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IGF-I (Insulin-Like Growth Factor 1), LC/MS : 16293
Test CodeIGFI or 16293
Alias/See Also
Somatomedin-C; Insulin-Like Growth Factor; IGF-1
CPT Codes
84305
Instructions
Serum separator tube or plain red top tube.
Transport Container
Centrifuge the separator tube and transport. If plain red top tube allow to clot 10-15 minutes, then centrifuge and alquot serum into a standard transport tube, 0.5 mL (Min: 0.3 mL).
Transport Temperature
Refrigerated.
Specimen Stability
After separation from cells: Ambient: 48 hours; Refrigerated: 7 days; Frozen: 60 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Moderate hemolysis.
Methodology
Liquid Chromatography/Mass Spectrometry (LC/MS)
Setup Schedule
Sunday - Saturday
Report Available
1-4 days (From receipt at performing laboratory)
Limitations
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.
Reference Range
Pediatric Ranges IGF-1, LC/MS Male (ng/mL) Female (ng/mL) less than 1 Years: 14-142 17-185 1-1.9 Years: 12-134 15-175 2-2.9 Years: 12-135 16-179 3-3.9 Years: 30-155 38-214 4-4.9 Years: 28-181 34-238 5-5.9 Years: 31-214 37-272 6-6.9 Years: 38-253 45-316 7-7.9 Years: 48-298 58-367 8-8.9 Years: 62-347 76-424 9-9.9 Years: 80-398 99-483 10-10.9 Years: 100-449 125-541 11-11.9 Years: 123-497 152-593 12-12.9 Years: 146-541 178-636 13-13.9 Years: 168-576 200-664 14-14.9 Years: 187-599 214-673 15-15.9 Years: 201-609 218-659 16-16.9 Years: 209-602 208-619 17-17.9 Years: 207-576 185-551 Adult Ranges IGF-1, LC/MS: 18-19.9 Years: 108-548 ng/mL 20-24.9 Years: 83-456 ng/mL 25-29.9 Years: 63-373 ng/mL 30-39.9 Years: 53-331 ng/mL 40-49.9 Years: 52-328 ng/mL 50-59.9 Years: 50-317 ng/mL 60-69.9 Years: 41-279 ng/mL 70-79.9 Years: 34-245 ng/mL greater than 80 Years: 34-246 ng/mL Z-Score (Male): -2.0 - +2.0 SD Z-Score (Female): -2.0 - +2.0 SD |
Clinical Significance
Insulin-like growth factor I (IGF-I, or somatomedin C), a protein involved in stimulating somatic growth, is regulated principally by growth hormone (GH) and nutritional intake. IGF-I is transported in serum by several proteins; this helps maintain relatively high IGF-I plasma levels and minimizes fluctuations in serum IGF-I concentrations.
Measuring IGF-I is useful in several growth-related disorders. Dwarfism caused by deficiency of growth hormone (hypopituitarism) results in decreased serum levels of IGF-I, while acromegaly (growth hormone excess) results in elevated levels of IGF-I. IGF-I measurements are also helpful in assessing nutritional status; levels are reduced in undernutrition and restored with a proper diet.
Measuring IGF-I is useful in several growth-related disorders. Dwarfism caused by deficiency of growth hormone (hypopituitarism) results in decreased serum levels of IGF-I, while acromegaly (growth hormone excess) results in elevated levels of IGF-I. IGF-I measurements are also helpful in assessing nutritional status; levels are reduced in undernutrition and restored with a proper diet.
Performing Laboratory
Quest Diagnostics