Only a few published studies examined test specificity. Nonetheless, QuantiFERON-TB Gold was found to have a significantly higher specificity than T-Spot.TB: 99.2% vs. 86.3% (p < 0.0001).
"Considering sensitivity for diagnosing active tuberculosis as a surrogate parameter for latent tuberculosis infection, tuberculin skin test-based two-step screening strategies (tuberculin skin test first, interferon-gamma release assays second) for contact tracing should be critically reconsidered due to the poor tuberculin skin test accuracy among tuberculosis patients," the authors conclude.
January 13, 2010
QuantiFERON in the news
This article from Reuters (Interferon Assays Better Than Skin Test for Detecting Active TB) fleshes out the original Diel study;