Test Panels

TSH

Overview of Test

Thyroid-stimulating hormone is released from the anterior pituitary, and is the principal regulator of thyroid function, stimulating the synthesis and release of thyroid hormones thyroxine (T4) and triiodothyronine (T3). T3 and T4 regulate biochemical processes that are essential for normal metabolism. The principal clinical use for TSH measurement is for the assessment of thyroid status. TSH is measured in conjunction with thyroid hormones or antibodies to: 1) detect or exclude hypo/hyperthyroidism; 2) monitor T4 replacement treatment in hypothyroidism or anti-thyroid treatment in hyperthyroidism; 3) monitor TSH suppression in thyroid cancer patients on thyroxine therapy; and 4) assess the response to thyrotropin-releasing hormone (TRH) stimulation testing.

Author

Patrick

Specimen Types

Serum

Test Number

2835

Expected Turn Around Time

24 hours

CPT Codes

84443

Special Instructions

Pregnant females should state gestational age when sample is drawn. TSH reference range varies depending on term of pregnancy.

Preferred Volume

2 mL

Minimum Volume

1 mL

Collection Container or Device

SST

Collection Instructions Attached

No collection instructions attached

Storage Details/ Stability Requirements

Temperature
Room Temp: (15-30 C)
Refrigeration: (2-8 C)
Time Period
18 hours
7 days

Transport Requirements

Refrigerated

Causes For Rejection

Grossly Hemolyzed, Frozen in Gel Tube, QNS, Not Centrifuged

Methodology

The TSH assay is a two-site immunoenzymatic assay. A luminometer is used to measure light generated by the reaction. The light production is directly proportional to the concentration of TSH in the sample.

Collection Instructions If Written

Department

Blood

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