Confirmatory hierarchy
Definition
The structured sequence of tests applied to biological evidence, in which a presumptive (screening) test with high sensitivity is followed by a confirmatory test using a different analytical principle, requiring concordant results before a conclusion is reported.
Related terms
- Cross-reactivity
- The capacity of an antibody raised against one analyte to bind structurally related compounds. In RIA, cross-reactivity is the main driver of...
- False negative
- A negative result from a preparation in which ante-mortem drowning actually did occur. Causes include low diatom density in the drowning water,...
- False positive
- A test result that indicates the presence of a target analyte when it is absent. In forensic serology this may mean incorrectly...
- Hook effect
- An artefact in sandwich immunoassays (ELISA, lateral-flow) where excess antigen saturates both capture and detection antibodies independently, preventing sandwich formation and producing...
- Inhibitor
- A substance in the sample matrix that interferes with one or more steps in an immunoassay, reducing signal generation from a genuinely...
Explained in
- Sources of Error and False Results in Serological TestingThe structured sequence of tests applied to biological evidence, in which a presumptive (screening) test with high sensitivity is followed by a confirmatory te...