methadone along with
59 specimens which screened negative for methadone were included. All specimens
were screened using the Venture Labs methadone assay in conjunction with a liquid–liquid
basic extraction and gas chromatographic–mass spectrometric (GC–MS)
analysis. All cases screening positive by either method were confirmed for methadone
and its metabolite 2-ethylidene-1,5-dimethyl- 3,3-diphenylpyrrolidine by a solid-phase
extraction utilizing deuterated internal standards and GC–MS-SIM. Twenty-four
postmortem samples that screened negative by both methods were also extracted
and analyzed using the confirmation method to demonstrate the validity of both
screening methods. The intra- and interassay precision for the ELISA method
was evaluated at the cut-off concentration used for the analysis (50 ng/mL).
True positives, true negatives, false positives, and false negatives were calculated
for the ELISA results as compared to the GC–MS screening data. The Venture
Labs methadone assay demonstrated a sensitivity of 96.7% ± 2.3% and a
specificity of 98.3% ± 1.7% relative to the GC–MS method.
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