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Published on: July 13, 2018
A simple micro-photometric method for urinary iodine determination
Gabriele Grimm1, Heidelinde Lindorfer, Heidi Kieweg
1Department of Laboratory Medicine, Medical University of Vienna and the General Hospital of the City of Vienna, Vienna, Austria. gabriele.grimm@meduniwien.ac.at
Insights
A new photometric test accurately measures urinary iodide concentration (UIC) for assessing iodine status and thyroid health. This simple method is faster than traditional techniques, making it suitable for clinical labs.
Area of Science:
- Clinical Chemistry
- Endocrinology
- Analytical Chemistry
Background:
- Urinary iodide concentration (UIC) is a key indicator of nutritional iodine status.
- Accurate UIC measurement is crucial for managing thyroid conditions and radio-iodine therapies.
- Existing methods for UIC analysis can be time-consuming and require specialized equipment.
Purpose of the Study:
- To establish a simple and rapid photometric test for measuring urinary iodide concentration (UIC).
- To provide a practical method for evaluating iodine status in clinical settings.
- To offer an alternative to complex methods like ICP-MS for routine UIC analysis.
Main Methods:
- Urine samples from 200 patients were analyzed using a modified Sandell-Kolthoff (SK) reaction.
- Samples underwent pre-treatment with ammonium persulfate at 95°C.
- The photometric SK test was validated against inductively coupled plasma mass spectrometry (ICP-MS).
Main Results:
- The photometric SK test showed excellent correlation with ICP-MS (r=0.962).
- The method achieved a functional sensitivity of 20 μg/L.
- Median UIC in patient samples was 110 μg/L, with 90% below 210 μg/L.
Conclusions:
- The modified SK-test provides accurate UIC measurements in approximately 90 minutes.
- This photometric method is significantly faster than ICP-MS (27 hours).
- The test is suitable for clinical laboratories due to its simplicity and use of basic equipment.
Background:
Urinary iodide concentration (UIC) is useful to evaluate nutritional iodine status. In clinical settings UIC helps to exclude blocking of the thyroid gland by excessive endogenous iodine, if diagnostic or therapeutic administration of radio-iodine is indicated. Therefore, this study established a simple test for the measurement of UIC.
Methods:
UIC was analyzed in urine samples of 200 patients. Samples were pre-treated at 95°C for 45 min with ammonium persulfate in a thermal cycler, followed by a photometric Sandell-Kolthoff reaction (SK) carried out in microtiter plates. For method comparison, UIC was analyzed in 30 samples by inductivity coupled plasma mass spectro-metry (ICP-MS) as a reference method.
Results:
Incubation conditions were optimized concerning recovery. The photometric test correlated well to the reference method (SK=0.91*ICP-MS+1, r=0.962) and presented with a functional sensitivity of 20 μg/L. UIC of patient samples ranged from <20 to 750 μg/L (median 110 μg/L); 90% of the urine samples had iodide concentrations below 210 μg/L.
Conclusion:
The modified SK-test takes approximately 90 min for analyses of 20 urine samples compared with 27 h for ICP-MS. The photometric test provides satisfactory results and can be performed with the basic equipment of a clinical laboratory.
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