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    Clinical & Trials

    Limit of Detection / Limit of Quantitation(LoD / LoQ)

    In one line
    Lowest analyte concentrations an assay can reliably detect (LoD) or quantify (LoQ).
    Definition
    LoD is the lowest concentration distinguishable from a blank with stated probability. LoQ is the lowest concentration that can be quantitatively measured with stated accuracy and precision (per CLSI EP17 / EP05). CLSI EP17 describes how to establish the limit of blank, LoD and LoQ using replicate testing across lots, instruments and days. The LoQ is often set where total error or imprecision meets a predefined goal. These values appear in the IFU and in performance evaluation evidence under IVDR and in FDA submissions, and matter most for assays used near clinical decision thresholds.
    Why it matters
    Critical performance characteristics for IVD claims, especially for infectious disease and oncology assays where low-burden detection drives clinical utility.
    Common pitfalls
    • •Failing to establish LoD and LoQ using appropriate statistical methods can lead to invalid claims regarding assay sensitivity.
    • •Not re-evaluating LoD and LoQ after significant assay modifications can result in underperforming or non-compliant devices.
    • •Confusing LoD with clinical sensitivity can lead to misinterpretation of an assay's true diagnostic capability.
    • •Using inappropriate sample matrices for LoD and LoQ studies can invalidate the relevance of the established limits to real-world clinical use.
    • •Presenting a single LoD or LoQ value when different matrices or sample types require distinct limits is a common oversight.
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    Why compare MedTech terms side by side?

    MedTech terminology is full of pairs that look interchangeable but carry very different regulatory, clinical, and commercial consequences. Picking the wrong framework, pathway, or standard early in a project can add months to a submission, invalidate clinical evidence, or trigger an audit finding. Side-by-side comparison is the fastest way to surface those differences before they become costly mistakes.

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