FT4 immunoassays may display a pattern during pregnancy similar to the equilibrium dialysis ID-LC/tandem MS candidate reference measurement procedure in spite of susceptibility towards binding protein alterations.

Ellen Anckaert, Kris Poppe, K. Van Uytfanghe, Johan Schiettecatte, Walter Foulon, L. Thienpont

Onderzoeksoutput: Articlepeer review

68 Citaten (Scopus)

Samenvatting

BACKGROUND: Serum free thyroxine (FT4) testing in pregnancy is known to be challenging for immunoassays (IAs). We verified the reliability of FT4 results by 3 commercial IAs throughout pregnancy, by comparison of the pattern to that obtained with an equilibrium dialysis isotope dilution-mass spectrometry (ED ID-MS) candidate reference measurement procedure.

METHODS: Pregnant females (107) and age-matched non-pregnant controls (26) were enrolled. The IAs tested were those performed on the Cobas 6000 (Roche Diagnostics), ARCHITECT i2000SR (Abbott Diagnostics) and Immulite 2000 (Siemens Healthcare) platforms.

RESULTS: Compared to the controls (mean FT4: 18.2pmol/L), ED ID-MS gave in the late first trimester pregnancy an 8.8% lower (p
CONCLUSION: We proved that IAs may give a FT4 pattern during pregnancy similar to that obtained by ED ID-MS.
Originele taal-2English
Pagina's (van-tot)1348-1353
Aantal pagina's6
TijdschriftClin Chim Acta
Volume411
Nummer van het tijdschriftSeptember
StatusPublished - sep 2010

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