A new radioimmunoassay method (Amerlex® Free T
4) for measurement of the serum concentration of free thyroxine (FT
4) was evaluated with the following results.
1. The estimated values were almost constant during incubation for 30 to 2
40 min at37°C.
2. The coefficients of variation, which were 2.5-3.5% (within assay) and 5.2-16.5% (between assays), were acceptable for clinical tests.
3. The FT
4 values of sera with added T
4 determined by this method were identical to those estimated by computational analysis.
4. The FT
4 concentration determined by this method in normal sera was 1.
42±0.2
4ng/dl (normal range: 0.90-1.90ng/dl). The serum FT
4 concentration was increased in hyperthyroidism, decreased in hypothyroidism, at the lower limit of normal in pregnancy (18-26 weeks) and liver cirrhosis, and within normal limits in familial TBG excess and TBG deftciency.
5. The FT
4 values determined by this method correlated well with those determined by computational analysis, and equilibrium dialysis and with the FT
4 index.
View full abstract