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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article"><?properties manuscript?><front><journal-meta><journal-id journal-id-type="nlm-journal-id">101128948</journal-id><journal-id journal-id-type="pubmed-jr-id">31848</journal-id><journal-id journal-id-type="nlm-ta">Lab Chip</journal-id><journal-id journal-id-type="iso-abbrev">Lab Chip</journal-id><journal-title-group><journal-title>Lab on a chip</journal-title></journal-title-group><issn pub-type="ppub">1473-0197</issn><issn pub-type="epub">1473-0189</issn></journal-meta><article-meta><article-id pub-id-type="pmid">29693672</article-id><article-id pub-id-type="pmc">5975359</article-id><article-id pub-id-type="doi">10.1039/c8lc00168e</article-id><article-id pub-id-type="manuscript">HHSPA964287</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>&#x0201c;Dip-and-read&#x0201d; paper-based analytical devices using distance-based detection with color screening</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yamada</surname><given-names>Kentaro</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Citterio</surname><given-names>Daniel</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Henry</surname><given-names>Charles S.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib></contrib-group><aff id="A1">
<label>a</label>Department of Chemistry, Colorado State University, Fort Collins, Colorado 80523, USA</aff><aff id="A2">
<label>b</label>Department of Applied Chemistry, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, Yokohama 223-8522, Japan</aff><pub-date pub-type="nihms-submitted"><day>10</day><month>5</month><year>2018</year></pub-date><pub-date pub-type="ppub"><day>15</day><month>5</month><year>2018</year></pub-date><pub-date pub-type="pmc-release"><day>15</day><month>5</month><year>2019</year></pub-date><volume>18</volume><issue>10</issue><fpage>1485</fpage><lpage>1493</lpage><!--elocation-id from pubmed: 10.1039/c8lc00168e--><abstract><p id="P1">An improved paper-based analytical device (PAD) using color screening to enhance device performance is described. Current detection methods for PADs relying on the distance-based signalling motif can be slow due to the assay time being limited by capillary flow rates that wick fluid through the detection zone. For traditional distance-based detection motifs, analysis can take up to 45 min for a channel length of 5 cm. By using a color screening method, quantitation using distance-based PAD can be achieved in minutes using a &#x0201c;dip-and-read&#x0201d; approach. A colorimetric indicator line deposited onto a paper substrate using inkjet-printing undergoes a concentration-dependent colorimetric response for a given analyte. This color intensity-based response has been converted to a distance-based signal by overlaying a color filter with a continuous color intensity gradient matching the color of the developed indicator line. As a proof-of-concept, Ni quantification in welding fume was performed as a model assay. The results of multiple independent user testing gave the mean absolute percentage error and average relative standard deviations of 10.5% and 11.2% respectively, which were an improvement upon analysis based on simple visual color comparison with a read guide (12.2%, 14.9%). In addition to the analytical performance comparison, an interference study and a shelf life investigation were performed to further demonstrate practical utility. The developed system demonstrates an alternative detection approach for distance-based PADs enabling fast (~ 10 min), quantitative, and straightforward assays.</p></abstract></article-meta></front><body><sec sec-type="intro" id="S1"><title>Introduction</title><p id="P2">Research and development of analytical devices fabricated with paper has grown rapidly in recent years. Following the rediscovery of patterned paper as a useful analytical platform by the Whitesides&#x02019; group in 2007,<sup><xref rid="R1" ref-type="bibr">1</xref></sup> a myriad of detection approaches (<italic>e.g.</italic> colorimetry,<sup><xref rid="R2" ref-type="bibr">2</xref></sup> electrochemistry,<sup><xref rid="R3" ref-type="bibr">3</xref></sup> fluorescence,<sup><xref rid="R4" ref-type="bibr">4</xref></sup> chemiluminescence,<sup><xref rid="R5" ref-type="bibr">5</xref></sup> electrochemiluminescence,<sup><xref rid="R6" ref-type="bibr">6</xref></sup> surface enhanced Raman spectroscopy<sup><xref rid="R7" ref-type="bibr">7</xref></sup>) have been introduced. Because of the abundance of signal detection motifs and attractive features of patterned paper substrates (low-cost, disposability, power-free sample transportation and white background, among others), paper-based analytical devices (PADs) are currently used in a wide range applications such as medical diagnosis,<sup><xref rid="R8" ref-type="bibr">8</xref>&#x02013;<xref rid="R13" ref-type="bibr">13</xref></sup> environmental assessment,<sup><xref rid="R8" ref-type="bibr">8</xref>&#x02013;<xref rid="R10" ref-type="bibr">10</xref>, <xref rid="R13" ref-type="bibr">13</xref>&#x02013;<xref rid="R15" ref-type="bibr">15</xref></sup> and food safety monitoring.<sup><xref rid="R8" ref-type="bibr">8</xref>&#x02013;<xref rid="R10" ref-type="bibr">10</xref>, <xref rid="R16" ref-type="bibr">16</xref>, <xref rid="R17" ref-type="bibr">17</xref></sup></p><p id="P3">Patterning paper substrates allows direction-controlled (and branched, as needed) transport of a fluid sample, differentiating PADs from classical test strips such as litmus paper and lateral flow assays. This advantage of PADs provides functionalities, including the ability to perform multiplexed assays and automation of multi-step assay procedures from a single sample application. It also gave rise to a new class of optical signal detection motifs which do not rely on color intensities as is typical for many PADs and commercial paper-based tests (<italic>e.g.</italic> pH test strip, urine dipstick). These unique signaling methods include &#x0201c;counting&#x0201d; the number of colored paper regions on a PAD,<sup><xref rid="R18" ref-type="bibr">18</xref>&#x02013;<xref rid="R22" ref-type="bibr">22</xref></sup> &#x0201c;timing&#x0201d; an event (<italic>e.g.</italic> coloring of a paper spot) on a PAD,<sup><xref rid="R18" ref-type="bibr">18</xref>, <xref rid="R23" ref-type="bibr">23</xref>&#x02013;<xref rid="R25" ref-type="bibr">25</xref></sup> and &#x0201c;reading&#x0201d; text directly reporting the assay result from the paper substrate.<sup><xref rid="R26" ref-type="bibr">26</xref>&#x02013;<xref rid="R30" ref-type="bibr">30</xref></sup></p><p id="P4">Another promising detection strategy for paper-based devices is the visual inspection of &#x0201c;distance&#x0201d; that a colored substrate has travelled in a microfluidic paper channel.<sup><xref rid="R31" ref-type="bibr">31</xref>, <xref rid="R32" ref-type="bibr">32</xref></sup> Without the need for any signal readout instruments, quantitative analysis is achievable in a straightforward method similar to reading analog thermometers. This method has been demonstrated in a broad range of applications including the detection of metals,<sup><xref rid="R33" ref-type="bibr">33</xref>&#x02013;<xref rid="R39" ref-type="bibr">39</xref></sup> biological proteins,<sup><xref rid="R40" ref-type="bibr">40</xref>, <xref rid="R41" ref-type="bibr">41</xref></sup> nucleosides,<sup><xref rid="R34" ref-type="bibr">34</xref>, <xref rid="R42" ref-type="bibr">42</xref>, <xref rid="R43" ref-type="bibr">43</xref></sup> nucleic acids,<sup><xref rid="R44" ref-type="bibr">44</xref>, <xref rid="R45" ref-type="bibr">45</xref></sup> haematocrit,<sup><xref rid="R46" ref-type="bibr">46</xref></sup> drug<sup><xref rid="R34" ref-type="bibr">34</xref>, <xref rid="R42" ref-type="bibr">42</xref>, <xref rid="R43" ref-type="bibr">43</xref></sup> and tumor markers.<sup><xref rid="R47" ref-type="bibr">47</xref></sup> Analyte concentration-dependent length of a colored band on paper has been conventionally achieved either by analyte depletion during capillary-based sample liquid transport within a paper microchannel,<sup><xref rid="R31" ref-type="bibr">31</xref>, <xref rid="R33" ref-type="bibr">33</xref>, <xref rid="R35" ref-type="bibr">35</xref>&#x02013;<xref rid="R40" ref-type="bibr">40</xref>, <xref rid="R44" ref-type="bibr">44</xref>, <xref rid="R45" ref-type="bibr">45</xref>, <xref rid="R47" ref-type="bibr">47</xref></sup> or by changing the capillary flow speed influenced by the concentration of analyte in the sample.<sup><xref rid="R34" ref-type="bibr">34</xref>, <xref rid="R41" ref-type="bibr">41</xref>&#x02013;<xref rid="R43" ref-type="bibr">43</xref>, <xref rid="R46" ref-type="bibr">46</xref></sup> However, despite the simplified and quantitative nature of distance-based detection, the mechanism relies on capillary action within a microfluidic channel in heterogeneous filter paper substrates which leads to low precision of the assays, as indicated by mean relative standard deviations as high as 20%.<sup><xref rid="R33" ref-type="bibr">33</xref>, <xref rid="R37" ref-type="bibr">37</xref>, <xref rid="R40" ref-type="bibr">40</xref></sup> In addition, the slow process of capillary force-based sample transport necessitates extended analysis time for assay completion (45 min<sup><xref rid="R33" ref-type="bibr">33</xref></sup> or hours<sup><xref rid="R37" ref-type="bibr">37</xref></sup> for several centimeters of channel length).</p><p id="P5">This work describes a new &#x0201c;dip-and-read&#x0201d; detection motif to achieve quantitative and instrument-free chemical analysis on a paper-based device that addresses the drawbacks of conventional distance-based detection. To achieve a &#x0201c;dip-and-read&#x0201d; paper-based device that has distance-based quantification, a classical colorimetric indicator is deposited onto a filter paper substrate as a line by means of inkjet-printing.<sup><xref rid="R10" ref-type="bibr">10</xref>, <xref rid="R48" ref-type="bibr">48</xref>, <xref rid="R49" ref-type="bibr">49</xref></sup> An analyte concentration-dependent &#x0201c;color intensity&#x0201d; change of the line-shaped colorimetric indicator can be converted to &#x0201c;length&#x0201d; by isolating the &#x0201c;visible&#x0201d; section of the indicator line. For the conversion from color intensity to length, a color filter was made using a laser-printed transparent sheet. This color filter is overlaid as a &#x0201c;mask&#x0201d; to screen a part of the line-shaped colorimetric indicator. In the previous literature, color screening of an indicator by a colored film has been applied to the semi-quantitative detection of urinary protein using text-based signalling.<sup><xref rid="R30" ref-type="bibr">30</xref></sup> In this work, quantitative distance-based detection has been enabled by using a color filter with a printed continuous color gradient. By using a &#x0201c;dip-and-read&#x0201d; approach, the proposed method significantly reduces the impact of capillary flow within a microfluidic paper channel, resulting in reduced chance of errors and assay time.</p><p id="P6">Herein, a new type of distance-based paper device has been developed for the quantification of nickel (Ni) to demonstrate the analytical performance of the proposed method. Occupational exposure to air polluted with harmful metals increases the risk of cardiopulmonary and respiratory diseases and even early mortality.<sup><xref rid="R50" ref-type="bibr">50</xref></sup> Additionally, inhalation of fumes containing Ni is regarded as a factor causing lung and nasal cancers and provoking asthma.<sup><xref rid="R51" ref-type="bibr">51</xref>, <xref rid="R52" ref-type="bibr">52</xref></sup> Conventional analytical methods such as inductively coupled plasma-mass spectrometry<sup><xref rid="R53" ref-type="bibr">53</xref></sup> and atomic absorption spectrometry<sup><xref rid="R54" ref-type="bibr">54</xref></sup> have good selectivity and detection sensitivity. However, these methods have expensive running costs (typically &#x0003e;$100 per sample), require a trained operator, and necessitate sophisticated and bulky instruments, limiting their use in routine environmental monitoring. In this work, the proposed paper-based device has been applied to Ni quantitation in a welding fume sample as a low-cost and user-friendly alternative to traditional techniques. In addition to completing an interference study and evaluating storage stability, a result comparison between readout tests using the proposed approach and conventional visual color intensity comparison has been performed for analytical performance assessment. Readout results by multiple independent users showed improved analytical performance of the current approach over the color intensity comparison method and previously reported distance-based PADs.</p></sec><sec id="S2"><title>Experimental section</title><sec id="S3"><title>Materials and instruments</title><p id="P7">Iron(II) sulfate heptahydrate, zinc(II) nitrate hexahydrate, aluminum(III) sulfate hydrate, vanadium(III) chloride, chromium(III) chloride hexahydrate, cobalt(II) chloride hexahydrate, copper(II) sulfate pentahydrate, sodium fluoride, tris(hydroxymethyl)aminomethane and ammonium acetate were purchased from Sigma-Aldrich (St. Louis, MO). Lead(II) nitrate, magnesium(II) chloride hexahydrate, cadmium(II) nitrate tetrahydrate, calcium(II) chloride dihydrate, iron(III) nitrate nonahydrate, manganese(II) chloride tetrahydrate, potassium dichromate(VI), sodium carbonate, hydrochloric acid and isopropyl alcohol were purchased from Fisher Scientific (Pittsburgh, PA). Nickel(II) sulfate hexahydrate was purchased from Acros Organics (Morris Plains, NJ). Mercury(II) chloride was purchased from Alfa Aesar (Ward Hill, MA). Dimethylglyoxime was purchased from Fluka (St. Louis, MO). Nitric acid was purchased from EMD Millipore (Billerica, MA). Ultrapure water (&#x0003e;18 M&#x003a9; cm) was obtained from a Milli-Q water purification system (EMD Millipore) and used for the preparation of all solutions. Whatman grade 3MM Chromatography filter paper sheet (46 &#x000d7; 57 cm<sup>2</sup>) was purchased from GE Healthcare (Buckinghamshire, UK) and cut into letter size before use.</p><p id="P8">Patterning of hydrophobic wax onto filter paper was performed by a ColorQube 8870 printer (Xerox, Norwalk, CT). A thermally actuated Canon PIXMA MG2525 inkjet printer (Canon, Tokyo, Japan) was used for the deposition of the nickel colorimetric assay reagents. For this purpose, the standard Canon black ink cartridge (Canon PG-245 FINE Cartridge) was cut open and the sponge inside was removed, followed by thorough washing with copious amounts of ultrapure water.</p></sec><sec id="S4"><title>Fabrication of paper-based analytical device</title><p id="P9">The outline and photograph of a single paper-based analytical device (PAD) for Ni detection are shown in <xref ref-type="fig" rid="F1">Figures 1a and b</xref>, respectively. A letter-sized filter paper sheet was first fed into the wax printer to pattern the hydrophobic barrier defining the hydrophilic sensing paper region designed with PowerPoint (Microsoft), followed by heating at 150 &#x000b0;C on an Isotemp hotplate (Fisher Scientific). To diffuse the molten wax throughout the paper thickness, each side of the filter paper was heated for 4 min. Next, 70 &#x000b5;L of an aqueous solution containing 0.3 M sodium fluoride and 1.2 M ammonium acetate was pipetted onto the entire sensing region as masking agents, followed by complete drying at room temperature. A solution of 20 mM dimethylglyoxime (DMG) and 10 mM tris base prepared in H<sub>2</sub>O/isopropyl alcohol (60/40 vol%) was inkjet-printed as a 0.4 mm-wide line by the Canon printer in 5 print cycles. After sandwiching the as-processed filter paper with deposited reagents by lamination films (Scotch thermal laminating pouches, 3M, St. Paul, MN), hot lamination was performed on a TruLam TL-320B laminator at 120 &#x000b0;C. During the lamination step, a sheet of copy paper was inserted between the lamination film and the reagent-unprinted paper side to avoid their attachment, resulting in lamination of the paper side with the inkjet-printed colorimetric assay reagents. Finally, the letter size sheet was cut into 48 individual PADs.</p></sec><sec id="S5"><title>Fabrication of 3D-printed device</title><p id="P10">A 3D-printed device for the distance-based detection was designed with Tinkercad software (Autodesk, San Rafael, CA) and fabricated with an Objet30 Prime 3D-printer (Stratasys, Eden Prairie, MN). A photograph after assembly and the detailed design and assembly process of the 3D-printed device are shown in <xref ref-type="fig" rid="F1">Figure 1c</xref> and <xref ref-type="supplementary-material" rid="SD1">Figures S1 and S2 of the Electronic Supplementary Information</xref>, respectively. A color-printed transparency film for screening the color of the Ni(DMG)<sub>2</sub> complex on the PAD was fabricated by printing toner on an overhead projector transparency film (Apollo, Lincolnshire, IL) with a LaserJet Pro 400 Color M451dn laser printer (HP, Palo Alto, CA).</p></sec><sec id="S6"><title>Window-sliding Ni assay</title><p id="P11">The operational procedure of the window-sliding detection approach is shown in <xref ref-type="supplementary-material" rid="SD1">Figure S3</xref>. Briefly, the PAD was first dipped in 10 mL of sample solution in a cylindrical plastic tube and removed quickly. After blotting the excess sample liquid with a Kimwipe tissue paper and drying at room temperature for approximately 10 min, the PAD was inserted into the 3D-printed device. For the quantification of the sample Ni concentration, the handle was moved upward from the lowest position of the 3D-printed device (refer to &#x0201c;Sliding direction&#x0201d; in <xref ref-type="fig" rid="F1">Figure 1c</xref>) until a vertical line derived from the colored Ni(DMG)<sub>2</sub> complex becomes visible in the rectangular window (&#x0201c;Inspection window&#x0201d; in <xref ref-type="fig" rid="F1">Figure 1c</xref>), with a sheet of copy paper placed under the 3D-printed device as a background.</p></sec><sec id="S7"><title>Interference study</title><p id="P12">Interference from foreign metals including Mg(II), Al(III), Ca(II), V(III), Cr(III), Cr(VI), Mn(II), Fe(II), Fe(III), Co(II), Cu(II), Zn(II), Cd(II), Hg(II) and Pb(II) was studied. For this purpose, aqueous samples with various mass ratios between Ni and a single foreign metal were prepared to identify the maximum ratio giving no significant interference as compared to a control (interfering metal-free aqueous solution containing identical mass of Ni).</p></sec><sec id="S8"><title>Preparation of welding fume sample</title><p id="P13">A stainless steel welding fume sample certified for Cr, Fe, Mn and Ni (SSWF-1) was obtained from the Health &#x00026; Safety Laboratory (Harpur Hill, Buxton, UK). Aqua regia digestion of the SSWF-1 material was performed by the method previously reported by our group<sup><xref rid="R55" ref-type="bibr">55</xref></sup> with a slight modification. Briefly, 4.9 mg of the SSWF-1 material was digested into 1 mL of aqua regia heated at 70 &#x000b0;C for 15 min. After cooling to room temperature, 1.5 mL of an aqueous sodium carbonate solution (2 M) for neutralization and 7.5 mL of water were added.</p></sec><sec id="S9"><title>Shelf life evaluation</title><p id="P14">To evaluate the shelf life of the developed PAD, the DMG/tris ink was printed onto the entire area of the hydrophilic paper region. Except for the inkjet-printing dimension of the DMG/tris area, the PAD was prepared in an identical manner to the case of the window-sliding detection. The PADs were wrapped in aluminum foil and stored at room temperature (25 &#x000b0;C) or 4 &#x000b0;C. After storage for various time spans (1, 2, 4, 6, 8 weeks), the PADs were exposed to aqueous Ni sample solutions (0, 0.1, 0.2, 0.4, 0.6, 0.8, 1, 2 mM). An image of the dried PAD was acquired with a Xerox DocuMate 3220 scanner (color scanning mode, 600 dpi resolution). Finally, numerical color intensity values of the hydrophilic sensing region were extracted from the scanned images by using the ImageJ software (NIH, Bethesda, MD).</p></sec></sec><sec id="S10"><title>Results and discussion</title><sec id="S11"><title>Principle of distance-based detection by color screening</title><p id="P15">A schematic illustration of the distance-based quantification method proposed in this work is shown in <xref ref-type="fig" rid="F2">Figure 2</xref>. The PAD with inkjet-printed colorimetric indicator (dimethylglyoxime: DMG) undergoes a colorimetric response upon contact with a sample solution. In this process, the inkjet-printed DMG indicator line shows a uniform magenta color development, of which the intensity is dependent on the concentration of nickel in the sample (<xref ref-type="fig" rid="F2">Figure 2a</xref>). After the color development, a transparency film with a magenta color gradient of increasing intensity is overlaid as a &#x0201c;mask&#x0201d; (<xref ref-type="fig" rid="F2">Figure 2b</xref>). The color film screens those parts of the magenta-colored line derived from the Ni(DMG)<sub>2</sub> complex with weaker color intensity than that of the printed magenta toner on the overlaid transparency film (<xref ref-type="fig" rid="F2">Figure 2c</xref>). This mechanism allows quantification of sample Ni concentration from the visible length of the Ni(DMG)<sub>2</sub> line. The distance-based signal is acquired by observing the color intensity of the Ni(DMG)<sub>2</sub> line through a movable &#x0201c;inspection window&#x0201d; (<xref ref-type="fig" rid="F2">Figure 2d</xref>). For this purpose, a 3D-printed device (<xref ref-type="fig" rid="F1">Figures 1c</xref> and <xref ref-type="supplementary-material" rid="SD1">S2</xref>) has been designed to integrate the PAD, the color filter, and the handle for sliding the inspection window. The Ni concentration is determined by sliding the handle until a vertical line becomes recognizable in the inspection window and by simply reading the &#x0201c;concentration scale marks&#x0201d; printed next to the color filter. A preliminary study showed that the visible length of the colored line is more clearly judged by observing a vertical line becoming visible in the confined inspection window, rather than by directly measuring the entire length of the visible part of the colored line. This reason is attributed to the fact that the presence of the colored Ni(DMG)<sub>2</sub> line under the color filter is &#x0201c;biased&#x0201d; in the absence of the inspection window, making accurate measurement of the visible length difficult.</p></sec><sec id="S12"><title>Optimization of color filter</title><p id="P16">To determine the color gradient to be printed on a transparency sheet was as follows: 1) obtain colorimetric response of the PADs using Ni standard samples with known concentrations; 2) print toner onto a transparency film with various intensities of color of which the hue matches that of the indicator after the colorimetric reaction (magenta in this case); 3) identify the weakest filtering color intensity for each Ni concentration by the naked eye; 4) print color gradient and concentration scale marks onto a transparency film. The image in <xref ref-type="fig" rid="F3">Figure 3a</xref> shows the colorimetric response of the PAD between 0&#x02013;1 mM Ni. With increasing magenta color of the developed line at higher sample Ni concentration, more intense filtering magenta color on the transparency film was required. <xref ref-type="fig" rid="F3">Figure 3b</xref> summarizes the identified weakest print color value settings and the resulting print color to hide (&#x0201c;screen&#x0201d;) the developed Ni(DMG)<sub>2</sub> line at each Ni concentration. A photograph of filtering magenta color printed onto the transparency film with various intensities is shown in <xref ref-type="supplementary-material" rid="SD1">Figure S4 of the ESI</xref>. It should be noted that the optimal print color values in <xref ref-type="fig" rid="F3">Figure 3b</xref> are specific for the laser printer used in this work and dependent on the printer model to be employed for creating the color filter. Based on the relationship between the Ni concentration and the minimum intensity of the overlaid filtering color, magenta-colored toner with an intensity gradient was printed onto the transparency sheet (<xref ref-type="fig" rid="F3">Figure 3c</xref>). It should be noted that the concentration scale marks start from 0.2 mM, since the developed Ni(DMG)<sub>2</sub> line is visible only at 0.2 mM or higher concentration of Ni in the sample solution. The detailed profile of the printed gradient and its agreement with the optimal color identified in step 3) are described in the <xref ref-type="supplementary-material" rid="SD1">ESI and Figure S5</xref>.</p></sec><sec id="S13"><title>Aqueous standard sample analysis</title><p id="P17">After color filter optimization, distance-based Ni quantification by the window sliding method was performed on samples with various Ni concentrations. The images in <xref ref-type="fig" rid="F4">Figure 4a</xref> show the case of a 0.5 mM Ni sample analysis as an example (see <xref ref-type="supplementary-material" rid="SD1">Figure S6</xref> for other Ni concentrations). The resulting magenta line becomes visible as the color intensity of the overlaid screening film was reduced by sliding the inspection window. Quantitative Ni detection was enabled by identifying the position of the sliding handle where the Ni(DMG)<sub>2</sub> line was first recognized in the inspection window. <xref ref-type="fig" rid="F4">Figure 4b</xref> shows the correlation between the Ni concentration (horizontal axis) and the results from the scale marks on the 3D printed sample holder (vertical axis). Accurate quantitative analysis was achieved as demonstrated by a slope close to unity (1.004) and good linearity (<italic>R</italic><sup>2</sup> value of 0.995). In addition, the relative standard deviations ranged from 2.1&#x02013;13% with 8.0% average. However, considering the current detection approach is based on visual observation of a colored line in an inspection window, the assay result might inherently be biased. In this context, the proposed quantification approach was validated by having multiple independent users quantify Ni concentration using the proposed method.</p></sec><sec id="S14"><title>Ni quantification in welding fume sample by multiple users</title><p id="P18">To further investigate the analytical performance of the developed PAD, the Ni content in a welding fume sample was independently quantified by multiple users. The certified metal content for the SSWF-1 reference material is shown in <xref ref-type="supplementary-material" rid="SD1">Table S1</xref>. The resulting digested solution (0.31 mM of Ni) as well as three additional samples spiked with Ni to 0.61, 0.81 and 0.91 mM were subject to Ni determination by 8 volunteer users. Before testing, the users were instructed on the readout method using the line visibility based on the case of a 0.6 mM standard sample as a reference. For analytical performance comparison, Ni concentrations were measured by visual comparison of the sample color intensity with that of a read guide prepared by PADs exposed to aqueous Ni standards of known concentration (devices identical to those in <xref ref-type="fig" rid="F3">Figure 3a</xref>). <xref ref-type="fig" rid="F5">Figures 5a and 5b</xref> show the readout results of Ni concentrations by 8 independent users obtained from the developed distance-based approach and visual color intensity comparison, respectively. For easier result interpretation, the recovery rate calculated from the data in <xref ref-type="fig" rid="F5">Figure 5</xref> is summarized in <xref ref-type="table" rid="T1">Table 1</xref> and <xref ref-type="supplementary-material" rid="SD1">Figure S7</xref> (bar graph format). A notable difference between the proposed method and the colorimetric approach was observed in the accuracy of the unspiked sample, where the readout value based on the visual color intensity comparison was generally lower than the true value (0.31 mM of Ni). This reason might be attributed to minor color blurring that was observed in the developed Ni(DMG)<sub>2</sub> line, making the overall color intensity weaker than that of the color read guide with the closest concentration (<italic>i.e.</italic> 0.3 mM). On the other hand, we postulate that the distance-based detection approach was less influenced by this phenomenon because the highest color intensity of the Ni(DMG)<sub>2</sub> line was maintained at its center and was not impacted by color blurring.</p><p id="P19"><xref ref-type="table" rid="T2">Table 2</xref> summarizes the analytical performance comparison between the distance-based detection motif by color screening and the naked eye-based color intensity comparison method. It should be noted that accuracy and precision are defined as the means of absolute percentage error of Ni quantification and relative standard deviations, and thus, smaller percentage values represent better performance. <xref ref-type="table" rid="T2">Table 2</xref> shows that the proposed distance-based detection method improves the overall readout accuracy and precision as compared to the color intensity comparison-based approach. In addition, a significant improvement of precision has been achieved from a distance-based PAD for Ni quantification relying on capillary action-based analyte depletion within a paper microchannel (23.5% precision).<sup><xref rid="R33" ref-type="bibr">33</xref></sup> One possible explanation for this improvement is that the developed distance-based detection motif does not involve capillary force-driven sample wicking. &#x0201c;Conventional&#x0201d; distance-based detection not using color screening relies on capillary flow, of which the reproducibility is susceptible to the heterogeneous nature of filter paper, such as the orientation direction of cellulosic fibres.<sup><xref rid="R56" ref-type="bibr">56</xref>, <xref rid="R57" ref-type="bibr">57</xref></sup> Because the new method does not rely on capillary forces, a shortened assay time (~ 10 min) is achieved when compared to the &#x0201c;conventional&#x0201d; distance-based detection (45 min) having the same length of a detection channel (5 cm).<sup><xref rid="R33" ref-type="bibr">33</xref></sup> Finally, the cost of the developed PADs was calculated to be $0.011 per device (detailed calculation is shown in <xref ref-type="supplementary-material" rid="SD1">Table S2</xref>), which is significantly lower than the conventional analytical techniques (&#x0003e;$100 per sample).</p></sec><sec id="S15"><title>Interference study</title><p id="P20">Mn(II), Fe(III), Co(II) and Cu(II) are metals known to interfere with the DMG-based Ni assay.<sup><xref rid="R58" ref-type="bibr">58</xref></sup> Sodium fluoride and ammonium acetate were pre-deposited onto the entire hydrophilic area of the PAD to mask these interferences. The effect of the deposited masking reagents was evaluated with a tolerance study. The tolerance ratio identifies the maximum mass ratio between Ni and an interfering metal giving rise to change in signal of less than 10%. For these studies the Ni mass was fixed at 294 &#x000b5;g (0.5 mM in 10 mL sample solution). <xref ref-type="fig" rid="F6">Figure 6</xref> shows the readout of Ni concentration under various interfering conditions, and <xref ref-type="table" rid="T3">Table 3</xref> summarizes the tolerance mass ratio of each interfering metal, respectively. The presence of Mg(II), Al(III), Ca(II), V(III), Cr(III), Cr(VI), Mn(II), Fe(II), Fe(III), Zn(II), Cd(II), Hg(II) and Pb(II) at a mass ratio of &#x0003e;10:1 did not affect the assay results. Thus, these metal ions do not interfere with the Ni assay at the concentrations normally found in stainless steel welding fumes. The potential interference from Mn(II) and Fe(III) has been eliminated thanks to the presence of the masking reagents pre-deposited onto the PAD. On the other hand, even with the use of the masking agents, interference from Co(II) and Cu(II) was observed at a mass ratio of 0.5. The presence of these metals at a mass ratio higher than 1 to Ni resulted in weaker color development, contradicting the fact that DMG forms a colored complex with Co(II) and Cu(II).<sup><xref rid="R59" ref-type="bibr">59</xref></sup> This discrepancy is explained by the fact that Co(DMG)<sub>2</sub> and Cu(DMG)<sub>2</sub>, formed in competition with the complexation of DMG with Ni(II), are water-soluble<sup><xref rid="R60" ref-type="bibr">60</xref>, <xref rid="R61" ref-type="bibr">61</xref></sup> and thus, spread within the hydrophilic paper area, resulting in weak color development of Ni(DMG)<sub>2</sub>. However, the percent composition of Co and Cu rarely reaches equivalent levels to that of Ni in stainless steels,<sup><xref rid="R33" ref-type="bibr">33</xref></sup> and should not be an issue in the context of the application presented.</p></sec><sec id="S16"><title>Shelf life evaluation of PAD</title><p id="P21">The long-term stability of the developed PAD was evaluated by monitoring the colorimetric response of the inkjet-printed DMG reagent to Ni concentrations after storage up to 8 weeks in the dark. <xref ref-type="fig" rid="F7">Figures 7a and 7b</xref> represents the time course of the color intensity values in the RGB (red, green, blue) color coordinates after storage at room temperature (25 &#x000b0;C) and 4 &#x000b0;C, respectively. Over the tested storage period up to 8 weeks, the PAD showed no statistically signification variation in the developed red, green and blue color intensities regardless of the storage temperature. With the stable colorimetric response, the analytical performance of the elaborated distance-based detection method is expected to be fully maintained at least for 8 weeks by simple light-shielded storage condition.</p></sec></sec><sec sec-type="conclusions" id="S17"><title>Conclusions</title><p id="P22">This work demonstrates the first reported distance-based quantification mode on PADs by using the indicator color screening strategy. The &#x0201c;dip-and-read&#x0201d; assay format eliminates the capillary flow-based analyte depletion step in a microfluidic paper channel utilized in the conventional distance-based detection motif. The results of multiple user tests of Ni quantification demonstrated improved analytical precision and shortened assay time as compared to the previously reported distance-based PAD for Ni detection. It was also experimentally confirmed that the proposed detection approach exhibits better analytical accuracy and precision than a visual color intensity comparison method. Although the readout result of the &#x0201c;dip-and-read&#x0201d; assay is still dependent on an individual&#x02019;s color recognition capacity and may be inherently biased by different users, the improved analytical accuracy and precision over the traditional visual color intensity comparison approach suggest that user-dependent variation of instrument-free colorimetric assay results has been mitigated by the proposed method. Therefore, this new distance-based quantification approach is a promising alternative signaling motif on paper-based analytical devices allowing low-cost and simple, yet quantitative precise assays. Although the current work demonstrates Ni detection by the dimethylglyoxime colorimetric indicator for proof-of-concept, the elaborated detection system is expected to be expandable to other analytical targets by changing the colorimetric indicator and the color filter.</p></sec><sec sec-type="supplementary-material" id="SM"><title>Supplementary Material</title><supplementary-material content-type="local-data" id="SD1"><label>ESI</label><media xlink:href="NIHMS964287-supplement-ESI.pdf" orientation="portrait" xlink:type="simple" id="d36e635" position="anchor"/></supplementary-material></sec></body><back><fn-group><fn id="FN1"><label>&#x02020;</label><p id="P23"><xref ref-type="supplementary-material" rid="SD1">Electronic Supplementary Information (ESI)</xref> available: Design of the 3D-printed device, device components of the distance-based detection by color screening and their assembly process, operational procedure of the distance-based detection by color screening, photographs of filtering magenta color printed on a transparency film, detailed characterization procedure of the color filter, quantitative evaluation of filtering color intensity gradient printed on a transparency film, photographs of inspection window in Ni sensing, summary of recovery rate of Ni detected by user test, certified content of metals in the welding fume sample used in this work, cost calculation of the paper device. See DOI: 10.1039/x0xx00000x</p></fn><fn fn-type="COI-statement" id="FN2"><p id="P24"><bold>Conflicts of interest</bold></p><p id="P25">There are no conflicts to declare.</p></fn></fn-group><ack id="S18"><p id="P26">K.Y. gratefully acknowledges the funding from a Research Fellowship of the Japan Society for the Promotion of Science (JSPS) for Young Scientists. C.S.H. acknowledges support from the National Institute of Occupational Safety and Health (OH010662). The authors thank the volunteers cooperating on the device user test. 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The result shows the case of a 0.5 mM Ni sample concentration as an example (results of other Ni concentrations are shown in <xref ref-type="supplementary-material" rid="SD1">Figure S5 of the ESI</xref>). The image boxes highlighted by the green outline show the visible state of the vertical line inside the inspection window. Note that the light blue lines seen to the left of the windows are shadows of a part of the 3D-printed device; b) correlation between the sample Ni concentration and the readout values from the scale marks of the device.</p></caption><graphic xlink:href="nihms964287f4"/></fig><fig id="F5" orientation="portrait" position="float"><label>Figure 5</label><caption><p id="P31">Readout results of Ni concentration digested from welding fume by using a) the distance-based method and b) the color intensity comparison method. The data represent the average and standard deviations of 5 independent measurements by 8 volunteer users. The &#x0201c;Unspiked&#x0201d;, &#x0201c;Spiked #1&#x0201d;, &#x0201c;Spiked #2&#x0201d; and &#x0201c;Spiked #3&#x0201d; samples contain 0.31, 0.61, 0.81 and 0.91 mM of Ni, as indicated by the dotted horizontal lines with a color corresponding to the legend.</p></caption><graphic xlink:href="nihms964287f5"/></fig><fig id="F6" orientation="portrait" position="float"><label>Figure 6</label><caption><p id="P32">Result of Ni concentration readout in the presence of Ni and interfering metals. The amount of Ni was fixed at 0.5 mM (294 &#x000b5;g in 10 mL of sample), whereas the amount of the interfering metals was varied as indicated at the bottom of the graph. The dotted red line highlights the true readout value (0.5 mM).</p></caption><graphic xlink:href="nihms964287f6"/></fig><fig id="F7" orientation="portrait" position="float"><label>Figure 7</label><caption><p id="P33">Shelf life evaluation of the DMG-based colorimetric detection system for Ni. After storage for various time periods, the PADs with inkjet-printed DMG were exposed to Ni solution of various concentrations and digital color analysis was performed. The PAD was stored at a) room temperature (25 &#x000b0;C) and 4 &#x000b0;C. The graphs represent analyzed color intensity values of red (top row), green (middle row) and blue (bottom row), respectively.</p></caption><graphic xlink:href="nihms964287f7"/></fig><table-wrap id="T1" position="float" orientation="landscape"><label>Table 1</label><caption><p id="P34">Results of recovery rate (%) of the user test-based quantification of Ni digested from a welding fume. The data reflect mean &#x000b1; standard deviation obtained from 5 independent measurements by a) the proposed distance-based method and b) naked eye-based color intensity comparison.</p></caption><table frame="above" rules="groups"><thead><tr><th align="left" colspan="9" rowspan="1">a)</th></tr><tr><th align="left" colspan="9" valign="bottom" rowspan="1">
<hr/></th></tr><tr><th align="center" rowspan="1" colspan="1">Sample</th><th align="center" rowspan="1" colspan="1">User #1</th><th align="center" rowspan="1" colspan="1">User #2</th><th align="center" rowspan="1" colspan="1">User #3</th><th align="center" rowspan="1" colspan="1">User #4</th><th align="center" rowspan="1" colspan="1">User #5</th><th align="center" rowspan="1" colspan="1">User #6</th><th align="center" rowspan="1" colspan="1">User #7</th><th align="center" rowspan="1" colspan="1">User #8</th></tr></thead><tbody><tr><td align="center" rowspan="1" colspan="1">Unspiked</td><td align="center" rowspan="1" colspan="1">120 &#x000b1; 23</td><td align="center" rowspan="1" colspan="1">97 &#x000b1; 0</td><td align="center" rowspan="1" colspan="1">141 &#x000b1; 35</td><td align="center" rowspan="1" colspan="1">125 &#x000b1; 34</td><td align="center" rowspan="1" colspan="1">95 &#x000b1; 11</td><td align="center" rowspan="1" colspan="1">111 &#x000b1; 17</td><td align="center" rowspan="1" colspan="1">119 &#x000b1; 31</td><td align="center" rowspan="1" colspan="1">107 &#x000b1; 22</td></tr><tr><td align="center" rowspan="1" colspan="1">Spiked #1</td><td align="center" rowspan="1" colspan="1">113 &#x000b1; 7.3</td><td align="center" rowspan="1" colspan="1">75 &#x000b1; 9.0</td><td align="center" rowspan="1" colspan="1">102 &#x000b1; 15</td><td align="center" rowspan="1" colspan="1">104 &#x000b1; 21</td><td align="center" rowspan="1" colspan="1">104 &#x000b1; 0.9</td><td align="center" rowspan="1" colspan="1">87 &#x000b1; 10</td><td align="center" rowspan="1" colspan="1">98 &#x000b1; 21</td><td align="center" rowspan="1" colspan="1">77 &#x000b1; 10</td></tr><tr><td align="center" rowspan="1" colspan="1">Spiked #2</td><td align="center" rowspan="1" colspan="1">98 &#x000b1; 2.7</td><td align="center" rowspan="1" colspan="1">81 &#x000b1; 14</td><td align="center" rowspan="1" colspan="1">98 &#x000b1; 6.4</td><td align="center" rowspan="1" colspan="1">102 &#x000b1; 6.6</td><td align="center" rowspan="1" colspan="1">96 &#x000b1; 16</td><td align="center" rowspan="1" colspan="1">85 &#x000b1; 4.8</td><td align="center" rowspan="1" colspan="1">110 &#x000b1; 8.3</td><td align="center" rowspan="1" colspan="1">76 &#x000b1; 5.7</td></tr><tr><td align="center" rowspan="1" colspan="1">Spiked #3</td><td align="center" rowspan="1" colspan="1">95 &#x000b1; 4.8</td><td align="center" rowspan="1" colspan="1">103 &#x000b1; 6.0</td><td align="center" rowspan="1" colspan="1">102 &#x000b1; 4.8</td><td align="center" rowspan="1" colspan="1">99 &#x000b1; 3.2</td><td align="center" rowspan="1" colspan="1">105 &#x000b1; 6.6</td><td align="center" rowspan="1" colspan="1">93 &#x000b1; 8.1</td><td align="center" rowspan="1" colspan="1">110 &#x000b1; 0</td><td align="center" rowspan="1" colspan="1">91 &#x000b1; 10</td></tr></tbody></table><table frame="void" rules="groups"><thead><tr><th align="left" colspan="9" rowspan="1">b)</th></tr><tr><th align="left" colspan="9" valign="bottom" rowspan="1">
<hr/></th></tr><tr><th align="center" rowspan="1" colspan="1">Sample</th><th align="center" rowspan="1" colspan="1">User #1</th><th align="center" rowspan="1" colspan="1">User #2</th><th align="center" rowspan="1" colspan="1">User #3</th><th align="center" rowspan="1" colspan="1">User #4</th><th align="center" rowspan="1" colspan="1">User #5</th><th align="center" rowspan="1" colspan="1">User #6</th><th align="center" rowspan="1" colspan="1">User #7</th><th align="center" rowspan="1" colspan="1">User #8</th></tr></thead><tbody><tr><td align="center" rowspan="1" colspan="1">Unspiked</td><td align="center" rowspan="1" colspan="1">77 &#x000b1; 18</td><td align="center" rowspan="1" colspan="1">65 &#x000b1; 0</td><td align="center" rowspan="1" colspan="1">65 &#x000b1; 0</td><td align="center" rowspan="1" colspan="1">65 &#x000b1; 0</td><td align="center" rowspan="1" colspan="1">71 &#x000b1; 14</td><td align="center" rowspan="1" colspan="1">71 &#x000b1; 14</td><td align="center" rowspan="1" colspan="1">71 &#x000b1; 14</td><td align="center" rowspan="1" colspan="1">71 &#x000b1; 14</td></tr><tr><td align="center" rowspan="1" colspan="1">Spiked #1</td><td align="center" rowspan="1" colspan="1">95 &#x000b1; 18</td><td align="center" rowspan="1" colspan="1">102 &#x000b1; 37</td><td align="center" rowspan="1" colspan="1">95 &#x000b1; 29</td><td align="center" rowspan="1" colspan="1">108 &#x000b1; 19</td><td align="center" rowspan="1" colspan="1">102 &#x000b1; 14</td><td align="center" rowspan="1" colspan="1">92 &#x000b1; 25</td><td align="center" rowspan="1" colspan="1">95 &#x000b1; 7.3</td><td align="center" rowspan="1" colspan="1">98 &#x000b1; 26</td></tr><tr><td align="center" rowspan="1" colspan="1">Spiked #2</td><td align="center" rowspan="1" colspan="1">106 &#x000b1; 17</td><td align="center" rowspan="1" colspan="1">91 &#x000b1; 11</td><td align="center" rowspan="1" colspan="1">91 &#x000b1; 14</td><td align="center" rowspan="1" colspan="1">89 &#x000b1; 18</td><td align="center" rowspan="1" colspan="1">94 &#x000b1; 19</td><td align="center" rowspan="1" colspan="1">91 &#x000b1; 6.8</td><td align="center" rowspan="1" colspan="1">79 &#x000b1; 14</td><td align="center" rowspan="1" colspan="1">104 &#x000b1; 6.8</td></tr><tr><td align="center" rowspan="1" colspan="1">Spiked #3</td><td align="center" rowspan="1" colspan="1">95 &#x000b1; 13</td><td align="center" rowspan="1" colspan="1">105 &#x000b1; 6.0</td><td align="center" rowspan="1" colspan="1">101 &#x000b1; 4.9</td><td align="center" rowspan="1" colspan="1">95 &#x000b1; 17</td><td align="center" rowspan="1" colspan="1">105 &#x000b1; 6.0</td><td align="center" rowspan="1" colspan="1">92 &#x000b1; 9.8</td><td align="center" rowspan="1" colspan="1">103 &#x000b1; 9.8</td><td align="center" rowspan="1" colspan="1">99 &#x000b1; 11</td></tr></tbody></table></table-wrap><table-wrap id="T2" position="float" orientation="portrait"><label>Table 2</label><caption><p id="P35">Analytical performance comparison between the proposed distance-based detection and the visual color intensity comparison method.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="center" rowspan="1" colspan="1">Parameter</th><th align="center" rowspan="1" colspan="1">Distance</th><th align="center" rowspan="1" colspan="1">Visual color intensity</th></tr></thead><tbody><tr><td align="center" rowspan="1" colspan="1">Mean recovery<xref ref-type="table-fn" rid="TFN1">a</xref></td><td align="center" rowspan="1" colspan="1">101%</td><td align="center" rowspan="1" colspan="1">90%</td></tr><tr><td align="center" rowspan="1" colspan="1">Accuracy<xref ref-type="table-fn" rid="TFN2">b</xref></td><td align="center" rowspan="1" colspan="1">10.5%</td><td align="center" rowspan="1" colspan="1">12.2%</td></tr><tr><td align="center" rowspan="1" colspan="1">Precision<xref ref-type="table-fn" rid="TFN3">c</xref></td><td align="center" rowspan="1" colspan="1">11.2%</td><td align="center" rowspan="1" colspan="1">14.9%</td></tr></tbody></table><table-wrap-foot><fn id="TFN1"><label>a</label><p id="P36">Expressed as the average value of the recovery rates shown in <xref ref-type="table" rid="T1">Table 1</xref>;</p></fn><fn id="TFN2"><label>b</label><p id="P37">expressed as the mean absolute percentage error of the recovery rates shown in <xref ref-type="table" rid="T1">Table 1</xref>;</p></fn><fn id="TFN3"><label>c</label><p id="P38">expressed as the mean of the relative standard deviations of measured Ni concentration values.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T3" position="float" orientation="portrait"><label>Table 3</label><caption><p id="P39">Interferences from foreign metals.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="center" rowspan="1" colspan="1">Interfering ion</th><th align="center" rowspan="1" colspan="1">Tolerance mass ratio<xref ref-type="table-fn" rid="TFN4">a</xref></th></tr></thead><tbody><tr><td align="center" rowspan="1" colspan="1">Mg(II)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Al(III)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Ca(II)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">V(III)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Cr(III)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Cr(VI)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Mn(II)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Fe(II)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Fe(III)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Co(II)</td><td align="center" rowspan="1" colspan="1">0.5</td></tr><tr><td align="center" rowspan="1" colspan="1">Cu(II)</td><td align="center" rowspan="1" colspan="1">0.5</td></tr><tr><td align="center" rowspan="1" colspan="1">Zn(II)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Cd(II)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Hg(II)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr><tr><td align="center" rowspan="1" colspan="1">Pb(II)</td><td align="center" rowspan="1" colspan="1">&#x02265;10</td></tr></tbody></table><table-wrap-foot><fn id="TFN4"><label>a</label><p id="P40">Tolerance mass ratio was defined as the maximum mass ratio between Ni and an interfering metal giving rise to change in signal of less than 10% based on the result in <xref ref-type="fig" rid="F6">Figure 6</xref>.</p></fn></table-wrap-foot></table-wrap></floats-group></article>