Lateral Flow Immunoassay Reader Technologies for Quantitative Point-of-Care Testing

Sensors (Basel). 2022 Sep 28;22(19):7398. doi: 10.3390/s22197398.

Abstract

Due to the recent pandemic caused by coronavirus disease 2019 (COVID-19), the lateral flow immunoassay used for its rapid antigen test is more popular than ever before. However, the history of the lateral flow immunoassay is about 60 years old, and its original purpose of use, such as a COVID-19 rapid antigen test or a pregnancy test, was the qualitative detection of a target analyte. Recently, the demand for quantitative analysis of lateral flow immunoassays is increasing in various fields. Lateral flow immunoassays for quantitative detection using various materials and sensor technologies are being introduced, and readers for analyzing them are being developed. Quantitative analysis readers are highly anticipated for their future development in line with technological advancements such as optical, magnetic field, photothermal, and electrochemical sensors and trends such as weight reduction, miniaturization, and cost reduction of systems. In addition, the sensing, processing, and communication functions of portable personal devices such as smartphones can be used as tools for the quantitative analysis of lateral flow immunoassays. As a result, lateral flow immunoassays can efficiently achieve the goal of rapid diagnosis by point-of-care testing. Readers used for the quantification of lateral flow immunoassays were classified according to the adopted sensor technology, and the research trends in each were reviewed in this paper. The development of a quantitative analysis system was often carried out in the assay aspect, so not only the readers but also the assay development cases were reviewed if necessary. In addition, systems for quantitative analysis of COVID-19, which have recently been gaining importance, were introduced as a separate section.

Keywords: assay quantification; colorimetric reader; dual-signal reader; electrochemical reader; fluorescence reader; lateral flow immunoassay; magnetic reader; photothermal reader; point-of-care testing.

Publication types

  • Review

MeSH terms

  • COVID-19* / diagnosis
  • Humans
  • Immunoassay / methods
  • Immunologic Tests
  • Middle Aged
  • Miniaturization
  • Point-of-Care Systems
  • Point-of-Care Testing