基质匹配校准器是可靠和高质量的干血斑铅筛选测定电感耦合等离子体质谱所必需的

IF 3.1 4区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Journal of Mass Spectrometry and Advances in the Clinical Lab Pub Date : 2023-11-01 DOI:10.1016/j.jmsacl.2023.10.002
Jessica M. Colón Franco , Rogers A. Muldrow , Wendy Cieslak , Patrick DeArmond , Cody Orahoske , Drew Payto , Dina N. Greene , Dustin Bunch
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引用次数: 0

摘要

背景和目的可靠的铅筛查方法对于早期识别儿童铅暴露是必要的。与传统的静脉穿刺和毛细管采集相比,使用干血点(DBS)采集样本具有优势。在这里,我们描述并比较了三种铅DBS电感耦合等离子体质谱(ICP-MS)筛选铅的方法。材料和方法从Whatman 903蛋白保存卡冲孔中提取铅,并在三个独立的临床实验室进行ICP-MS分析。每个实验室使用外部质量控制样品(WI卫生计划实验室状态)评估了水性和基质匹配DBS校准器的性能。剩余的患者样本(n = 39)用于铅DBS的实验室间比较。铅DBS结果与全血法比较。结果采用基质匹配DBS校准剂的DBS ICP-MS方法优于水相校准方法。在三种评估方法中,DBS(基质匹配)和全血中测得的铅有很强的相关性。结论采用基质匹配校准器,ICP-MS能准确测定DBS样品中的铅。外部质量控制程序对于评估DBS方法的性能是有价值的。DBS铅ICP-MS方法是一种强大的分析选择,用于铅筛选,即使DBS的局限性是公认的。
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Matrix-matched calibrators are necessary for robust and high-quality dried blood spots lead screening assays by inductively coupled plasma-mass spectrometry

Background and aims

Reliable lead screening methods are necessary to support early identification of lead exposure in children. Sample collection using dried blood spots (DBS) offers advantages compared to traditional venipuncture and capillary collection. Here, we describe and compare three lead DBS inductively coupled plasma-mass spectrometry (ICP-MS) methods for lead screening.

Materials and methods

Lead was extracted from Whatman 903 protein saver cards punches and analyzed by ICP-MS across three independent clinical laboratories. Each laboratory evaluated the performance of aqueous and matrix-matched DBS calibrators using external quality control samples (WI State of Laboratory of Hygiene Program). Leftover patient samples (n = 39) were used for an interlaboratory comparison of lead DBS. Lead DBS results were compared to whole blood methods.

Results

The DBS ICP-MS methods using matrix-matched DBS calibrators had superior performance to the aqueous calibrations. There was a strong correlation between lead measured in DBS (matrix-matched) and whole blood for the three methods evaluated.

Conclusion

Lead can be measured accurately by ICP-MS in DBS samples when matrix-matched calibrators are used. External quality control programs are valuable to assess the performance of DBS methods. DBS lead ICP-MS methods are a robust analytical option for lead screening even though the limitations of DBS are well recognized.

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来源期刊
Journal of Mass Spectrometry and Advances in the Clinical Lab
Journal of Mass Spectrometry and Advances in the Clinical Lab Health Professions-Medical Laboratory Technology
CiteScore
4.30
自引率
18.20%
发文量
41
审稿时长
81 days
期刊最新文献
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