Caracterização da actividade laboratorial a nível nacional Área de Endocrinologia GRUPO DE ESTUDOS DE LABORATÓRIO-SPEDM Dezembro 2013
Responsável LEND Drª Deolinda Madureira Dr Nuno Gonçalves Dr Nuno Cunha Drª Helena Proença Drª Conceição Godinho Drª Isabel Griff Drª Ana Dias/Drª L Elias Drª Mª Isabel Carvalho Drª João Fermisson Drª J. Duarte/Drª Isabel Santos Drª F. Leitão Drª Isabel Albuquerque Dr Frederico Cerveira Drª S. Silva/ Drª I. Caetano Dr José Gonzalez Drª Anabela Silva Dr José Carlos Oliveira Prof Tiago Guimarães Dr Manuel Silva Dr José Pedroso Dr Ilidio Ornelas Dr Ricardo Castro CARACTERIZAÇÃO DA ACTIVIDADE LABORATORIAL-área de Endocrinologia (2013) Analito Hospital Centro Hospitalar ---- --- --- CHLN CHLC CHLO ---- CHBM CHS CHUC CHBV ---- ---- ---- CHP CHSJ ---- CHVNG ---- CHLP IPOL IPOP IPOC HSM HCC HDE/ HSJ HGO Barreiro HSB HUC CHC HAveiro HLA ULSAM CHPVVC HGSA HSJoão HML --- HCF HSA ACTH I R I I I I I I R R I I ---- ---- I R ---- I R R 5-HIAA Cr/E HPLC Cr/E HPLC HPLC 2-G ---- --- ---- ---- 2-? ---- ---- ---- HPLC HPLC ---- --- HPLC --- Ác. Vanilmandélico (AVM) Cr/E HPLC Cr/E HPLC HPLC 2-G ---- --- --- ---- 2-? ---- ---- ---- HPLC HPLC ---- Cr/E HPLC Cr/E Aldosterona (soro/urina) 1-Dias ---- 1-Dsl 1-Siem c 1-Siem 1-B 1 1-Siem ---- L 1-DSL ---- ---- ---- 1-Siem 1-Siem ---- 1-Siem c 2-? a --- Ac Anti- Tg e Anti-TPO U R I I I Ac I R R Ar I Ct ---- R R Ar I R Ac U TRAb 1-RSR R R R 1-Brah 1-M 1-? R ---- R 1-Brah ---- ---- ------ R 2-Euri ---- 1-RSR R --- Actividade Renina Plasmática 1-Dias ---- L ---- ---- ---- ---- ---- ---- L L ---- ---- ---- ------ --- ---- 2-Dia ---- --- β hcg Livre ---- ---- ---- I ---- I K ---- ------ ---- K I ---- R R Def ---- --- K K hcgtotal I R I I I Ac D R R Ar I D ---- ---- I R I R Ac Ac Calcitonina I I I I I I I I ---- ---- I ---- ---- ---- I I ---- I ---- --- Catecolaminas plasmáticas --- --- --- --- --- --- --- --- --- --- --- --- --- --- HPLC HPLC --- --- --- --- Catecolaminas na urina ---- HPLC ---- HPLC HPLC 2-G ---- ---- ---- ---- 2-? ---- ---- ---- HPLC HPLC ---- ---- HPLC a --- Cortisol (soro) 1-Siem R R Ct I Ac I R R Ar I Ct ---- R R R I R Ac Ac Cortisol (urina) 1-Siem ---- R ---- 1-Siem ---- 1-? R ---- ---- 1- Siem ---- ---- ---- R R ------ 1-Dia ---- Ac Cortisol (saliva) 1-Dias R R Ct 1-Dias ------ ------ R --------- ------ ------ ------ ------ ---- R R ------ ------ ---- --- Cromogranina A 1-CIS 1-Eur K 1-Eur ------ ------ 1-? ------ --------- ------ 1- Eur ------ ------ ---- 2-EDI --- ------ ------ ---- --- DHEA-SO4 (DHEA-S) I I I I I Ac I R R R I --------- ------ R I R ------ R Ac --- Delta-4 Androstenediona I I I I I I I I ------ ------ I ---- ------ ---- I I ------ 1-Dias 2-? a --- DHT 1-Bec ------ ------ --------- ------ 1-Bec ------ ------ ------ ------ ------ ------ ------ ---- 1-Bec --- ------ ------ ------ --- 11-Desoxicortisol ------ ------ ------ 1-Bio ------ 1-MP ------ ------ ------ ------ 1-Dia ------ ------ ---- 1-IBL --- ------ ------ ------ --- Desoxipiridinolina (DPD) I ------ ------ I ------ I I ------ ------ ------ I ------ ------ ---- I --- ------ ------ ------ --- Estradiol (17 β estradiol) I I Ct Ct I Ac V R R R Ct Ct Ac R R R I R Ac Ac GRUPO DE ESTUDOS DE LABORATÓRIO-SPEDM 2
FSH I R Ct Ct I Ac V R R R Ct Ct Ac R R R I R Ac Ac Gastrina I I I I ------ ------ ------ ------ ------ ------ I I ------ ---- I --- ------ 1-Dia ------ --- Glucagon ------ ------ ------ ------ ------ ------ ------ ------ ------ ------ 1-? ------ ------ ------ ------ --- ------ 1-MP ------ --- HbA1c ------ HPLC ------ HPLC HPLC HPLC HPLC HPLC HPLC HPLC HPLC HPLC HPLC HPLC HPLC HPLC HPLC HPLC HPLC CAP 17α-Hidroxi-Progesterona 1-Siem 1-Siem 1-Siem 1-Siem 1-Siem 1-Bec 1-? 1-Siem ------ ------ 1-Dia ------ ------ ------ 1-? 1-Siem ------ 1-Siem 2-? a Ac 17- Hidroxicorticosteróides Q/E ------ ------ ---- ------ ------ ------ --------- ------ ------ ------ ------ ------ ------ ------ --- ------ ---- C l/e a --- Hormona do Crescimento I I I I I Ac I I --------- ------ I ------ ------ ------ I I ------ I Ac --- Hormona Anti-diurética ------ ------ ------ 1-Eur ------ ------ ------ ------ ------ ------ ------ ---- ---- ---- 1-? --- ---- 1-Dia ---- --- IGF1 (Somatomedina C) I I I I I I I 1-Med ---- ---- I ---- ---- --- I 1-Im ---- 1-Med 2-? a --- IGFBP3 ---- ---- I I I I ---- ---- ---- ---- I --- ---- ---- I I ---- 1-Med ---- --- Insulina I I R Ct I Ac I I R R Ct Ct ---- R R R I R Ac Ac Iodo Urinário Col ---- Col ---- ---- ---- ---- ------ ---- ---- ---- --- ---- ---- Col --- ---- ---- ---- --- LH I R Ct Ct I Ac V R R R Ct Ct Ac R R R I R Ac Ac Macroprolactina (identificação) PEG ---- K ---- PEG ---- ---- ---- ---- ---- ------ --- ---- ---- ---- --- ---- PEG a PEG --- Metanefrinas plasmáticas --- --- 1-LDN --- --- --- --- --- --- --- --- --- --- --- 1-LDN --- --- --- --- --- Metanefrinas urinárias Cr/E a HPLC 1-LDN HPLC HPLC 2-G 1-? ---- ---- ---- 2-? --- ---- ---- HPLC HPLC ---- Cr/E HPLC a Cr/E Normetanefrinas plasmáticas --- --- 1-LDN --- --- --- --- --- --- --- --- --- --- --- 1-LDN --- --- --- --- --- Normetanefrinas urinárias ------ HPLC 1-? HPLC HPLC 2-G 1-? ---- ---- ---- 2-? --- ---- ---- HPLC HPLC ---- ---- HPLC a --- Osteocalcina ------ ---- R R ---- I ---- ---- ---- ---- ------ --- ---- ---- R R ---- ---- R --- Parathormona (PTH) I R Ct Ct I Ac V R ---- Ar Ct Ct Ac R R R I R Ac --- PTH intra-operatória I R Ct Ct ---- ---- Ac ---- ---- Ar Ct --- Ac R R R I ---- Ac --- Peptido C (soro/urina) I I R Ct I I I I c R R I Ct ---- R c R c R ---- R R --- Progesterona I I Ct Ct I Ac V R R R Ct Ct ---- R I R I R Ac Ac Prolactina (PRL) 1-Dia R I Ct I Ac V R R R Ct Ct ---- R R R I R Ac Ac RBP (Retinol B. Protein) ---- ---- ---- NEF ---- ---- ---- ------ ---- ---- ------ --- ---- --- NEF NEF ---- ---- ---- --- Renina --- ---- ---- 1-? L 1-Bec 1-RIA 1-Dia ---- L ------ --- ---- --- 1-Dia 1-Cis ---- 1-Dias 2-? a --- Serotonina ---- ---- 1-DRG HPLC ---- 2-G ---- ---- ---- ---- 2-? --- ---- --- HPLC --- ---- ---- ---- --- SHBG --- ---- I I I Ac ---- ---- ---- ---- ---- --- ---- --- I R ---- R Ac --- GRUPO DE ESTUDOS DE LABORATÓRIO-SPEDM 3
Triiodotironina (T3) R R R Ct I ---- ---- R R Ar ------ Ct Ac R R Ar I R Ac Ac Tiroxina (T4) R R R Ct I ---- ---- R R ---- ---- Ct Ac R R Ar I R Ac Ac T3 Livre (FT3) R R R Ct I Ac V R R ---- Ct Ct Ac R R Ar I R Ac Ac T4 Livre (FT4) R R R Ct I Ac V/D R R Ar I Ct Ac R R Ar I R Ac Ac Testosterona Livre 1-Siem 1-Bec 1-DSL 1-Siem 1-Siem 1-Bec ---- 1-Siem ---- ---- 1-Siem ---- ---- ---- 1-Siem 1-Siem ---- 1-Siem b --- Testosterona Total I R R I 1-Siem 1-O I R R R Ct Ct --- R R R ---- R Ac Ac Tireotrofina (TSH) R R I Ct I Ac V/D R R Ar Ct Ct Ac R R Ar ---- R Ac Ac Tiroglobulina (TG) I R I I I Ac I R ------ R I I --- R R I ---- R R Ac Vitamina D (1,25 OH) 1-IDS ---- ---- --- ---- 1-IDS ---- --- ------ ---- ------ ---- --- ---- ---- --- ---- ---- ---- --- Vitamina D (25 OH) 1-IDS ---- R Ar L 1-IDS Ar R ---- R L Ct --- ---- R R ---- R R --- VIP ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- 1-? ---- ---- ---- 1-Eur --- ---- ---- --- EPO I ---- i ---- ---- ---- I ---- ---- ---- ---- ---- ---- ---- I I ---- I ---- --- *Metanefrinas Totais (metanefrinas+normetanefrinas) Equipamento Método Reagentes Ar Architect 1 RIA/IRMA B Immunotech/Beckman Coulter Ac Access, DXi600, DXi800 2 ELISA Bec Beckman Cap Capilarys 2 Flex Piercing - Sebia NEF Neflometria Bio Biosource Ct Advia Centaur Cr/E Cromatográfico/Espectrofotométrico Brah Brahms D Dimension Vista Col Colorimétrico CIS CisBio Def Delfia Q/E Químico/ Espectrofotométrico Dia DiaSource K Kriptor PEG Precipitação c/peg Dias Diasorin I Immulite, Immulite 2000/Immulite 2500 C l/e Cromatografia líquida/ Espectrofotométrico DRG DRG L Liasion DSL DSL K Kriptor EDI Epitope Diagnostics R Cobas e411/e601, Modular E170, Cobas Integra Eur Eurodiagnostica U Unicap Euri Euroimmune V Vitros Eci G Grifols a -em instalação IBL IBL b -por cálculo LDN Labor Diagnostika Nord c -soro M Medipan Med Mediagnostic MP MP Biomedicals O Orion RSR RSR Siem Siemens/DPC Outros testes : GRUPO DE ESTUDOS DE LABORATÓRIO-SPEDM 4
Alfa-subunidada da HCG --- --- --- --- --- --- --- ---- --- --- ---- ---- --- ---- 1-Im --- ---- --- --- --- 3 Alfa-Androstenadiol --- --- --- --- --- --- --- --- --- --- --- --- --- --- 1-DSL --- --- --- --- --- Ac Anti-Insulina --- --- --- --- 1-RSR --- --- --- --- --- --- --- --- --- 1-RSR 1-DLD --- 1-Dias --- --- Ac anti-células Langerhans (ICA) --- --- --- --- --- --- --- --- --- --- --- --- --- --- 2-Bio --- --- --- --- --- Ac Anti-GAD --- --- --- --- 1-RSR --- --- --- --- --- --- --- --- --- 1-Med 1-DLD --- --- --- --- Ácido Homovanílico --- --- --- --- --- --- --- --- --- --- --- --- --- --- HPLC HPLC --- --- --- --- Beta-Crosslaps (B-CTX) --- --- R --- --- --- --- --- --- --- --- --- --- --- R R --- --- --- --- Elastase Pancreática fecal --- --- --- --- --- --- --- --- --- --- --- --- --- --- 2-Sc --- --- --- --- --- Estriol livre --- --- --- I --- I --- --- --- --- I I --- --- I I --- --- Ac --- Estrona --- --- 1-DSL ---- --- --- --- --- --- --- --- --- --- --- ---- --- --- --- --- --- Fosfatase Alcalina óssea 1-Q --- l --- --- --- --- --- --- --- --- --- ---- ---- 2-Q --- --- --- --- --- Homocisteína ---- --- --- --- --- --- --- --- --- --- --- --- --- --- I Ar --- --- --- Ax Leptina --- --- --- --- --- --- --- --- --- --- --- --- --- --- 2-Mer --- --- --- --- --- Procolagénio I --- --- --- --- --- --- --- --- --- --- --- --- --- --- R --- --- --- --- --- Procolagénio III --- --- --- --- --- --- --- --- --- --- --- --- --- --- 1-O --- --- --- --- --- TBG --- --- --- ----- --- ---- --- --- --- --- --- --- --- --- ---- --- --- --- --- --- Ac anti IA2 --- --- --- --- 1-RSR --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Equipamento Método Reagentes Ac Access, DXi600, DXi800 1 RIA/IRMA Bio Biometrica I Immulite, Immulite 2000/Immulite 2500 2 ELISA DSL DSL R Cobas e411/e601, Modular E170, Cobas Integra DLD DLD Im Immunotech Q Quidel Mer Mercodia Med Medipan O Orion RSR RSR Sc Schebo Ax Axis-Shield Beckman AU 2700 GRUPO DE ESTUDOS DE LABORATÓRIO-SPEDM 5