甲状腺激素测量的标准化和协调:历史,当前和未来的前景
Ben Cowper1, Alicia N Lyle2, Hubert W Vesper2
1Medicines and Healthcare Products Regulatory Agency (MHRA), South Mimms, Hertfordshire, UK.
Clinical chemistry and laboratory medicine
|January 31, 2024
概括
通过新的参考材料,甲状腺刺激激素 (TSH) 的测量得到了改进. 一个基于血清的面板增强了TSH免疫测试的协调,解决了世卫组织国际标准的局限性.
科学领域:
- 临床化学 临床化学
- 内分泌学 在内分泌学.
- 实验室医学 实验室医学
背景情况:
- 甲状腺刺激激素 (TSH) 对于诊断和治疗甲状腺疾病至关重要.
- 报告以mIU/L的TSH测量依赖于世界卫生组织 (WHO) 的参考材料.
- 商业TSH免疫试验历来缺乏协调,原因是参考材料与患者样本的交换性差.
研究的目的:
- 描述最近在TSH参考系统的进步.
- 澄清可用的TSH参考材料的关系和预期用途.
- 为了强调一个新的基于血清的参考小组对于TSH免疫测试协调的重要性.
主要方法:
- 审查TSH参考系统的发展情况.
- 建立世卫组织第4个TSH国际标准.
- 使用C-STFT TSH面板进行测试协调.
主要成果:
- 世卫组织的第4个TSH国际标准可用,它定义了TSH活性单位.
- 第4次世卫组织IS显示,在许多TSH免疫测试中,患者样本与患者样本的交换性持续缺乏.
- 尽管TSH的可用性有限,但C-STFT的TSH小组对于改善TSH测定协调至关重要.
结论:
- 虽然第四个WHOIS至关重要,但其通用性问题需要补充资源.
- 基于血清的C-STFT TSH小组对于更好地协调TSH免疫测试至关重要.
- 持续努力开发可交换的参考材料对于准确的TSH诊断至关重要.
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