Mass Spectrometry-based Diagnostics: The Upcoming Revolution in Disease Detection Has Already Arrived

Interference by hemoglobin is clearly labeled in the VITROS ® Troponin I assay’s “Instructions For Use” and Package Insert. The hemoglobin con-centrations used and the differences measured are stated under“Limita-tions of the Procedure”(1 ). Our upper reference limit (URL) study used a total...

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Autores principales: Reeves, Rebecca, Bakker, Andries J., Chace, Donald H., Emanuel F., Petricoin, Liotta, Lance A. Liotta
Formato: Artículo
Lenguaje:Inglés
Publicado: Universidad de Belgrano - Documentos CEEGMD - Centro para el estudio de enfermedades genéticas, metabólicas y discapacidades. Facultad de Ciencias Exactas 2014
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Acceso en línea:http://repositorio.ub.edu.ar/handle/123456789/2858
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id I36-R142-123456789-2858
record_format dspace
institution Universidad de Belgrano
institution_str I-36
repository_str R-142
collection Repositorio Institucional - Universidad de Belgrano (UB)
language Inglés
topic Mass Spectrometry-based Diagnostics
Disease Detection
detección de enfermedades
Diagnósticos basados ​​en espectrometría de masas
spellingShingle Mass Spectrometry-based Diagnostics
Disease Detection
detección de enfermedades
Diagnósticos basados ​​en espectrometría de masas
Reeves, Rebecca
Bakker, Andries J.
Chace, Donald H.
Emanuel F., Petricoin
Liotta, Lance A. Liotta
Mass Spectrometry-based Diagnostics: The Upcoming Revolution in Disease Detection Has Already Arrived
topic_facet Mass Spectrometry-based Diagnostics
Disease Detection
detección de enfermedades
Diagnósticos basados ​​en espectrometría de masas
description Interference by hemoglobin is clearly labeled in the VITROS ® Troponin I assay’s “Instructions For Use” and Package Insert. The hemoglobin con-centrations used and the differences measured are stated under“Limita-tions of the Procedure”(1 ). Our upper reference limit (URL) study used a total of 768 fresh hepa-rin-plasma samples from healthy individuals, which were collected at four different centers and tested with the VITROS Troponin I assay to establish a reference interval for healthyindividuals and to validate the product claims in the Package Insert and Instructions For Use. No samples were excluded because of hemolysis, and only two samples (0.25%) were above the URL of 0.08 g/L (ng/mL). The incidence of hemolyzed sam-ples in Dr. Hawkins’ study appears to be higher than our experience based on our customer service records. A hemoglobin concentration of 1000 mg/L (100 mg/dL) causes substantial discoloration of the sam-ple, which can be easily observed by most laboratory technicians and therefore flagged for potential inter-ferences. We recommend that customers continue to use the cutoffs stated in our labeling for the VITROS Tropo-nin I, i.e., 0.08 g/L as the URL and 0.4 g/L as the cutoff for acute myocardial infarction. Use of the cutoff of 0.22 g/L suggested by the author may lead to false nega-tives, which are clearly less desir-able from a medical point of view than the false positives that may result from a small number of greatly hemolyzed samples that have not been excluded by good laboratory practice
format Article
author Reeves, Rebecca
Bakker, Andries J.
Chace, Donald H.
Emanuel F., Petricoin
Liotta, Lance A. Liotta
author_facet Reeves, Rebecca
Bakker, Andries J.
Chace, Donald H.
Emanuel F., Petricoin
Liotta, Lance A. Liotta
author_sort Reeves, Rebecca
title Mass Spectrometry-based Diagnostics: The Upcoming Revolution in Disease Detection Has Already Arrived
title_short Mass Spectrometry-based Diagnostics: The Upcoming Revolution in Disease Detection Has Already Arrived
title_full Mass Spectrometry-based Diagnostics: The Upcoming Revolution in Disease Detection Has Already Arrived
title_fullStr Mass Spectrometry-based Diagnostics: The Upcoming Revolution in Disease Detection Has Already Arrived
title_full_unstemmed Mass Spectrometry-based Diagnostics: The Upcoming Revolution in Disease Detection Has Already Arrived
title_sort mass spectrometry-based diagnostics: the upcoming revolution in disease detection has already arrived
publisher Universidad de Belgrano - Documentos CEEGMD - Centro para el estudio de enfermedades genéticas, metabólicas y discapacidades. Facultad de Ciencias Exactas
publishDate 2014
url http://repositorio.ub.edu.ar/handle/123456789/2858
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