Can we interpret serum thyroglobulin results?

Abstract:

:Thyroglobulin (Tg) is a tumour marker for differentiated thyroid cancer. Interpretation requires a knowledge of the current thyrotropin (TSH) concentration as secretion is TSH-dependent. While a raised serum Tg may be indicative of residual or recurrent thyroid cancer, trauma to the thyroid (e.g. surgical, biopsy or due to radioiodine treatment) also causes an increase. Tg may be measured when TSH is suppressed and also following recombinant TSH (rhTSH) stimulation. Interpretation of results in pregnancy and in children is discussed. Assay bias and interference by endogenous Tg antibodies (Abs) are the main confounders in the interpretation of results. Although there is an international standard for Tg, there are large differences in results and yet there are few assay-specific clinical decision limits. Patients should therefore be monitored with the same assay. Endogenous TgAbs may cause false-negative interference in immunometric assays and may cause false-positive results in radioimmunoassay. Although the measurement of TgAbs has been advocated for predicting interference, it is now clear that interference can still occur when TgAbs have not been detected, the effect being TgAb-assay-specific. Approaches to identifying those samples where there may be interference are discussed. The laboratory should have a protocol for the investigation of possible interferences and data on the bias of the Tg assay that they use. An appreciation of the clinical uses of the service is required as an understanding by endocrinologists, oncologists and endocrine surgeons of the analytical limitations of the service.

journal_name

Ann Clin Biochem

authors

Clark P,Franklyn J

doi

10.1258/acb.2011.011248

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

313-22

issue

Pt 4

eissn

0004-5632

issn

1758-1001

pii

acb.2011.011248

journal_volume

49

pub_type

杂志文章,评审
  • Antiphospholipid and antioangiogenic activity in females with recurrent miscarriage and antiphospholipid syndrome.

    abstract::Background Antiphospholipid syndrome is an autoimmune disease characterized by thrombosis, fetal losses and thrombocytopenia associated to antiphospholipid antibodies. They are directed to phospholipids, such as cardiolipins (anticardiolipin) and lupus anticoagulant or to complexes formed by phospholipids and protein ...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/0004563216672248

    authors: Pelusa HF,Pezzarini E,Basiglio CL,Musuruana J,Bearzotti M,Svetaz MJ,Daniele SM,Bottai H,Arriaga SM

    更新日期:2017-09-01 00:00:00

  • Body composition and plasma creatine kinase activity.

    abstract::Plasma creatine kinase (CK) activity and lean body mass (LBM) (by anthropometry) were measured in 120 women (20-82 years) and 70 men (20-82 years). Plasma CK activity and LBM was higher in men than in women. In men plasma CK activity was significantly correlated (product moment correlation coefficient) with LBM and ne...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456328802500411

    authors: Swaminathan R,Ho CS,Donnan SP

    更新日期:1988-07-01 00:00:00

  • Clinical need-directed blood tests: a step in saving the NHS?

    abstract:BACKGROUND:Unnecessary blood tests are estimated to contribute to 25% of wastage in the National Health Service. The aim of this study was to assess the financial implication of clinical need-focused blood tests guided by a senior clinician in a district general hospital. METHODS:We conducted an observational longitud...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/0004563215617782

    authors: Mughal Z,Narayanan A,Gupta V,Reay-Jones N

    更新日期:2016-09-01 00:00:00

  • Glycosylated haemoglobin by affinity chromatography in diabetic and non-diabetic children.

    abstract::We have made an evaluation of glycosylated haemoglobin measurements by affinity chromatography in a paediatric population. Age-related reference values for non-diabetic infants and children are reported. A poor correlation (r = 0.24) was found between glycosylated haemoglobin values in 26 insulin-dependent diabetic ch...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456328602300407

    authors: van Heyningen C,Hanid TK,Hopkinson I

    更新日期:1986-07-01 00:00:00

  • Sodium measurement: effects of differing sampling and analytical methods.

    abstract:BACKGROUND:It is recommended that children receiving intravenous fluids should have frequent biochemical monitoring, in some situations 4-6 hourly. Small changes in sodium must be detected, requiring very high precision from sodium analyses. Some children are monitored using venous blood analysed by indirect ion-select...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1258/000456306778904560

    authors: Loughrey CM,Hanna EV,McDonnell M,Archbold GP

    更新日期:2006-11-01 00:00:00

  • A novel five-microlitre capillary system for home glucose monitoring.

    abstract::Improvement in the control of diabetic patients is aided by a knowledge of blood glucose levels during a 'normal' (non-hospitalised) day. We have devised a 5 microliter capillary tube collection system as a 'kit' for home use by diabetics. Blood collected into 5 microliter capillary tubes is washed into a protein prec...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456328101800507

    authors: Williams CP,Davies GK,Child DF

    更新日期:1981-09-01 00:00:00

  • Interference by haemoglobin with the cresolphthalein complexone method for serum calcium measurement.

    abstract::The spectral interference caused by haemoglobin in the calcium-cresolphthalein complexone reaction was investigated. The results show that the nature of the haemoglobin derivative in the reaction mixture influences the degree of interference; in turn, the derivative formed depends on the order in which the sample and ...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456329002700212

    authors: Corns CM

    更新日期:1990-03-01 00:00:00

  • A review of the quality of gastrointestinal investigations performed in UK laboratories.

    abstract:BACKGROUND:About 10 years ago, a survey showed significant deficiencies in the quality of gastrointestinal investigations performed by UK laboratories. Subsequently, several clinical guidelines have been developed and external quality assessment schemes introduced. This survey was performed to assess whether earlier de...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1258/000456307780117911

    authors: Duncan A,Hill PG

    更新日期:2007-03-01 00:00:00

  • Assessment of tacrolimus and creatinine concentration collected using Mitra microsampling devices.

    abstract:BACKGROUND:Current practice requires regular venous blood samples for monitoring of tacrolimus concentrations post renal transplant requiring regular hospital visits. Mitra devices use volumetric absorptive microsampling technology and absorb a fixed amount of blood (10 μL) from a capillary blood sample. They are a via...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/0004563220948886

    authors: Marshall DJ,Kim JJ,Brand S,Bryne C,Keevil BG

    更新日期:2020-09-01 00:00:00

  • Acidification and urine calcium: is it a preanalytical necessity?

    abstract:BACKGROUND:It has been suggested that for the accurate measurement of calcium in urine, samples must be collected into bottles containing acid. Acidification poses risks to both patients and laboratory staff. Here we reappraise whether acidification is a preanalytical necessity. METHODS:Twenty-four-hour urine samples ...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1258/acb.2009.009027

    authors: Sodi R,Bailey LB,Glaysher J,Allars L,Roberts NB,Marks EM,Fraser WD

    更新日期:2009-11-01 00:00:00

  • Interference in immunoassay is an underestimated problem.

    abstract::The presence of antibodies in some patients' serum has long been known to be a potential source of interference in immunoassays, as shown by numerous case reports. These often appear after the introduction of a new analyte (e.g. troponin) and then decrease in number as the topic becomes exhausted. This highlights the ...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章,评审

    doi:10.1258/000456302760042128

    authors: Ismail AA,Walker PL,Cawood ML,Barth JH

    更新日期:2002-07-01 00:00:00

  • Bromocresol purple and the measurement of albumin. Falsely high plasma albumin concentrations eliminated by increased reagent ionic strength.

    abstract::This study was undertaken to investigate the extent of the reported discrepancy between serum and plasma albumin concentrations measured by the bromocresol purple (BCP) method. We have shown that plasma albumin concentrations are falsely increased by turbidity due to the precipitation of fibrinogen when plasma is dilu...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456328302000503

    authors: Hill PG,Wells TN

    更新日期:1983-09-01 00:00:00

  • Continuous glucose monitoring and haemoglobin A(1c).

    abstract:BACKGROUND:Measurement of HbA(1c) is the standard test for assessment of glycaemic control in diabetic subjects. Using new glucose sensing technology we re-evaluated the significance of HbA(1c) in terms of the aspects of the blood profile it measures in patients with diabetes. METHODS:In a group of 27 patients with ty...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1258/000456302320314557

    authors: Sharp P,Rainbow S

    更新日期:2002-09-01 00:00:00

  • Oestrogen and progesterone receptor concentrations in leiomyoma and normal myometrium.

    abstract::The content of cytoplasmic 17 beta oestradiol and progesterone receptors in human uterine leiomyoma and normal myometrium in the Negroid population was determined. Eighteen women of reproductive age, at various stages of the menstrual cycle, were included in the study. The serum oestrogen and progesterone concentratio...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456328702400304

    authors: Sadan O,van Iddekinge B,van Gelderen CJ,Savage N,Becker PJ,van der Walt LA,Robinson M

    更新日期:1987-05-01 00:00:00

  • Effect of plantain on therapeutic drug monitoring of digoxin and thirteen other common drugs.

    abstract:INTRODUCTION:Plantain, a herbal remedy, has been reported to interfere with therapeutic drug monitoring of digoxin. We evaluated three commercially available plantain products for potential interference with therapeutic drug monitoring of digoxin and 13 other common drugs. METHOD:Dry content of plantain capsule or pla...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1258/000456306776865214

    authors: Dasgupta A,Davis B,Wells A

    更新日期:2006-05-01 00:00:00

  • Clinical utility of chromogranin A for the surveillance of succinate dehydrogenase B- and succinate dehydrogenase D-related paraganglioma.

    abstract:BACKGROUND:Patients with mutations of succinate dehydrogenase B (SDHB) and succinate dehydrogenase D (SDHD) are at high risk of paraganglioma necessitating surveillance. Chromogranin A has been proposed as a biochemical marker of paraganglioma. We sought to determine the diagnostic utility of chromogranin A in a popula...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/0004563218811865

    authors: Thompson MJ,Parameswaran V,Burgess JR

    更新日期:2019-01-01 00:00:00

  • Mind the gap: shortcomings of the osmotic gap and a possible solution.

    abstract::Background Measured (MO) and calculated osmotic concentrations (CO) and the osmotic gap (OG) are commonly used in the investigation of electrolyte and volume disturbances as well as in cases of suspected volatile ingestion. Methods We compared 38 published formulae for CO with MO on a large data-set ( n = 9466) and ad...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/0004563217694052

    authors: Wilgen U,Pretorius CJ,Ungerer JP

    更新日期:2018-01-01 00:00:00

  • Comparison of Amerlex, NML, and Ames total thyroxine and triiodothyronine radioimmunoassay kits.

    abstract::An evaluation of the Amerlex system for determination of total thyroxine (T4) and total triiodothyronine (T3) is described. The within- and between-batch precisions were acceptable, and analyses of quality control material and linearity studies demonstrated good accuracy at the clinical decision levels. The correlatio...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456328201900208

    authors: Wilke TJ,Turnbull PA

    更新日期:1982-03-01 00:00:00

  • Biochemical investigation of foetal and neonatal thyroid function using the ACS-180SE analyser: clinical application.

    abstract::Despite sonographic detection of foetal goitre, uncertainty persists in the initial diagnosis of thyrotoxicosis and hypothyroidism. The aim of this study was to establish foetal and neonatal iodothyronine and thyrotrophin reference values for the ACS-180SE analyser. From 22 to 36 weeks of gestation, median foetal seru...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456320103800509

    authors: Guibourdenche J,Noël M,Chevenne D,Vuillard E,Voluménie JL,Polak M,Boissinot C,Porquet D,Luton D

    更新日期:2001-09-01 00:00:00

  • Urinary free catecholamines--diagnostic application of an HPLC technique to the investigation of neural crest tumours.

    abstract::Experience in the use of an in-house urinary free catecholamine assay for the investigation of possible neural crest tumours in a District General Hospital laboratory is described. Elevated excretion of catecholamines and vanillylmandelic acid was found in a number of cases including phaeochromocytoma and neuroblastom...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456328702400512

    authors: Davidson DF

    更新日期:1987-09-01 00:00:00

  • Effect of storage of plasma and serum on enzymatic determination of non-esterified fatty acids.

    abstract::Many contradictory results have been published on the stability of total non-esterified fatty acids in blood, plasma and serum under different storage conditions. The present study was undertaken to investigate the stability of non-esterified fatty acids, measured with an enzymatic method, in samples of EDTA-treated p...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1258/0004563011900470

    authors: Menéndez LG,Fernández AL,Enguix A,Ciriza C,Amador J

    更新日期:2001-05-01 00:00:00

  • Urinary growth hormone excretion as measured by a sensitive immunochemiluminometric assay.

    abstract::A sensitive immunochemiluminometric assay with a detection limit of 1.1 microU/L was developed for the measurement of urinary growth hormone (UGH). The assay was shown to be specific and precise. There was a good correlation between serum growth hormone (GH) and UGH concentrations in 20 patients with acromegaly and si...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456329303000212

    authors: Turner G,Brown RC,Weeks I,Butler GE,Creagh FN,Woodhead JS

    更新日期:1993-03-01 00:00:00

  • Effects of sex steroid hormones on corticosteroid-binding globulin gene expression in human endometrial cancer cell line Ishikawa.

    abstract::The effect of progestins on intracellular corticosteroid-binding globulin (CBG) mRNA expression in an endometrial cancer cell line (Ishikawa) was examined in an attempt to understand the biological effects of high-dose progestins in the treatment of well-differentiated uterine endometrial cancers. Oestradiol-17 beta (...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456329803500507

    authors: Misao R,Nakanishi Y,Fujimoto J,Tamaya T

    更新日期:1998-09-01 00:00:00

  • Serum deoxycytidylate deaminase activity after myocardial infarction.

    abstract::The activity of serum deoxycytidylate deaminase, not hitherto reported to increase after myocardial infarction, has been investigated and the results have been related to other cardiac enzymes, including the MB fraction of creatine phosphokinase. Deoxycytidylate deaminase was found to increase to maximum activity on t...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456327801500175

    authors: Roberts RG,Davies AG,Jones DD

    更新日期:1978-11-01 00:00:00

  • The measurement of serum unsaturated iron-binding capacity in the presence of iron-dextran.

    abstract::The standard colorimetric methods most often used for the measurement of serum unsaturated iron binding capacity (UIBC) are subject to gross interference by iron dextran. This paper describes a brief evaluation of an alternative radiometric assay for serum UIBC, based on a commercially available kit method, but incorp...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456328802500323

    authors: Kind CN

    更新日期:1988-05-01 00:00:00

  • Association of angiopoietin-like protein 3 with hepatic triglyceride lipase and lipoprotein lipase activities in human plasma.

    abstract:BACKGROUND:The relationship between plasma angiopoietin-like protein 3 (ANGPTL3), and lipoprotein lipase (LPL) activity and hepatic triglyceride lipase (HTGL) activity has not been investigated in the metabolism of remnant lipoproteins (RLPs) and high-density lipoprotein (HDL) in human plasma. METHODS:ANGPTL3, LPL act...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1258/acb.2010.009307

    authors: Nakajima K,Kobayashi J,Mabuchi H,Nakano T,Tokita Y,Nagamine T,Imamura S,Ai M,Otokozawa S,Schaefer EF

    更新日期:2010-09-01 00:00:00

  • A rapid HPLC method for monitoring plasma levels of caffeine and theophylline using solid phase extraction columns.

    abstract::A simple HPLC method for the determination of caffeine and theophylline in plasma is described. Separation of theobromine, paraxanthine, theophylline, beta-hydroxyethyltheophylline and caffeine is obtained using a mobile phase of 1% acetic acid/methanol (83:17, v/v) and a Waters Associates NOVA-PAK C18 column protecte...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456328602300410

    authors: Pickard CE,Stewart AD,Hartley R,Lucock MD

    更新日期:1986-07-01 00:00:00

  • Establishment of reference intervals for aldosterone and renin in a Caucasian population using the newly developed Immunodiagnostic Systems specialty immunoassay automated system.

    abstract:BACKGROUND:Measurement of aldosterone and/or renin is essential to aid the differential diagnosis of secondary hypertension, guide strategy for therapeutic management of hypertension and assess adequacy of mineralocorticoid replacement. AIM:The objective was to establish normative data for aldosterone and renin using ...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/0004563215603401

    authors: O'Shea P,Brady JJ,Gallagher N,Dennedy MC,Fitzgibbon M

    更新日期:2016-05-01 00:00:00

  • Measurement of conjugated diene lipids by derivative spectroscopy in heptane extracts of plasma.

    abstract::A series of experiments are described which show that second derivative spectroscopy can be used to quantify conjugated lipid dienes as markers of lipid peroxidation in heptane extracts of plasma from patients with rheumatoid arthritis, osteoarthritis, and healthy controls. Results obtained by this method gave reasona...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/000456329002700313

    authors: Situnayake RD,Crump BJ,Zezulka AV,Davis M,McConkey B,Thurnham DI

    更新日期:1990-05-01 00:00:00

  • Don't seek, don't find: The diagnostic challenge of Wernicke's encephalopathy.

    abstract::Wernicke's encephalopathy is caused by thiamine deficiency and has a range of presenting features, including gait disturbance, altered cognitive state, nystagmus and other eye movement disorders. In the past, Wernicke's encephalopathy was described almost exclusively in the alcohol-dependent population. However, in cu...

    journal_title:Annals of clinical biochemistry

    pub_type: 杂志文章

    doi:10.1177/0004563220939604

    authors: Kohnke S,Meek CL

    更新日期:2021-01-01 00:00:00