Free thyroxin by radioimmunoassay: evaluation of a new direct method involving a radiolabeled thyroxin analog
The first performance evaluation of a new direct method for free thyroxin (T4) in serum by radioimmunoassay, with use of coated tubes and a radioiodinated T4 analog (Diagnostic Products Corp.) is presented. The assay is precise and robust: within-run imprecision (CV), 3.1-6.6%; between-run imprecision, 4.0-7.9%; no demonstrable variation between technologists irrespective of experience with the method. No outliers were observed when we compared the free T4 results with serum total T4. Reference values are reported for a total of 1243 euthyroid subjects; there was no significant age effect on serum free T4 in women 26 to 72 years old. The biological variation was about +/- 35% of the mean (2 SD). Free T4 results are the same for serum and plasma. The assay performs well in hypothyroidism and hyperthyroidism, and distinguishes individuals with thyroid disease from normal individuals. Free T4 values in women taking oral contraceptives are normal. Depressed results were often observed in acute nonthyroidal illness and continuing pregnancy. These results were directly comparable with those of another commercial direct radiolabeled-T4 analog kit for free T4.
- OSTI ID:
- 6670235
- Journal Information:
- Clin. Chem. (Winston-Salem, N.C.); (United States), Vol. 29:10
- Country of Publication:
- United States
- Language:
- English
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Related Subjects
HYPERTHYROIDISM
DIAGNOSIS
HYPOTHYROIDISM
THYROXINE
RADIOIMMUNOASSAY
BLOOD SERUM
EVALUATION
IODINE ISOTOPES
PATIENTS
AMINO ACIDS
CARBOXYLIC ACIDS
DISEASES
ENDOCRINE DISEASES
HORMONES
ISOTOPE APPLICATIONS
ISOTOPES
ORGANIC ACIDS
ORGANIC COMPOUNDS
ORGANIC HALOGEN COMPOUNDS
ORGANIC IODINE COMPOUNDS
PEPTIDE HORMONES
RADIOASSAY
THYROID HORMONES
TRACER TECHNIQUES
550601* - Medicine- Unsealed Radionuclides in Diagnostics