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A Journal on Nuclear Medicine and Molecular Imaging
Affiliated to the and to the International Research Group of Immunoscintigraphy
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index (SciSearch), Scopus
Impact Factor 2,413
Online ISSN 1827-1936
Ferrari L. 1, Seregni E. 1, Aliberti G. 1, Martinetti A. 1, Pallotti F. 1, Villano C. 1, Lucignani G. 2, Bombardieri E. 1
1 Nuclear Medicine Division Radioisotope Laboratory Istituto Nazionale per lo Studio e la Cura dei Tumori, Milan, Italy
2 Institute of Radiological Sciences University of Milan, Unit of Molecular Imaging Division of Radiation Therapy European Institute of Oncology, Milan, Italy
Aim. This study was aimed at the comparative assessment of the analytical and clinical performances of 2 tests for thyroglobulin (Tg) assays: the Dynotest Tg-Plus immunoradiometric assay (IRMA), a new method that might be of interest for its claimed superior sensitivity compared to other methods, and the HTGK-2 IRMA, one of the test currently used in clinical routine.
Methods. The study was performed in serum samples from 157 patients with differentiated thyroid carcinoma (DTC). The clinical sensitivity of the test was evaluated in patients with and without thyroid stimulating hormone (TSH) suppression.
Results. The lowest detectable Tg concentration values and the within-assay coefficient of variation (CV) were 0.4 and 0.8 µg/L and 5% and 3% for the Dynotest Tg-Plus assay and the HTGK-2 assay, respectively; the between-assay CV was 6% for both assays. The clinical results of the Dynotest Tg-Plus and those of the HTGK-2 kit were similar in both DTC patient populations, either under or off the TSH suppressive treatment. In spite of the manufacturer’s statement that the calibrators of both assays had been standardized against the same common reference (standard CRM 457 of the Community Bureau of References), the Dynotest Tg-Plus test underrated by a factor of 0.5 the Tg values measured by means of HTGK-2 IRMA.