Viral load

Viral load is the measured amount of a virus in a specified sample, commonly expressed relative to sample volume. The measured target and units must be stated. For human immunodeficiency virus, a familiar result is the number of viral RNA copies per millilitre of blood; reverse transcription polymerase chain reaction is one method used in viral-load testing.^[ref]

Normalization turns an assay count into a concentration. In a hypothetical calibrated measurement, 250 RNA copies attributed to $0.050\mathrm{mL}$ of the original specimen correspond toThe example assumes that extraction, dilution and assay calibration have already been accounted for. Counting a portion of an extract without that relationship would not establish the same sample-normalized value.

Ratios are often more informative than raw differences. A constructed decrease from 100,000 to 10,000 copies per millilitre is a tenfold reduction, a $90\%$ decrease, and a change of $-1$ in the base-ten logarithm. Those are three descriptions of the same numerical comparison, rather than three independent observations.

Measurement has limits. A limit of detection concerns the smallest signal or corresponding amount distinguishable with stated certainty by a procedure; an undetected signal does not prove an exactly zero amount.^[ref] Moreover, a count of viral RNA is a molecular measurement, not a direct count of infectious virions or a complete description of disease state.