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Unexpected High Vitamin D Results. 出乎意料的高维生素D结果。
IF 1.9 Q3 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2025-11-04 DOI: 10.1093/jalm/jfaf146
Hans Kemperman, Ruben E A Musson, Wouter Tiel Groenestege, Carlyn V Kouwenberg
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引用次数: 0
Commentary on Abnormal Thyroid Function Test in a Patient Taking Carbamazepine. 服用卡马西平患者甲状腺功能检查异常的评述。
IF 1.9 Q3 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2025-11-04 DOI: 10.1093/jalm/jfaf105
Christopher W Farnsworth
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引用次数: 0
Reference Intervals for Ceruloplasmin Should Account for Age, Sex, Method, and Local Population. 铜蓝蛋白的参考区间应考虑到年龄、性别、方法和当地人口。
IF 1.9 Q3 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2025-11-04 DOI: 10.1093/jalm/jfaf121
Bobby Li, Catherine Rollo, Richard King, Simon Thompson, Chris Florkowski
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引用次数: 0
Total Prostate-Specific Antigen Testing in Capillary Samples: Back to the Future. 总前列腺特异性抗原检测在毛细管样品:回到未来。
IF 1.9 Q3 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2025-11-04 DOI: 10.1093/jalm/jfaf113
Miyo K Chatanaka, Maria Pascual Lorén, Eleftherios P Diamandis
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引用次数: 0
Correction to: Reference Values of Ceruloplasmin across the Adult Age Range in a Large Italian Healthy Population. 更正:在意大利健康人群的成年年龄范围内铜蓝蛋白的参考值。
IF 1.9 Q3 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2025-11-04 DOI: 10.1093/jalm/jfaf122
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引用次数: 0
From Suspicion of IVIG Interference to Diagnosis of Rare Syndrome. 从怀疑IVIG干扰到罕见综合征的诊断。
IF 1.9 Q3 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2025-11-04 DOI: 10.1093/jalm/jfaf134
Sercan Erol, Evin Kocatürk, Özben Ö Işıklar, Hava Ü Teke
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引用次数: 0
Correction to: Associations between Growth Differentiation Factor 15, Cardiac Troponin T, and N-terminal pro-B-type Natriuretic Peptide, and Future Myocardial Fibrosis Assessed by Cardiac Magnetic Resonance Imaging: Data from the Akershus Cardiac Examination 1950 Study. 修正:生长分化因子15、心肌肌钙蛋白T和n端前b型利钠肽与心脏磁共振成像评估的未来心肌纤维化之间的关系:来自1950年Akershus心脏检查研究的数据。
IF 1.9 Q3 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2025-11-04 DOI: 10.1093/jalm/jfaf086
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引用次数: 0
In Reply to Total Prostate-Specific Antigen Testing in Capillary Samples: Back to the Future. 对毛细管样品中总前列腺特异性抗原检测的回应:回到未来。
IF 1.9 Q3 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2025-11-04 DOI: 10.1093/jalm/jfaf114
Ravinder Sodi
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引用次数: 0
Commentary on From Suspicion of Intravenous Immunoglobin Interference to Diagnosis of Rare Syndrome. 从怀疑静脉注射免疫球蛋白干扰到诊断罕见综合征述评。
IF 1.9 Q3 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2025-11-04 DOI: 10.1093/jalm/jfaf142
Mary Kathryn Bohn
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引用次数: 0
The Transformative Role of Mass Spectrometry in Diagnosing and Monitoring Monoclonal Gammopathies and Plasma Cell Disorders. 质谱在诊断和监测单克隆伽玛病和浆细胞疾病中的变革作用。
IF 1.9 Q3 MEDICAL LABORATORY TECHNOLOGY Pub Date : 2025-11-04 DOI: 10.1093/jalm/jfaf133
Gema García de la Rosa, Silvia de Las Heras Flórez, Mercedes Carretero Pérez, Jorge Nuevo García

Background: Mass spectrometry (MS) is emerging as a transformative diagnostic tool for plasma cell disorders, including multiple myeloma, Waldenström macroglobulinemia, and light chain amyloidosis. Traditional diagnostic methods such as serum protein electrophoresis, immunofixation electrophoresis, and serum free light chain assays, though effective, have limitations in sensitivity and specificity. These techniques may miss small monoclonal proteins or be affected by therapeutic antibody interference.

Content: Recent advances focus on top-down MS techniques, particularly matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) and monoclonal immunoglobulin rapid accurate mass measurement (miRAMM). These methods analyze intact monoclonal proteins to enhance detection sensitivity and specificity. MALDI-TOF offers a streamlined workflow suitable for clinical laboratories, while miRAMM provides highly precise mass measurements, albeit requiring more sophisticated instrumentation.MS has demonstrated superior capabilities in detecting monoclonal proteins, including the ability to distinguish them from therapeutic antibodies. Additionally, MS enables structural characterization of monoclonal proteins, such as glycosylation patterns linked to amyloidosis. Notably, emerging evidence indicates that MS may match or surpass the sensitivity of molecular techniques. These include next-generation sequencing and next-generation flow cytometry, which are commonly applied to bone marrow biopsy for minimal residual disease detection, providing a less invasive alternative for disease monitoring.

Summary: MS, particularly MALDI-TOF and miRAMM, represents a promising advancement in the diagnosis and monitoring of plasma cell disorders. Its high sensitivity, efficiency, and noninvasive nature support its potential to complement or replace existing diagnostic methods, improving patient care and clinical outcomes as the technology continues to evolve.

背景:质谱(MS)正在成为一种变革性的浆细胞疾病诊断工具,包括多发性骨髓瘤、Waldenström巨球蛋白血症和轻链淀粉样变性。传统的诊断方法,如血清蛋白电泳、免疫固定电泳和血清游离轻链测定,虽然有效,但在敏感性和特异性方面存在局限性。这些技术可能会遗漏小的单克隆蛋白或受到治疗性抗体干扰的影响。内容:最近的进展集中在自上而下的质谱技术,特别是基质辅助激光解吸/电离飞行时间(MALDI-TOF)和单克隆免疫球蛋白快速精确质量测量(miRAMM)。这些方法分析完整的单克隆蛋白,提高了检测的灵敏度和特异性。MALDI-TOF提供了适合临床实验室的简化工作流程,而miRAMM提供了高度精确的质量测量,尽管需要更复杂的仪器。MS在检测单克隆蛋白方面表现出了卓越的能力,包括将它们与治疗性抗体区分开来的能力。此外,质谱能够对单克隆蛋白进行结构表征,例如与淀粉样变性相关的糖基化模式。值得注意的是,新出现的证据表明,质谱可能匹配或超过分子技术的灵敏度。其中包括下一代测序和下一代流式细胞术,它们通常应用于骨髓活检以检测最小残留疾病,为疾病监测提供了一种侵入性较小的替代方法。摘要:质谱,特别是MALDI-TOF和miRAMM,在浆细胞疾病的诊断和监测方面代表了一个有希望的进步。随着技术的不断发展,其高灵敏度、高效率和非侵入性支持了其补充或取代现有诊断方法的潜力,改善了患者护理和临床结果。
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引用次数: 0
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Journal of Applied Laboratory Medicine
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