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Updated: Jul 29, 2026

Cerebrospinal Fluid MicroRNA Profiling Using Quantitative Real Time PCR
Published on: January 22, 2014
Use of the FilmArray® Meningitis/Encephalitis panel to detect pathogenic microorganisms in cerebrospinal fluid
Makoto Hara1, Masaki Ishihara1, Hideto Nakajima1
1Division of Neurology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Objective:
Meningitis and encephalitis are neurological emergencies requiring rapid diagnosis and treatment. The performance of the FilmArray® Meningitis/Encephalitis (ME) panel, a multiplex polymerase chain reaction test, and conventional methods for diagnosing meningitis and encephalitis was compared.
Methods:
This retrospective study assessed 20 patients diagnosed with meningitis or encephalitis according to clinical symptoms and laboratory examination findings between January 2018 and December 2019. The results of the FilmArray® ME panel were compared with those of conventional methods.
Results:
Pathogens were identified in 11 (55%) patients using the FilmArray® ME panel and in nine (45%) patients using conventional methods. The test identified herpes simplex virus type 1 in two patients, herpes simplex virus type 2 in one, varicella-zoster virus in four, Streptococcus pneumoniae in three, and Cryptococcus neoformans in one. Furthermore, additional pathogens were detected (n = 1, S. pneumoniae and n = 1, varicella-zoster virus). The median times to pathogen identification were 2 hours using the FilmArray® ME panel and 96 hours with conventional methods.
Conclusions:
The sensitivity of the FilmArray® ME panel for rapidly detecting the most common pathogens was similar to that of conventional methods. Hence, this method could decrease the time to definitive diagnosis and treatment initiation.
Insights
The FilmArray® Meningitis/Encephalitis (ME) panel offers rapid pathogen detection for neurological emergencies. This multiplex polymerase chain reaction test significantly reduces diagnostic time compared to conventional methods, enabling quicker treatment initiation.
Area of Science:
- Neurology
- Infectious Diseases
- Molecular Diagnostics
Background:
- Meningitis and encephalitis are critical neurological emergencies demanding prompt diagnosis and intervention.
- Current diagnostic approaches often involve lengthy processes, delaying crucial treatment.
- The FilmArray® Meningitis/Encephalitis (ME) panel represents a rapid multiplex polymerase chain reaction (PCR) diagnostic tool.
Purpose of the Study:
- To evaluate the performance of the FilmArray® ME panel in diagnosing meningitis and encephalitis.
- To compare the diagnostic accuracy and speed of the FilmArray® ME panel against conventional diagnostic methods.
- To assess the potential of the FilmArray® ME panel in reducing time to definitive diagnosis.
Main Methods:
- A retrospective study involving 20 patients diagnosed with meningitis or encephalitis.
- Comparison of results obtained from the FilmArray® ME panel with conventional laboratory methods.
- Analysis of pathogen identification rates and time to results for both methods.
Main Results:
- The FilmArray® ME panel identified pathogens in 55% of patients, compared to 45% with conventional methods.
- Specific pathogens detected included herpes simplex viruses (types 1 and 2), varicella-zoster virus, *Streptococcus pneumoniae*, and *Cryptococcus neoformans*.
- Median time for pathogen identification was significantly reduced to 2 hours with the FilmArray® ME panel versus 96 hours for conventional methods.
Conclusions:
- The FilmArray® ME panel demonstrates comparable sensitivity to conventional methods for detecting common meningitis and encephalitis pathogens.
- This multiplex PCR test substantially decreases the time required for pathogen identification.
- The rapid results from the FilmArray® ME panel can facilitate earlier initiation of definitive treatment for patients.
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