Determining iodine overload using serum specimens
Monitoring iodine levels in individuals taking iodine-containing drugs
Inductively Coupled Plasma Mass Spectrometry (ICP-MS)
Serum
Patient Preparation:
1. Disinfectants (such as Betadine) that contain iodine should not be used during venipuncture.
2. High concentrations of gadolinium and iodine are known to interfere with most metal tests. If either gadolinium- or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.
Supplies:
-Metal Free B-D Tube (No Additive), 6 mL (T184)
-Metal Free Specimen Vial (T173)
Collection Container/Tube: Plain, royal blue-top Vacutainer plastic trace element blood collection tube
Submission Container/Tube: 7-mL Mayo metal-free, screw-capped, polypropylene vial
Specimen Volume: 1 mL
Collection Instructions:
1. Allow specimen to clot for 30 minutes; then centrifuge the specimen to separate serum from the cellular fraction.
2. Remove the stopper. Carefully pour specimen into Mayo metal-free, polypropylene vial, avoiding transfer of the cellular components of blood. Do not insert a pipet into the serum to accomplish transfer, and do not ream the specimen with a wooden stick to assist with serum transfer.
3. See Trace Metals Analysis Specimen Collection and Transport for complete instructions.
0.3 mL
Gross hemolysis | OK |
Gross lipemia | OK |
Gross icterus | OK |
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Serum | Refrigerated (preferred) | 21 days | |
Ambient | 21 days | ||
Frozen | 21 days |
Determining iodine overload using serum specimens
Monitoring iodine levels in individuals taking iodine-containing drugs
Iodine is an essential element required for thyroid hormone production. The measurement of iodine serves as an index of adequate dietary iodine intake and iodine overload, particularly from iodine-containing drugs, such as amiodarone.
40-92 ng/mL
Values between 80 ng/mL and 250 ng/mL have been reported to indicate hyperthyroidism.
Values above 250 ng/mL may indicate iodine overload.
There are no known analytical interferences with this procedure.
Administration of iodine-containing contrast media will yield
1. Allain P, Berre S, Krari N, et al. Use of plasma iodine assay for diagnosing thyroid disorders. J Clin Pathol. 1993;46(5):453-455.
2. Rifai N, Chiu RWK, Young I, Burnham CAD, Wittwer CT, eds. Tietz Textbook of Laboratory Medicine. 7th ed. Elsevier; 2023
3. Leung AM, Braverman LE, Consequences of excess iodine. Nat Rev Endocrinol. 2014;10(3):136-142. doi: 10.1038/nrendo.2013.251
4. U.S. Department of Health and Human Services, Agency for Toxic Substances and Disease Registry: Toxicological Profile for Iodine. HHS; 2004. Accessed June 29, 2023. Available at www.atsdr.cdc.gov/ToxProfiles/tp158.pdf
The metal of interest is analyzed by inductively coupled plasma mass spectrometry.(Unpublished Mayo method)
Tuesday, Friday
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.
83789
Test Id | Test Order Name | Order LOINC Value |
---|---|---|
IOD | Iodine, S | 2494-3 |
Result Id | Test Result Name |
Result LOINC Value
Applies only to results expressed in units of measure originally reported by the performing laboratory. These values do not apply to results that are converted to other units of measure.
|
---|---|---|
81574 | Iodine, S | 2494-3 |