Comparative evaluation demonstrates enhanced species-level identification of filamentous fungi with MALDI-TOF MS, suggesting its utility alongside conventional methods.
= 116) underwent sequence-based identification, which demonstrated that conventional identification had the highest genus-level (84%) but lowest species-level (3%) identification rates compared to VITEK (59 and 52%, respectively) and Bruker (52 and 36%) using VITEK extractions. Taken together, our findings suggest both MALDI-TOF systems can supplement conventional mold identification to optimize identification rates with species-level distinction. IMPORTANCE: Mold identification using matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) remains uncommon in clinical laboratories. Contributing concerns include limited genus/species spectra in the MALDI-TOF MS libraries, varying success rates in the literature regarding extraction methods and instrumentation, and the lack of practical performance evaluations using early mold colony growth, which would be used in a clinical mycology laboratory. This study used multiple approaches to improve our understanding of the clinical utility and performance of MALDI-TOF MS mold identification.
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Ransom et al. (2025) studied this question.
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