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TSI (Thyroid Stimulating Immunoglobulin)
MessageThis test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test.
SRHC Clients:
SRHC Clients:
- 1 yellow top tube or 1 red top tube
- Store and transport serum refrigerated
- Transport to SRHC laboratory same day as collected
- Room temperature unacceptable
Test Code
LAB746
Quest Code
30551
Alias/See Also
EPIC: LAB746
TSI
Thyroid Receptor Antibody
Thyroid Stimulating Immunoglobulin
CPT Codes
84445
Preferred Specimen
1 mL serum
Minimum Volume
0.2 mL
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
Room temperature: Unacceptable
Refrigerated: 21 days
Frozen: 60 days
Refrigerated: 21 days
Frozen: 60 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly lipemic • Grossly icteric • Plasma
Methodology
In Vitro Bioassay
Setup Schedule
Set up: Mon-Sat; Report available: 3-5 days
Reference Range
<140 % Baseline
Clinical Significance
Graves' disease is a classic form of hyperthyroid disease, affecting approximately 0.4% of the population of the United States. It is caused by IgG immunoglobulins, collectively known as thyroid stimulating immunoglobulins (TSI). Patients who are candidates for antithyroid drug therapy may not respond to this treatment when TSI levels are markedly elevated. The determination of TSI can also assist in predicting hyperthyroidism in neonates, due to placental transmission of the immunoglobulins from a mother with hyperthyroidism.
Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153