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F2-Isoprostane/Creatinine Ratio
Test Code92771
CPT Codes
82542, 82570
Preferred Specimen
2 mL random urine collected in a preservative-free urine collection container (cup)
Minimum Volume
1.5 mL
Instructions
1. Collect urine sample in a preservative-free urine collection container (cup) according to standard protocols.
2. Transfer aliquot into a preservative-free urine specimen tube using the vacutainer transfer device included with the tube.
3. Label urine specimen tube according to standard protocols. Store and transport refrigerated. Discard urine collection container (cup).
2. Transfer aliquot into a preservative-free urine specimen tube using the vacutainer transfer device included with the tube.
3. Label urine specimen tube according to standard protocols. Store and transport refrigerated. Discard urine collection container (cup).
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 28 days
Refrigerated: 7 days
Frozen: 28 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens other than preservative-free urine
Methodology
Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics
Cardiometabolic Center of Excellence at Cleveland HeartLab. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.
Setup Schedule
Set up: Mon-Sat; Report available: 5 days
Clinical Significance
The F2-isoprostane/creatinine ratio is the "gold standard" for measuring oxidative stress and has utility in individuals who have lifestyle risks due to poor diet or smoking, a family history of cardiovascular disease, or hyperlipidemia. High levels are seen in conditions associated with increased risk of atherosclerosis and certain cancers.

