在临床实验室实施尿药物检测向质谱的实用考虑
Patrick D DeArmond1, Dustin R Bunch1
1Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Clinics in laboratory medicine
|May 10, 2025
概括
双重质谱法 (MS/MS) 是一种可靠的尿液药物检测方法,但在样本采集和分析中控制变量对于准确的结果至关重要. 本综述讨论了使用MS/MS进行可靠药物测试的关键因素和最佳实践.
科学领域:
- 临床化学 临床化学
- 分析化学 分析化学
- 法医毒理学 法医毒理学
背景情况:
- 尿液药物测试 (UDT) 的需求已增加,以符合和免疫测试确认.
- 双重质谱 (MS/MS) 由于其稳定性,被广泛采用为UDT.
- 然而,MS/MS容易受到影响准确度的预分析和分析变量的影响.
研究的目的:
- 审查针对性MS/MS测试中的关键因素,以进行尿液药物测试.
- 讨论药物代谢和方法开发方面的考虑.
- 提供最佳实践指南,以控制MS/MS分析中的变化.
主要方法:
- 针对UDT的目标MS/MS试验的文献综述.
- 讨论分析前的因素 (例如,采样,储存).
- 分析因素的分析 (例如,方法开发,验证).
主要成果:
- 多发性硬化症/多发性硬化症的方法很强大,但需要仔细控制许多变量.
- 药物代谢途径显著影响测试解释.
- 方法开发和验证对于测定特异性和灵敏性至关重要.
结论:
- 优化预分析和分析步骤对于MS/MS的准确UDT至关重要.
- 坚持最佳实践可以最大限度地减少样本对样本的变化.
- 标准化协议提高了MS/MS在临床和法医毒理学中的可靠性.
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