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Metodebeskrivelse
Her kan dere lese om metodebeskrivelse for de enkelte analysene. Velg første bokstav på analysen. Listen er foreløpig ikke fullstendig, men vil bli komplettert.
A
   
   
 
Albumin (Alb)  
 
Engelsk navn: Albumin
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp: BCG (bromocresol green)
Serum albumin quantitatively binds albumin to BCG to form an albumin-BCG complex that is measured as an endpoint reaction
at 596 nm.
Metoden tatt i bruk: 01.07.01
Referanse: 1.

Doumas BT and Biggs HG: Determination of serum albumin.
In Standard Methods of Clinical Chemistry. GA Cooper, ed, Academic Press, Inc., New York, Vol. 7, p 175 (1972)
  2. Tietz, NW: Clinical Guide to Laboratory Tests, 3rd Edition
WB Saunders Company, Philadelphia, PA pp 22-23 (1995)
   
   
 
Alaninminotransferase (ALT)  
 
Engelsk navn: Alanine aminotransferase
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp: Modified IFCC
The reaction is initiated by the addition of α-ketoglutarat as a second reagent. The concentration of NADH is measured by its absorbance at 340 nm, and the rate of absorbance decrease is proportional to the ALT activity.
Metoden tatt i bruk: 01.07.01
Referanse : 1. International Federation of Clinical Chemistry, Committee on Standards, J Clin Chem Clin Biochem 18:521-534 (1980)
  2. Tietz, NW: Clinical Guide to Laboratory Tests, 3rd Edition
WB Saunders Company, Philadelphia, PA pp 20-21 (1995)
   
   
 
Ammoniakk (NH3)  
 
Engelsk navn: Ammonia
Analyseinstrument: Advia®1650
Reagensprodusent: Roche
Analyseprinsipp : NADPH - NADP+Enzymatic
Ammonia reacts with α-ketoglutarate and NADPH to form glutamate and NADP+. The amount of NADPH oxidized during the reaction is equivalent to the amount of ammonia in the specimen and can be measured photometrically by the resulting decrease in absorbance at 340nm. The reaction is catalysed by glutamate dehydrogenase (GLDH).
Metoden tatt i bruk: 01.07.01
Referanse : 1. Berthelot MPE: Repert Chem Appl. 1859:282
  2. Kirsten E et al: Biochem Z 337:312 (1963)
  3. Da Fonseca-Wollheim F: Z Klin Chem Klin Biochem.
11:421,426 (1973)
  4. Siegel JM, Montgomery GA: Arch Biochem/Biophys 82:288 (1956)
  5. Hohorst HJ: Biochem Z 328:507 (1956)
  6. Tietz, NW: Clinical Guide to Laboratory Tests, 3rd Edition
WB Sauders Company, Philadelphia, PA p 44 (1995)
  7. Kaplan LA, Pesce AJ: Clinical Chemistry Theory, Analysis and Correlation, CV Mosby Co, St.Louis Mo p1231 (1984)
  8. Data on file at Roche Diagnostics
  9. Prellwitz W et al: Med Welt 27:1277 (1976)
  10. Passing H, Bablok W: A New Biometrical Procedure for Testing the Equality of Measurements from Two Different Analytical Methods.
J Clin Chem Clin Biochem 21:709-720(1983)
  11. Bablok W et al: A General Regression Procedure for Method Transformation. J Clin Chem Clin Biochem 26:783-790 (1988)

   
   
 
Amylase (Amy)  
 
Engelsk navn: Amylase
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp: Ethylidene Blocked-pNPG7
This rate method uses ethylidene blocked p-nitrophenyl-maltoheptaoside as substrate. The indicator enzyme α-glucosidase, used to release the p-nitrophenol, is also employed in the method. The terminal glucose of the substrate is chemically blocked preventing cleavage by the indicator enzymes and is measured at 410 nm.
Metoden tatt i bruk: 01.07.01
Referanse : 1.

Jensen AP and Wydeveld A: α-(p-nitrophenyl)malto hexaoside as a substrate for the assay of amylase.
Nature 182:525-526 (1958)
  2. Tietz, NW: Clinical Guide to Laboratory Tests, 3rd Edition
WB Saunders Company, Philadelphia, PA pp 46-49 (1995)
  3. Tietz, NW: Clinical Guide to Laboratory Tests, 2nd Edition
WB Saunders Company, Philadelphia, PA pp 52 (1990).
   
   
 
Alkalisk fosfatase (AP)  
 
Engelsk navn: Alkaline phosphatase
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp: Modifisert IFCC
The alkaline phosphatase hydrolyses the PNPP substrate to form
p-nitrophenol that is coloured and provides its own chromogen. The reaction is followed by the colorimetric measurement of the rate of formation of p-nitrophenol at 410 nm, which is proportional to the alkaline phosphatase activity.
Metoden tatt i bruk: 24.04.05
Referanse : 1.
Alkaline Phosphatase Study Group. Committee on Standards of the AACC, Subcommittee on Enzymes, Tietz NW (chairman) et al. Progress in the development of a recommended method for alkaline phosphatase activity measurement. Clin Chem 26(7):1023 (1980)
  2. Tietz, NW: Clinical Guide to Laboratory Tests, 3rd Edition
WB Saunders Company, Philadelphia, PA pp 30-33 (1995)
   
   
 
Alkalisk fosfatase, varmebehandlet  
(AP-V, Steroidindusert AP isoenzym)
 
Engelsk navn: Heat-resistant alkaline phosphatase
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp: After heating the sample for 2 minutes at 65°C, alkaline phosphatase  is measured using the modified IFCC method (see AP).
   
   
 
Aspartat aminotransferase (AST)  
 
Engelsk navn: Aspartate aminotransferase
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp: Modified IFCC
The concentration of NADH is measured by its absorbance at 340 nm, and the rate of absorbance decrease is proportional to the AST activity. The reaction is initiated by the addition of α-ketoglutarate as a second reagent.
Metoden tatt i bruk: 01.07.01
Referanse : 1.
International Federation of Clinical Chemistry, Committee on Standards, J Clin Chem Clin Biochem 18:521-534 (1980)
  2. Tietz, NW: Clinical Guide to Laboratory Tests, 3rd Edition WB Saunders Company, Philadelphia, PA pp 76-77 (1995)
   
 
B
   
   
 
ß-hydroksybutarat (HBA)
 
Engelsk navn: ß-hydroxybutarate
Analyseinstrument: Advia®1650
Reagensprodusent: Randox
Analyseprinsipp:

Enzymatic / NAD+ - NADH
This kinetic enzymatic method is based on the oxidation of ß-hydroxybutarate to acetoacetate by the enzyme ß-hydroxybutarate dehydrogenase. Concomitant with this oxidation the cofactor NAD+ is reduced to NADH. The change in absorbance at 340 nm can be directly correlated with the ß-hydroxybutyrate concentration.

(Metoden tatt i bruk: 1/7-01)
  
  
 
Bilirubin, direkte (Dbili, konjungert bilirubin)
 
Engelsk navn: Direct bilirubin (conjugated bilirubin)
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp:

Vanadate oxidation
The bilirubin is oxidized by vanadate at about pH 3 to produce biliverdin. In the presence of detergent and vanadate, conjugated (direct) bilirubin is oxidized. This oxidation reaction causes a decrease in the optical density of the yellow color, which is specific to bilirubin. The decrease in optical density at 451/545 nm is proportional to the direct bilirubin concentration in the sample. The concentration is measured as an endpoint reaction.

(Metoden tatt i bruk: 15/8-07)

Referanse : 1. Tokuda K, Tanimoto K. New method of measuring serum bilirubin using vanadic acid. Jpn J Clin Chem. 1993;22:116-122.
  2.

Tietz Fundamentals of Clinical Chemistry. 5th ed. Burtis CA, Ashwood ER, eds. Philadelphia, PA: WB Saunders Company; 2001:605.

  3.

Young DS. Effects of Drugs on Clinical Laboratory Tests. 3rd ed. Washington: AACC Press (1990).

  4.

Clinical and Laboratory Standards Institute (formerly NCCLS). Evaluation of Precision Performance of Quantitative Measurement Methods; Approved Guideline - Second Edition. Wayne, PA: Clinical and Laboratory Standards Institute; 2004. NCCLS Document EP05-A2.

  5.

Tietz NW. Clinical Guide to Laboratory Tests. 3rd ed. Philadelphia, PA: WB Saunders Company; 1995:88-91.

  6.

Study Group on Bilirubin for the Committee on Standards of the American
Association for Clinical Chemistry and the National Reference System for the Clinical Laboratory. NCCLS; Dec. 1986.

        
   
   
 
Bilirubin, total (Tbili)
 
Engelsk navn: Total bilirubin
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp:

Vanadate oxidation
The bilirubin is oxidized by vanadate at about pH 3 to produce biliverdin. In the presence of the detergent and the vanadate, both conjugated (direct) and unconjugated bilirubin are oxidized. This oxidation reaction causes the decrease in the optical density of the yellow color, which is specific to bilirubin. The decrease in optical density at 451 nm is proportional to the total bilirubin concentration in the sample.

(Metoden tatt i bruk: 5/1-06)

Referanse : 1. Tokuda K. Tanimoto K. New method of measuring serum bilirubin using vanadic acid. Jpn J Clin. Chem. 1993:22(2);116-122.
  2. Tietz NW. Fundamentals of Clinical Chemistry, 5th ed. Edited by Burtis CA. and Ashwood ER. WB Saunders Company; 2001: 605
  3. Young DS. Pestaner LC, Gibberman V. Effect of drugs on clinical laboratory tests. Clin. Chem. 1975:21(5):1D-432D.
  4. Tietz NW. Clinical Guide to Laboratory Tests, 3rd ed. Philadelphia: WB Saunders Company; 1995: 88-91.
  5. National Committee for Clinical Laboratory Standards. Precision performance of clinical chemistry devices; Approved Guideline- Second Edition. Wayne, PA: NCCLS; 1999. NCCLS Document EP5-A.
  6. Study Group on Bilirubin for the Committee on Standards of the American Association for Clinical
   
 
C
   
   
 
Canine RF (Rheumatoid faktor)
 
Engelsk navn: Canine rheumatoid factor
Analyseinstrument: Manuell
Reagensprodusent: Synbiotics
Analyseprinsipp: Latex agglutination test.
Referanse:  

Wood, D.D., Hurvitz, A.I. and Schultz, R.D., 1980. A Latex test for canine rheumatoid factor. Vet. Immunol Immunopathol., 1:103-111.
   
   
 
Canine TLI (TLI, trypsinlignende immunoreaktivitet)
 
Engelsk navn: Canine TLI (Trypsin-like immunoreactivity)
Analyseinstrument: IMMULITE®2000
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp:

Canine TLI is a solidphase, enzyme-labeled, chemiluminescent immunometric assay.
For detailed description: IMMULITE® 2000; Principles of operation

(Metoden tatt i bruk: 29/9-05)
Referanse: 1.

Williams DA, Batt RM. Diagnosis of canine exocrine pancreatic insufficiency by the assay of serum trypsin-like immunoreactivity. J Small Anim Practice 1983;24:582-8.

  2.

Williams DA. New tests of pancreatic and small intestinal function. Compendium on Continuing Education for the Practicing Veterinarian 1987;9:1167-74.

  3.

Williams DA. Exocrine pancreatic disease. In: Ettinger SJ, editor. Textbook of veterinary internal medicine: Diseases of the dog and cat. 2nd ed. Philadelphia: W.B. Saunders, 1989: 1528-54.

  4.

Williams DA, Batt RM. Exocrine pancreatic insufficiency diagnosed byradioimmunoassay of serum trypsin-like immunoreactivity in a dog with a normal BT-PABA test result. J Am Anim Hosp Assoc 1986;22:671-74.

  5.

Williams DA, Batt RM. Sensitivity and specificity of radioimmunoasay of
serum trypsin-like immunoreactivity for the diagnosis of canine exocrine pancreatic insufficiency. J Am Anim Hosp Assoc 1988;192:195-201.

  6.

Williams DA. Kansas State University, personal communications.
  7.

Simpson KW, et al. Circulating concentrations of trypsin-like immunoreactivity and activities of lipase and amylase after pancreatic duct ligation in dogs. Am J Vet Res 1989;50:629-32.
  8.

Borgström A, Ohlsson K. Immunoreactive trypsins in sera from dogs before and after induction of experimental pancreatitis. Hoppe-Seyler's Z Physiol Chem 1980;361:625-31.
   
   
 
Canine TSH (TSH, tyreoideastimulerende hormon) (hund)
 
Engelsk navn: Canine TSH
Analyseinstrument: IMMULITE® 2000
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp :

Canine TSH is a solidphase, two-site chemiluminescent immunometric assay.
For detailed description: IMMULITE® 2000; Principles of operation

(Metoden tatt i bruk: )
Referanse : 1. Ferguson DC. Thyroid function tests in the dog. Veterinary Clinics of North America: Small Animal Practice 1984;14:783-808.
  2. Panciera DL. Hypothyroidism in dogs: 66 cases (1987-1992). JAVMA 1994;204:761-7.
  3. Nesbitt GH, Izzo J, Peterson L, Wilkins RJ. Canine hypothyroidism: A retrospective study of 108 cases. JAVMA 1980;177:1117-22.
  4. Nachreiner RF, Refsal KR. Radioimmunoassay monitoring of thyroid hormone concentration in dogs on thyroid replacement therapy: 2,674 cases (1985-1987). JAVMA 1992;201:623-9.
  5. Budsberg SC, Moore GE, Klappenbach K. Thyroxineresponsive unilateral forelimb lameness and generalized neuromuscular disease in four hypothyroid dogs. JAVMA 1993;202:1859-60.
  6. Beale KM. Current diagnostic techniques for evaluating thyroid function in the dog. Vet Clin North Am 1990;20:1429-41.
  7.

Ferguson DC. Update on diagnosis of canine hypothyroidism. Vet Clin North Am 1994;24:515-39.

  8. Gonzalez E, Quadri SK. Effects of aging on the pituitarythyroid axis in the dog. Exp Gerontol 1988;23:151-60.
  9. Kaptein EM, Hays MT, Ferguson DC. Thyroid hormone metabolism; a comparative evaluation. Vet Clin North Am 1994;24:431-63.
  10.

Kemppainen RJ, Clark TP. Etiopathogenesis of canine hypothyroidism. Vet Clin North Am 1994;24:467-76.

  11. Scarlett JM. Epidemiology of thyroid diseases of dogs and cats. Vet Clin North Am 1994;24:477-86.
   
   
 
Cortisol (Cort)
 
Engelsk navn: Cortisol
Analyseinstrument: IMMULITE® 2000
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp :

IMMULITE 2000 Cortisol is a solid-phase,competitive chemiluminescent enzyme immunoassay.
For detailed description: IMMULITE® 2000; Principles of operation

(Metoden tatt i bruk: 8/3-04)
Referanse : 1. Foster L, Dunn R. Single-antibody technique for radioimmunoassay of cortisol in unextracted serum or plasma. Clin Chem 1974;20:365.
  2.

Farmer R, Pierce C. Plasma cortisol determinations: radioimmunoassay andcompetitive protein binding compared. Clin Chem 1974; 20:411.

  3. Ruder H, et al. A radioimmunoassay for cortisol in plasma and urine. J Clin Endo Metab 1972;35:219.
  4. Rothfeld B, ed. Plasma Cortisol. In: Nuclear medicine in vitro. 1974:120.
  5. Murphy B, et al. Clinical studies utilizing a new method for the serial determination of plasma corticoids. J Canad Med Assoc 1964;90:775.
  6. Sparks R. Measurement of serum 11-deoxycortisol and cortisol after metyrapone. Ann Intern Med 1971;75:717.
  7.

Kowalski A, Paul W. A simple extraction procedure for the determination offree (unconjugated) cortisol in urine by radioimmunoassay. Clin Chem 1976;25:1152.

  8. Burtis CA, Ashwood ER, editors. Tietz textbook of clinical chemistry. 2nd ed. Philadelphia: W.B. Saunders, 1994.
  9.

Wilson JD, Foster DW, editors. Williams textbook of endocrinology. 7thed. Philadelphia: W.B. Saunders, 1985

   
   
 
CRP (C-reaktivt protein)
 
Engelsk navn: Canine C-reactive Protein
Analyseinstrument: Advia®1650
Reagensprodusent: Tridelta Development Limited
Analyseprinsipp :

Immunoturbidimetric test for the quantitative In-Vitro determination of canine C-reactive protein in serum or plasma on photometric Systems. This test is a polyethylene glycol (PEG) enhanced immunoturbidimetric assay. The turbidity produced is proportional to the concentration of CRP present in the original specimen. A canine serum or plasma sample is mixed with cCRP buffer (R1), and incubated at 37 °C. Subsequently, addition of CRP antiserum reagent (R2) follows and incubation continues at 37 °C. The agglutination reaction between CRP present in the standard, control or sample, begins upon addition of second reagent, R2. If CRP is absent from the standard, control or sample, no agglutination will occur. If CRP is present in the sample agglutination occurs and this leads to an increase in the absorbance of the mixture. The concentration of CRP present in a standard, control or sample will dictate the rate of increase in absorbance. The reaction is monitored at 340nm (primary wavelength, 700nm secondary wavelength where available) and the rate of agglutination is used to calculate CRP concentration from a delta absorbance vs. CRP concentration calibration curve.

(Metoden tatt i bruk: Mai 2009)
Referanse : 1. Stockham S, Scott M. Fundamentals of veterinary clinical pathology, 2nd ed. Blackwell Publishing, 2008: 397-98.
  2.

Borngen C. Nachweis von C-reaktivem Protein beirn Hund. Leipzig, Univ. Veterinarmed. Fak. Diss. 1998 (in german)

  3. Burton S, Honor D, MacKenzie A, Eckersall P, Markham R, Haorney B. C-reactive protein concentration in dogs with inflammatory leukograms. Am J Vet Res 1994; 55(5); 613-8.
  4. Ganrot K. Plasma protein response in experimental inflammation in the dog. Res Exp Med 1973; 161(4): 251-61.
  5. Yamamoto S, Shida T, Honda M, Ashida Y, Rikihisa Y, Odakura M, Hayasi S, Nomura M. and Isayama Y. Serum C-reactive protein and immune responses in dogs inoulated with Bordetella bronchiseptica (phase I cells). Vet Res Commun 1994; 18(5): 347-57.
  6. Rikihis Y, Yamamoto S, Kwak I, Iqbal Z, Kociba G, Mott J, Chichanasiriwithaya W. C-reactive protein and alpha 1-acid glycoprotein levels in dogs infected with Ehrlichia canis. J Clin Microbiol 1994; 32: 912-17.
   
 
D
   
  Ingen metodebeskrivelse under D
 
E
   
  Ingen metodebeskrivelse under E
 
F
   
   
 
Fosfor, uorganisk (P)
 
Engelsk navn: Inorganic phosphorus
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp: Phosphomolybdate/UV
Inorganic phosphorus reacts with ammonium molybdate in the presence of sulfuric acid to form an unreduced phosphomolybdate complex which is measured as an endpoint reaction at 340 nm.
(Metoden tatt i bruk: 1/7-01)
Referanse : 1. Daly JA and Ertinghausen G: Direct method for determining inorganic phosphate in serum with the centrifichem.
Clin Chem 18: 263-265 (1972)
  2. Tietz, NW: Clinical Guide to Laboratory Tests, 3rd Edition
WB Saunders Company, Philadelphia, PA p.486 (1995)
   
   
 
Frie fettsyrer (FFS)
 
Engelsk navn: Non-esterified (or free) fatty acids
Analyseinstrument: Advia®1650
Reagensprodusent:
Analyseprinsipp:

Enzymatic – colorimetric
This enzymatic method relies upon the acylation of coenzyme A(CoA) by the fatty acids in the presence of added acyl-CoA synthetase (ACS). The acyl-CoA produced is oxidized by added acyl-CoA oxidase (ACOD) with the generation of hydrogen peroxide. Hydrogen peroxide, in the presence of peroxidase (POD) permits the oxidative condensation of 3-methyl-N-ethyl-N-(b-hydroxyethyl)-aniline (MEHA) with 4-aminoantipyrine to form a purple color which can be measured at 545nm.

(Metoden tatt i bruk: 1/7-01)
Referanse : 1. Krebs, m. et al., Prevention of in Viro Lipolysis by Tetrahydrolipstatin. Clin. Chem. 46(7), 950-954 (2000)
  2. Mulder, C., Schouten, J.A., and Popp-Snijders, Determination of Free Fatty Acids: A Comparative Study of the Enzymatic Versus the Gas Chromatography and Colorimetric Method. J. Clin. Chem. Clin. Biochem. 21, 823-827 (1983)
  3. Aufenanger, J and Kaffermann, R. Klinisch-chemische Messgrösse: Freie Fettsäuren (FFS), S. 319-320 in Greiling/Gressner: Lehrbuch der Klinischen Chemie und Pathobiochemie. 3. edition, Schattauer 1995
   
   
 
Fruktosamin (Fruc)
 
Engelsk navn: Fructosamine
Analyseinstrument: Advia®1650
Reagensprodusent:
Analyseprinsipp: Nitrotetrazolium-blue (NBT)
This colorimetric assay is based on the ability of ketoamines to reduce NBT to formazan in an alkaline medium. The rate of formazan formation is directly proportional to the fructosamine concentration. The reaction rate is measured at 546 nm.
(Metoden tatt i bruk: 1/7-01)
Referanse : 1. Armbruster DA: Clin Chem 33: 2153-2163 (1987)
  2. Furth AJ: Anal Biochem 175: 347-360 (1988)
  3. Johnson RN, Metcalf PA, Baker JR : Clin Chim Acta 127: 87-95 (1983).
  4. Tahara Y, Shima K : Diabetes Care 18: 440-447 (1995)
  5. Martina WV, Martijn EG, van der Molen M, Schermer JG,
Muskiet FAJ : Clin Chem 39: 2259-2265 (1993)
  6. Kruse-Jarres JD, Jarausch J, Lehmann P, Vogt BW, Rietz P:
Lab Med 13: 245-253 (1989)
  7. Guder WG, Narayanan S, Wisser H, Zawta B : List of
Analytes Preanalytical Variables. Broschure im Samples: From the Patient to the Laboratory. Darmstadt: GIT Verlag 1996
  8. Schleicher ED, Vogt BW: Clin Chem 36: 136-139 (1990)
  9. Glick MR, Ryder KW, Jackson SA : Graphical Comparisons of
Interferences in Clinical Chemistry Instrumentation:
Clin Chem 32: 470-474 (1986)
  10. Melzi d'Eril GV, Bosoni T, Solerte SB, Fioravanti M, Ferrari E:
Wien Klin Wochenschr Suppl 180: 60-63 (1990)
  11. Henrichs HR (ed): European Fructosamine Workshop:
Wien Klin Wochenschr Suppl 180 (1990)
  12. Schleicher ED, Olgemöller B, Wiedenmann E, Gerbitz KD:
Clin Chem 39: 625-628 (1993)
  13. Passing H, Bablok W: A New Biometrical Procedure for
Testing the Equality of Measurements from Two Different
Analytical Methods: J Clin Chem Clin Biochem 21: 709-720 (1983)
  14. Bablok W et al: A General Regression Procedure for Method
Transformation: J Clin Chem Clin Biochem 26: 783-790 (1988)
   
 
G
   
   
 
Gallesyrer (GS)
 
Engelsk navn: Total Bile Acids
Analyseinstrument: Advia®1650
Reagensprodusent: Bio-Stat
Analyseprinsipp:

Enzymatic amplification / Thio-NAD – Thio-NADH
In the presence of Thio-NAD, the enzyme 3-α hydroxysteroid dehydrogenase (3-α HSD) converts bile acids to 3-keto steroids and Thio-NADH. The reaction is reversible and 3-α HSD can convert 3-keto steroids and Thio-NADH to bile acids and Thio-NAD. In the presence of excess NADH, the enzyme cycling occurs efficiently and the rate of formation of Thio-NADH is determined by measuring specific change of absorbance at 410nm.

(Metoden tatt i bruk: 18/8-05)
   
   
 
Gamma-glutamyl transferase (GGT)
 
Engelsk navn: Gamma-glutamyl transferase
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp:

Modified IFCC
In the reaction with synthetic substrate (L-γ-glutamyl-3-carboxy-4-nitroanilide), glycylglycine acts as an acceptor for the gamma-glutamyl residue and 5-amino-2-nitro-benzoate (ANB) is liberated. The liberated product has an absorption maximum near 400 nm; the rate of formation is measured photometrically at 410 nm as a zero-order kinetic assay.

(Metoden tatt i bruk: 1/7-01)
Referanse : 1. L.M. Shaw, J.H. Strømme, J.L. Loudon, and L. Theodosen: IFCC Methods for the Measurement of Catalytic Concentration of Enzymes. Part 4 IFCC Method for γ-Glutamyltransferase. J.Clin Chem. Biochem 21:633 - 646 (1983)
  2. Tietz, NW: Clinical Guide to Laboratory Tests, 3rd Edition WB Saunders Company, Philadelphia, PA pp 286-287 (1995)
   
   
 
GFR (glomerulær filtrasjonsrate)
 
Engelsk navn: Glomerular Filtration Rate (GFR)
Analyseinstrument: RenalyzerTM PRX90
Reagensprodusent: Bie & Berntsen
Analyseprinsipp:

The Reanalyser is measuring GFR by computerized analysis of the contrast medium (non-radioactive iodinate) content of plasma samples. Reanalyser is based on the x-ray fluorescence technique.

Referanse : 1. Bassir C., A simple and accurate non-invasive method for the determination of glomerlar filtration rate with an X-ray fluorescence analyzer. Zentralblatt Radiologie (1992) 146:1-163
  2. Brown S.C.W. et al. Iohexol clearance for the determination of glomerular filtration rate in clinical practice; evidence for a new gold standard. The Journal of Urology (September 1991) Vol.146 675-679.
   
   
 
Glukose (Glu)
 
Engelsk navn: Glucose
Analyseinstrument: Advia®1650
Reagensprodusent: Siemens Medical Solutions Diagnostics
Analyseprinsipp: Hexokinase
The glucose is phosphorylated by adenosine triphosphate (ATP) in the presence of hexokinase. The glucose-6- phosphate that forms is oxidized in the presence of glucose-6-phosphate dehydrogenase causing the reduction of NAD to NADH. The absorbance of NADH is measured as an endpoint reaction at 340 nm.
(Metoden tatt i bruk: 25/11-02)
Referanse : 1.

Slein MW: Methods of Enzymatic Analysis. Bergmeyer HU, ed.
Academic Press, New York NY pp 1196-1201 (1974)
  2. Slein MW, Cori GT and Cori CF: A comparative study of hexokinase from yeast and animal tissues.
J Biol Chem 186: 763-780 (1950)
  3. Tietz, NW: Clinical Guide to Laboratory Tests, 3rd Edition
WB Saunders Company, Philadelphia, PA pp 268-269 (1995)
   
   
 
Glutamat-dehydrogenase (GD)
 
Engelsk navn: Glutamate Dehydrogenase
Analyseinstrument: Advia®1650
Reagensprodusent: Randox
Analyseprinsipp:

DGKC / NADH - NAD+
This is an optimised standard method according to the recommendations of the Deutsche Gesellschaft für Klinische Chemie (DGKC). This procedure measures the non-specific creep. As NADH is oxidised, the decrease in the absorbance is measured at 340nm and is proportional to the GD activity.

(Metoden tatt i bruk: 1/7-01)
Referanse : 1.

Schmidt, E and Schmidt, F.W. In: Methode of Enzymatic Analysis 3rd ed. H,K, Bergmeyer, J. Bergmeyer, and M. Grosse, Eds. Weirheim, Verlag Chemie, 1983, 3:216-227.
  2. In: Clinical Guide to Laboratory Tests 2nd ed. N.W. Tietz, Eds. W.B. Saunders Company. Philadelphia 1990 p.260.
  3. Schmidt, E. et al (1992) Eur. J. Clin. Chem. Clin. Biochem. 30 pp 493-502
   
 
H
   
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I
   
  Ingen metodebeskrivelse under I