Blood test results should always be interpreted using the reference range provided by the laboratory that performed the test.[1]
Interpretation
A reference range is usually defined as the set of values 95 percent of the normal population falls within (that is, 95% prediction interval).[2] It is determined by collecting data from vast numbers of laboratory tests.[citation needed]
Plasma or whole blood
In this article, all values (except the ones listed below) denote blood plasma concentration, which is approximately 60–100% larger than the actual blood concentration if the amount inside red blood cells (RBCs) is negligible. The precise factor depends on hematocrit as well as amount inside RBCs. Exceptions are mainly those values that denote total blood concentration, and in this article they are:[3]
All values in Hematology – red blood cells (except hemoglobin in plasma)
Mass concentration (g/dL or g/L) is the most common measurement unit in the United States. Is usually given with dL (decilitres) as the denominator in the United States, and usually with L (litres) in, for example, Sweden.[citation needed]
Molar concentration (mol/L) is used to a higher degree in most of the rest of the world, including the United Kingdom and other parts of Europe and Australia and New Zealand.[4]
If not otherwise specified, a reference range for a blood test is generally the venous range, as the standard process of obtaining a sample is by venipuncture. An exception is for acid–base and blood gases, which are generally given for arterial blood.[citation needed]
Still, the blood values are approximately equal between the arterial and venous sides for most substances, with the exception of acid–base, blood gases and drugs (used in therapeutic drug monitoring (TDM) assays).[6] Arterial levels for drugs are generally higher than venous levels because of extraction while passing through tissues.[6]
Usual or optimal
Reference ranges are usually given as what are the usual (or normal) values found in the population, more specifically the prediction interval that 95% of the population fall into. This may also be called standard range. In contrast, optimal (health) range or therapeutic target is a reference range or limit that is based on concentrations or levels that are associated with optimal health or minimal risk of related complications and diseases. For most substances presented, the optimal levels are the ones normally found in the population as well. More specifically, optimal levels are generally close to a central tendency of the values found in the population. However, usual and optimal levels may differ substantially, most notably among vitamins and blood lipids, so these tables give limits on both standard and optimal (or target) ranges. In addition, some values, including troponin I and brain natriuretic peptide, are given as the estimated appropriate cutoffs to distinguish healthy people from people with specific conditions, which here are myocardial infarction and congestive heart failure, respectively, for the aforementioned substances.[7][8][9]
Variability
References range may vary with age, sex, race, pregnancy,[10] diet, use of prescribed or herbal drugs and stress. Reference ranges often depend on the analytical method used, for reasons such as inaccuracy, lack of standardisation, lack of certified reference material and differing antibody reactivity.[11] Also, reference ranges may be inaccurate when the reference groups used to establish the ranges are small.[12]
Hormones predominate at the left part of the scale, shown with a red at ng/L or pmol/L, being in very low concentration. There appears to be the greatest cluster of substances in the yellow part (μg/L or nmol/L), becoming sparser in the green part (mg/L or μmol/L). However, there is another cluster containing many metabolic substances like cholesterol and glucose at the limit with the blue part (g/L or mmol/L).[citation needed]
The unit conversions of substance concentrations from the molar to the mass concentration scale above are made as follows:
Numerically:
Measured directly in distance on the scales:
,
where distance is the direct (not logarithmic) distance in number of decades or "octaves" to the right the mass concentration is found. To translate from mass to molar concentration, the dividend (molar mass and the divisor (1000) in the division change places, or, alternatively, distance to right is changed to distance to left. Substances with a molar mass around 1000g/mol (e.g. thyroxine) are almost vertically aligned in the mass and molar images. Adrenocorticotropic hormone, on the other hand, with a molar mass of 4540,[13] is 0.7 decades to the right in the mass image. Substances with molar mass below 1000g/mol (e.g. electrolytes and metabolites) would have "negative" distance, that is, masses deviating to the left.
Many substances given in mass concentration are not given in molar amount because they haven't been added to the article.
The diagram above can also be used as an alternative way to convert any substance concentration (not only the normal or optimal ones) from molar to mass units and vice versa for those substances appearing in both scales, by measuring how much they are horizontally displaced from one another (representing the molar mass for that substance), and using the same distance from the concentration to be converted to determine the equivalent concentration in terms of the other unit. For example, on a certain monitor, the horizontal distance between the upper limits for parathyroid hormone in pmol/L and pg/mL may be 7 cm, with the mass concentration to the right. A molar concentration of, for example, 5 pmol/L would therefore correspond to a mass concentration located 7 cm to the right in the mass diagram, that is, approximately 45 pg/mL.
By units
Units do not necessarily imply anything about molarity or mass.
Note: Although 'mEq' for mass and 'mEq/L' are sometimes used in the United States and elsewhere, they are not part of SI and are now considered redundant.
Acid–base and blood gases
If arterial/venous is not specified for an acid–base or blood gas value, then it generally refers to arterial, and not venous which otherwise is standard for other blood tests.[citation needed]
Acid–base and blood gases are among the few blood constituents that exhibit substantial difference between arterial and venous values.[6] Still, pH, bicarbonate and base excess show a high level of inter-method reliability between arterial and venous tests, so arterial and venous values are roughly equivalent for these.[44]
Liver function
Cardiac tests
Lipids
Tumour markers
Endocrinology
Thyroid hormones
Sex hormones
The diagrams below take inter-cycle and inter-woman variability into account in displaying reference ranges for estradiol, progesterone, FSH and LH.
Other hormones
Vitamins
Also including the vitamin B12)-related amino acid homocysteine.
Toxic Substances
Hematology
Red blood cells
These values (except Hemoglobin in plasma) are for total blood and not only blood plasma.
White blood cells
These values are for total blood and not only blood plasma.
Autoantibodies are usually absent or very low, so instead of being given in standard reference ranges, the values usually denote where they are said to be present, or whether the test is a positive test. There may also be an equivocal interval, where it is uncertain whether there is a significantly increased level.
^The MCHC in g/dL and the mass fraction of hemoglobin in red blood cells in % are numerically identical in practice, assuming a RBC density of 1g/mL and negligible hemoglobin in plasma.
References
^"Reference Ranges and What They Mean". Lab Tests Online (USA). Archived from the original on 28 August 2013. Retrieved 22 June 2013.
^Page 19 in: Stephen K. Bangert MA MB BChir MSc MBA FRCPath; William J. Marshall MA MSc MBBS FRCP FRCPath FRCPEdin FIBiol; Marshall, William Leonard (2008). Clinical biochemistry: metabolic and clinical aspects. Philadelphia: Churchill Livingstone/Elsevier. ISBN 978-0-443-10186-1.{{cite book}}: CS1 maint: multiple names: authors list (link)
^Bransky A, Larsson A, Aardal E, Ben-Yosef Y, Christenson RH (2021). "A Novel Approach to Hematology Testing at the Point of Care". J Appl Lab Med. 6 (2): 532–542. doi:10.1093/jalm/jfaa186. PMC 7798949. PMID 33274357.{{cite journal}}: CS1 maint: multiple names: authors list (link)
^"Units of measurement" in Medical toxicology, Richard C. Dart
Edition: 3, illustrated, Lippincott Williams & Wilkins, 2004, p. 34 ISBN 978-0-7817-2845-4 1914 pages
^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad ae af ag ah ai aj ak al am an ao ap aq ar as at au av aw ax ay az ba bb bc bd be bf bg bh bi bj bk bl bm bn bo bp bq br bs bt bu bv bw bx by bz ca cb cc cd ce cf cg ch ci cj ck cl cm cn co cp cq cr cs ct cu cv cw cx cy cz da db dc dd de df dg dh di dj dk dl dm dn do dp dq dr ds dt du dv dwReference range list from Uppsala University Hospital ("Laborationslista"). Artnr 40284 Sj74a. Issued on April 22, 2008
^ a b c"Arterial versus venous reference ranges", Medical Laboratory Observer, April, 2000 by D. Robert Dufour
^ a b c d eAshvarya Mangla. "Troponins". medscape. Retrieved 2017-07-24. Updated: Jan 14, 2015
^ a b c dBrenden CK, Hollander JE, Guss D, et al. (May 2006). "Gray zone BNP levels in heart failure patients in the emergency department: results from the Rapid Emergency Department Heart Failure Outpatient Trial (REDHOT) multicenter study". American Heart Journal. 151 (5): 1006–11. doi:10.1016/j.ahj.2005.10.017. PMID 16644322.
^ a b c dStrunk A, Bhalla V, Clopton P, et al. (January 2006). "Impact of the history of congestive heart failure on the utility of B-type natriuretic peptide in the emergency diagnosis of heart failure: results from the Breathing Not Properly Multinational Study". The American Journal of Medicine. 119 (1): 69.e1–11. doi:10.1016/j.amjmed.2005.04.029. PMID 16431187.
^Abbassi-Ghanavati, M.; Greer, L. G.; Cunningham, F. G. (2009). "Pregnancy and Laboratory Studies". Obstetrics & Gynecology. 114 (6): 1326–31. doi:10.1097/AOG.0b013e3181c2bde8. PMID 19935037. S2CID 24249021.
^Armbruster, David; Miller (August 2007). "The Joint Committee for Traceability in Laboratory Medicine (JCTLM): A Global Approach to Promote the Standardisation of Clinical Laboratory Test Results". The Clinical Biochemist Reviews. 28 (3): 105–14. PMC 1994110. PMID 17909615.
^William Q. Meeker & Gerald J. Hahn (1982). "Sample Sizes for Prediction Intervals". Journal of Quality Technology. 14 (4): 201–206. doi:10.1080/00224065.1982.11978821.
^PROOPIOMELANOCORTIN; NCBI / POMC Retrieved on September 28, 2009
^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad ae af ag ah ai aj ak al am an ao ap aq ar as at au av aw ax ay az ba bb bc bd be bf bg bh bi bj bk bl bm bn bo bp bq br bs bt bu bv bw bx by bz ca cb cc cd ce cf cg ch ci cj ck cl cm cn co cp cq cr cs ct cu cv cw cx cy cz da db dc ddLast page of Deepak A. Rao; Le, Tao; Bhushan, Vikas (2007). First Aid for the USMLE Step 1 2008 (First Aid for the Usmle Step 1). McGraw-Hill Medical. ISBN 978-0-07-149868-5.
^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad ae af ag ah ai aj ak al am an ao ap aq ar as at au av aw ax ay az ba bb bc bd be bf bg bh bi bj bk bl bm bn bo bp bq br bs bt bu bv bw bx by bz ca cb cc cd ce cf cg ch ci cj ck cl cm cn co cp cq cr cs ct cu cv cw cx cy cz da dbNormal Reference Range Table Archived 2011-12-25 at the Wayback Machine from The University of Texas Southwestern Medical Center at Dallas. Used in Interactive Case Study Companion to Pathologic basis of disease.
^ a b c dDerived from molar values using molar mass of 22.99 g•mol−1
^ a bDerived from molar values using molar mass of 39.10 g•mol−1
^ a b c d e f g h i j k l mMerck Manuals > Common Medical Tests > Blood Tests Last full review/revision February 2003
^ a bDerived from molar values using molar mass of 35.45 g•mol−1
^ a bLarsson L, Ohman S (November 1978). "Serum ionized calcium and corrected total calcium in borderline hyperparathyroidism". Clin. Chem. 24 (11): 1962–65. doi:10.1093/clinchem/24.11.1962. PMID 709830.
^ a b c dDerived from molar values using molar mass of 40.08 g•mol−1
^ a b cDerived from mass values using molar mass of 40.08 g•mol−1
^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad ae af ag ah ai aj ak al am an ao ap aq ar as at au av aw ax ay az ba bb bc bd be bf bg bh bi bj bk bl bm bn bo bp bq br bs bt bu bv bw bx by bzBlood Test Results – Normal Ranges Archived 2012-11-02 at the Wayback Machine Bloodbook.Com
^ a b c d e f g h i j k lSlon S (2006-09-22). "Serum Iron". University of Illinois Medical Center. Archived from the original on 2006-10-28. Retrieved 2006-07-06.
^ a b c dDiagnostic Chemicals Limited > Serum Iron-SL Assay Archived 2009-01-06 at the Wayback Machine July 15, 2005
^ a b c d e f g h i j k l mDerived from mass values using molar mass of 55.85 g•mol−1
^Walter F. Boron (2005). Medical Physiology: A Cellular And Molecular Approaoch. Elsevier/Saunders. p. 849. ISBN 978-1-4160-2328-9.
^ a b"Archived copy" (PDF). Archived from the original (PDF) on 2010-03-07. Retrieved 2010-01-17.{{cite web}}: CS1 maint: archived copy as title (link)
^ a bDerived from molar values using molar mass of 65.38 g/mol
^ a bDerived from mass values using molar mass of 65.38 g/mol
^ a bDerived from molar values using molar mass of 24.31 g/mol
^ a bDerived from mass values using molar mass of 24.31 g/mol
^Middleton P, Kelly AM, Brown J, Robertson M (August 2006). "Agreements between arterial and central venous values for pH, bicarbonate, base excess, and lactate". Emerg Med J. 23 (8): 622–24. doi:10.1136/emj.2006.035915. PMC 2564165. PMID 16858095.
^ a b c d e f g h i j k lThe Medical Education Division of the Brookside Associates / ABG (Arterial Blood Gas) Retrieved on Dec 6, 2009
^ a bDerived from molar values using molar mass of 1.01 g•mol−1
^ a b c d e f g hDerived from mmHg values using 0.133322 kPa/mmHg
^ a bDerived from molar values using molar mass of 44.010 g/mol
^ a b c dDerived from molar values using molar mass of 61 g/mol
^ a bDerived from mass using molecular weight of 65kD
^ a b c d eDerived from mass values using molar mass of 585g/mol
^ a bDerived from molar values using molar mass of 585g/mol
^ a b c d e f g h i j k l m n o p q r sFachwörterbuch Kompakt Medizin E-D/D-E. Author: Fritz-Jürgen Nöhring. Edition 2. Publisher:Elsevier, Urban&FischerVerlag, 2004. ISBN 978-3-437-15120-0. Length: 1288 pages
^ a b c dGPnotebook > reference range (AST) Archived 2017-01-07 at the Wayback Machine Retrieved on Dec 7, 2009
^ a b"Gamma-GT". Leistungsverzeichnis. Medizinisch-Diagnostische Institute. Archived from the original on 25 April 2012. Retrieved 20 November 2011.
^ a b c dPage 585 in: Lee, Mary Ann (2009). Basic Skills in Interpreting Laboratory Data. Amer Soc of Health System. ISBN 978-1-58528-180-0.
^ a b c dMuscle Information and Courses from MediaLab, Inc. > Cardiac Biomarkers Retrieved on April 22, 2010
^Caselli, C.; Cangemi, G.; Masotti, S.; Ragusa, R.; Gennai, I.; Del Ry, S.; Prontera, C.; Clerico, A. (2016-07-01). "Plasma cardiac troponin I concentrations in healthy neonates, children and adolescents measured with a high sensitive immunoassay method: High sensitive troponin I in pediatric age". Clinica Chimica Acta. 458: 68–71. doi:10.1016/j.cca.2016.04.029. ISSN 0009-8981. PMID 27118089.
^Baum, Hannsjörg; Hinze, Anika; Bartels, Peter; Neumeier, Dieter (2004-12-01). "Reference values for cardiac troponins T and I in healthy neonates". Clinical Biochemistry. 37 (12): 1079–82. doi:10.1016/j.clinbiochem.2004.08.003. ISSN 0009-9120. PMID 15589813.
^ a bPage 220 in: Lee, Mary Ann (2009). Basic Skills in Interpreting Laboratory Data. Amer Soc of Health System. ISBN 978-1-58528-180-0.
^ a b c d e f g h i j k l m nAdëeva Nutritionals Canada > Optimal blood test values Archived 2009-05-29 at the Wayback Machine Retrieved on July 9, 2009
^ a b c d e fDerived from values in mg/dL to mmol/L, by dividing by 89, according to faqs.org: What are mg/dL and mmol/L? How to convert? Glucose? Cholesterol? Last Update July 21, 2009. Retrieved on July 21, 2009
^ a b c dDerived from values in mg/dL to mmol/L, using molar mass of 386.65 g/mol
^ a b c"Reference range (cholesterol)". GPnotebook.
^ a b c d e f g hRoyal College of Pathologists of Australasia; Cholesterol (HDL and LDL) – plasma or serum Last Updated: Monday, 6 August 2007
^ a b c d e f g h i jDerived from values in mmol/L, using molar mass of 386.65 g/mol
^What Your Cholesterol Levels Mean. American Heart Association. Retrieved on September 12, 2009
^"HDL Cholesterol: The Test". September 3, 2001. Archived from the original on 2001-09-03.
^GP Notebook > range (reference, ca-125) Retrieved on Jan 5, 2009
^ClinLab Navigator > Test Interpretations > CA-125 Retrieved on March 8, 2011
^ a bBjerner J, Høgetveit A, Wold Akselberg K, et al. (June 2008). "Reference intervals for carcinoembryonic antigen (CEA), CA125, MUC1, Alfa-foeto-protein (AFP), neuron-specific enolase (NSE) and CA19.9 from the NORIP study". Scandinavian Journal of Clinical and Laboratory Investigation. 68 (8): 703–13. doi:10.1080/00365510802126836. PMID 18609108. S2CID 12545738.
^Carcinoembryonic Antigen(CEA) at MedicineNet
^ a b cLuboldt, Hans-Joachim; Schindler, Joachim F.; Rübben, Herbert (2007). "Age-Specific Reference Ranges for Prostate-Specific Antigen as a Marker for Prostate Cancer". EAU-EBU Update Series. 5 (1): 38–48. doi:10.1016/j.eeus.2006.10.003. ISSN 1871-2592.
^ a b cBasuyau JP, Mallet E, Leroy M, Brunelle P (October 2004). "Reference intervals for serum calcitonin in men, women, and children". Clinical Chemistry. 50 (10): 1828–30. doi:10.1373/clinchem.2003.026963. PMID 15388660.
^The TSH Reference Range Wars: What's "Normal?", Who is Wrong, Who is Right... Archived 2016-04-11 at the Wayback Machine By Mary Shomon, About.com. Updated: June 19, 2006. About.com Health's Disease and Condition
^ a b2006 Press releases: Thyroid Imbalance? Target Your Numbers Archived 2008-03-03 at the Wayback Machine Contacts: Bryan Campbell American] Association of Clinical Endocrinologists
^ a bThe TSH Reference Range Wars: What's "Normal?", Who is Wrong, Who is Right... Archived 2016-04-11 at the Wayback Machine By Mary Shomon, About.com. Updated: June 19, 2006
^ a bDemers, Laurence M.; Carole A. Spencer (2002). "LMPG: Laboratory Support for the Diagnosis and Monitoring of Thyroid Disease". National Academy of Clinical Biochemistry (USA). Archived from the original on 2008-11-20. Retrieved 2007-04-13. – see Section 2. Pre-analytic factors
^ a b c d e fFree T4; Thyroxine, Free; T4, Free Archived 2010-12-22 at the Wayback Machine UNC Health Care System
^Derived from molar values using molar mass of 776.87 g/mol
^ a b c d e fDerived from mass values using molar mass of 776.87 g/mol
^ a b c d e f g h i j k l m n oTable 4: Typical reference ranges for serum assays Archived 2011-07-01 at the Wayback Machine – Thyroid Disease Manager
^ a b c dvan der Watt G, Haarburger D, Berman P (July 2008). "Euthyroid patient with elevated serum free thyroxine". Clinical Chemistry. 54 (7): 1239–41. doi:10.1373/clinchem.2007.101428. PMID 18593963.
^ a b c dDerived from mass values using molar mass of 650.98 g/mol
^ a bCioffi M, Gazzerro P, Vietri MT, et al. (2001). "Serum concentration of free T3, free T4 and TSH in healthy children". Journal of Pediatric Endocrinology & Metabolism. 14 (9): 1635–39. doi:10.1515/jpem.2001.14.9.1635. PMID 11795654. S2CID 34910563. INIST13391788.
^Häggström, Mikael (2014). "Reference ranges for estradiol, progesterone, luteinizing hormone and follicle-stimulating hormone during the menstrual cycle". WikiJournal of Medicine. 1 (1). doi:10.15347/wjm/2014.001.
^ a b"Andrology Australia: Your Health > Low Testosterone > Diagnosis". Archived from the original on 2012-02-17. Retrieved 2008-11-28.
^ a b c dDerived from mass values using molar mass of 288.42g/mol
^ a b c d e f gDerived from molar values using molar mass of 288.42g/mol
^ a b c dMedlinePlus > Testosterone Update Date: 3/18/2008. Updated by: Elizabeth H. Holt, MD, PhD, Yale University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director
^ a b c dDerived from mass values using molar mass of 330.46g/mol
^ a b c d e f g h i jreference range (FSH) GPnotebook. Retrieved on September 27, 2009
^ a b c d e fValues taken from day 1 after LH surge in: Stricker R, Eberhart R, Chevailler MC, Quinn FA, Bischof P, Stricker R (2006). "Establishment of detailed reference values for luteinizing hormone, follicle stimulating hormone, estradiol, and progesterone during different phases of the menstrual cycle on the Abbott ARCHITECT analyzer". Clinical Chemistry and Laboratory Medicine. 44 (7): 883–87. doi:10.1515/CCLM.2006.160. PMID 16776638. S2CID 524952.
^ a b c d e fNew York Hospital Queens > Services and Facilities > Patient Testing > Pathology > New York Hospital Queens Diagnostic Laboratories > Test Directory > Reference Ranges[permanent dead link] Retrieved on Nov 8, 2009
^ a bMayo Medical Laboratories > Test ID: LH, Luteinizing Hormone (LH), Serum Archived 2016-09-25 at the Wayback Machine, retrieved December 2012
^ a b c d e f gGPNotebook – reference range (oestradiol) Archived 2012-06-09 at the Wayback Machine Retrieved on September 27, 2009
^ a b c d e f gDerived from molar values using molar mass of 272.38g/mol
^ a b c dTotal amount multiplied by 0.022 according to 2.2% presented in: Wu CH, Motohashi T, Abdel-Rahman HA, Flickinger GL, Mikhail G (August 1976). "Free and protein-bound plasma estradiol-17 beta during the menstrual cycle". J. Clin. Endocrinol. Metab. 43 (2): 436–45. doi:10.1210/jcem-43-2-436. PMID 950372.
^ a bDerived from mass values using molar mass of 314.46 g/mol
^ a bBhattacharya Sudhindra Mohan (July/August 2005) Mid-luteal phase plasma progesterone levels in spontaneous and clomiphene citrate induced conception cycles J Obstet Gynecol India Vol. 55, No. 4 : July/August 2005 pp. 350–52
^ a bDehydroepiandrosterone Sulfate (DHEA-S), Serum Archived 2018-03-14 at the Wayback Machine at Mayo Foundation For Medical Education And Research. Retrieved July 2012
^ a b c dUnit Code 91215 Archived 2011-07-20 at the Wayback Machine at Mayo Clinic Medical Laboratories. Retrieved April 2011
^ a bAntimullerian Hormone (AMH), Serum Archived 2013-07-29 at the Wayback Machine from Mayo Medical Laboratories. Retrieved April 2012.
^ a bDerived from mass values using 140,000 g/mol, as given in:
Hampl R, Šnajderová M, Mardešić T (2011). "Antimüllerian hormone (AMH) not only a marker for prediction of ovarian reserve". Physiological Research. 60 (2): 217–23. doi:10.33549/physiolres.932076. PMID 21114374.
^ a bNieman, Lynnette K (29 September 2019). "Measurement of ACTH, CRH, and other hypothalamic and pituitary peptides". www.uptodate.com. UpToDate. Retrieved 25 June 2021.
^ a b c dBiochemistry Reference Ranges at Good Hope Hospital Retrieved on Nov 8, 2009
^ a b c dDerived from molar values using molar mass of 362 g/mol
^ a b c d e f g hFriedrich N, Alte D, Völzke H, et al. (June 2008). "Reference ranges of serum IGF-1 and IGFBP-3 levels in a general adult population: results of the Study of Health in Pomerania (SHIP)". Growth Hormone & IGF Research. 18 (3): 228–37. doi:10.1016/j.ghir.2007.09.005. PMID 17997337.
^ a b c d e f g h i j k l m n o pTaken from the assay method giving the lowest and highest estimate, respectively, from Table 2 in: Beltran L, Fahie-Wilson MN, McKenna TJ, Kavanagh L, Smith TP (October 2008). "Serum total prolactin and monomeric prolactin reference intervals determined by precipitation with polyethylene glycol: evaluation and validation on common immunoassay platforms". Clinical Chemistry. 54 (10): 1673–81. doi:10.1373/clinchem.2008.105312. PMID 18719199.
^ a bDerived from molar values using molar mass of 9.4 kDa
^ a bTable 2 in: Aloia JF, Feuerman M, Yeh JK (2006). "Reference range for serum parathyroid hormone". Endocr Pract. 12 (2): 137–44. doi:10.4158/ep.12.2.137. PMC 1482827. PMID 16690460.
^ a bDerived from mass values using molar mass of 9.4 kDa
^ a b c d e fDerived from molar values using molar mass 400.6 g/mol
^ a b c dBender, David A. (2003). "Vitamin D". Nutritional biochemistry of the vitamins. Cambridge: Cambridge University Press. ISBN 978-0-521-80388-5. Retrieved December 10, 2008 through Google Book Search.
^ a b c dBischoff-Ferrari HA, Dietrich T, Orav EJ, et al. (September 2004). "Higher 25-hydroxyvitamin D concentrations are associated with better lower-extremity function in both active and inactive persons aged > or =60 y". The American Journal of Clinical Nutrition. 80 (3): 752–58. doi:10.1093/ajcn/80.3.752. PMID 15321818.
^ a b c dReusch J, Ackermann H, Badenhoop K (May 2009). "Cyclic changes of vitamin D and PTH are primarily regulated by solar radiation: 5-year analysis of a German (50 degrees N) population". Horm. Metab. Res. 41 (5): 402–07. doi:10.1055/s-0028-1128131. PMID 19241329. S2CID 260166796.
^ a b c d e f g hVasquez A, Cannell J (July 2005). "Calcium and vitamin D in preventing fractures: data are not sufficient to show inefficacy". BMJ. 331 (7508): 108–09, author reply 109. doi:10.1136/bmj.331.7508.108-b. PMC 558659. PMID 16002891.
^ a bConverted from values in mcU/mL by dividing with a factor of 11.2 mcU/mL per ng/(mL*hour), as given in:
New Assays for Aldosterone, Renin and Parathyroid Hormone Archived 2011-10-27 at the Wayback Machine University of
Washington, Department of Laboratory Medicine. Retrieved Mars 2011
^ a bPratt RE, Flynn JA, Hobart PM, Paul M, Dzau VJ (March 1988). "Different secretory pathways of renin from mouse cells transfected with the human renin gene". The Journal of Biological Chemistry. 263 (7): 3137–41. doi:10.1016/S0021-9258(18)69046-5. PMID 2893797.
^ a b c dNew Assays for Aldosterone, Renin and Parathyroid Hormone Archived 2011-10-27 at the Wayback Machine University of Washington, Department of Laboratory Medicine. Retrieved Mars 2011
^ a bConverted from values in ng/(mL*hour) by multiplying with a factor of 11.2 mcU/mL per ng/(mL*hour), as given in:
New Assays for Aldosterone, Renin and Parathyroid Hormone Archived 2011-10-27 at the Wayback Machine University of
Washington, Department of Laboratory Medicine. Retrieved Mars 2011
^ a bConverted from mass values using molar mass of 360.44 g/mol
^ a b c dTiu SC, Choi CH, Shek CC, et al. (January 2005). "The use of aldosterone-renin ratio as a diagnostic test for primary hyperaldosteronism and its test characteristics under different conditions of blood sampling". The Journal of Clinical Endocrinology and Metabolism. 90 (1): 72–78. CiteSeerX10.1.1.117.5182. doi:10.1210/jc.2004-1149. PMID 15483077.
^ a b c d e fCentral Manchester University Hospitals / Reference ranges Archived 2012-11-30 at the Wayback Machine Retrieved on July 9, 2009
^University of Kentucky Chandler Medical Center > Clinical Lab Reference Range Guide Retrieved on April 28, 2009
^ a b c d eDerived from mass values using molar mass of 441 mol−1
^ a bGPnotebook > B12 Retrieved on April 28, 2009
^ a bDerived form molar values using molar mass of 1355g/mol
^ a bDerived from mass values using molar mass of 1355g/mol
^ a b c d"Homocysteine". www.thedoctorsdoctor.com.
^ a b c dDerived from molar values using molar massof 135 g/mol
^ a bDerived from mass values using molar mass of 176 grams per mol
^Derived from mass values using molar mass of 46g/mol
^ a b c d eDerived from mass values using 64,500 g/mol. This molar mass was taken from: Van Beekvelt MC, Colier WN, Wevers RA, Van Engelen BG (2001). "Performance of near-infrared spectroscopy in measuring local O2 consumption and blood flow in skeletal muscle". J Appl Physiol. 90 (2): 511–19. doi:10.1152/jappl.2001.90.2.511. PMID 11160049. S2CID 15468862.
^ a b c dNormal Lab Values Archived 2014-12-16 at the Wayback Machine at Marshall University Joan C. Edwards School of Medicine. Retrieved July 2013
^ a b c d e f g hmolar concentration as given for hemoglobin above, but multiplied by 4, according to: Lodemann P, Schorer G, Frey BM (February 2010). "Wrong molar hemoglobin reference values-a longstanding error that should be corrected". Annals of Hematology. 89 (2): 209. doi:10.1007/s00277-009-0791-x. PMID 19609525. S2CID 3091357.
^ a b c dDerived from mass concentration, using molar mass of 64,458 g/mol. This molar mass was taken from: Van Beekvelt MC, Colier WN, Wevers RA, Van Engelen BG (2001). "Performance of near-infrared spectroscopy in measuring local O2 consumption and blood flow in skeletal muscle". J Appl Physiol. 90 (2): 511–19. doi:10.1152/jappl.2001.90.2.511. PMID 11160049. S2CID 15468862.. Subsequently, 1 g/dL = 0.1551 mmol/L
^ a b c d e fMorkis IV, Farias MG, Scotti L (2016). "Determination of reference ranges for immature platelet and reticulocyte fractions and reticulocyte hemoglobin equivalent". Rev Bras Hematol Hemoter. 38 (4): 310–313. doi:10.1016/j.bjhh.2016.07.001. PMC 5119661. PMID 27863758.{{cite journal}}: CS1 maint: multiple names: authors list (link)
^ a bBrugnara C, Schiller B, Moran J (2006). "Reticulocyte hemoglobin equivalent (Ret He) and assessment of iron-deficient states". Clinical and Laboratory Haematology. 28 (5): 303–8. doi:10.1111/j.1365-2257.2006.00812.x. PMC 1618805. PMID 16999719.{{cite journal}}: CS1 maint: multiple names: authors list (link)
^ a b c d e f g hlymphomation.org > Tests & Imaging > Labs > Complete Blood Count Retrieved on May 14, 2009
^ a b c d e f g h i j k l m n o p q r s t uMcClatchey, Kenneth D. (November 28, 2002). Clinical Laboratory Medicine. Lippincott Williams & Wilkins. ISBN 9780683307511 – via Google Books.
^"Determination of monocyte count by hematological analyzers, manual method and flow cytometry in Polish population" Central European Journal of Immunology (Centr Eur J Immunol 2006; 31 (1–2): 1–5) authors: Elżbieta Górska, Urszula Demkow, Roman Pińkowski, Barbara Jakubczak, Dorota Matuszewicz, Jolanta Gawęda, Wioletta Rzeszotarska, Maria Wąsik,
^ a b c d egpnotebook.co.uk > blood constituents (reference range) Retrieved on May 14, 2009
^ a bDemirin H, Ozhan H, Ucgun T, Celer A, Bulur S, Cil H, Gunes C, Yildirim HA (2011). "Normal range of mean platelet volume in healthy subjects: Insight from a large epidemiologic study". Thromb. Res. 128 (4): 358–60. doi:10.1016/j.thromres.2011.05.007. PMID 21620440.
^ a bNormal Values: RBC, Hgb, Hct, Indices, RDW, Platelets, and MPV (Conventional Units) Archived 2011-07-27 at the Wayback Machine From labcareplus. Retrieved 4 nov, 2010
^ a bLozano M, Narváez J, Faúndez A, Mazzara R, Cid J, Jou JM, Marín JL, Ordinas A (1998). "[Platelet count and mean platelet volume in the Spanish population]". Med Clin (Barc) (in Spanish). 110 (20): 774–77. PMID 9666418.
Elizabeth M. Van Cott, M.D., and Michael Laposata, M.D., Ph.D., "Coagulation." In: Jacobs DS et al, ed. The Laboratory Test Handbook, 5th Edition. Lexi-Comp, Cleveland, 2001; 327–58.
^ a b"Home". pathology.bsuh.nhs.uk. Retrieved November 20, 2009.
^ a bMiller A, Green M, Robinson D (January 1983). "Simple rule for calculating normal erythrocyte sedimentation rate". British Medical Journal. 286 (6361): 266. doi:10.1136/bmj.286.6361.266. PMC 1546487. PMID 6402065.
^Böttiger LE, Svedberg CA (1967). "Normal erythrocyte sedimentation rate and age". Br Med J. 2 (5544): 85–87. doi:10.1136/bmj.2.5544.85. PMC 1841240. PMID 6020854.
^2730 Serum C-Reactive Protein values in Diabetics with Periodontal Disease Archived 2008-12-20 at the Wayback Machine A.R. Choudhury, and S. Rahman, Birdem, Diabetic Association of Bangladesh, Dhaka, Bangladesh. (the diabetics were not used to determine the reference ranges)
^ a b c dDerived from mass using molar mass of 25,106 g/mol
^ a bSipahi T, Kara C, Tavil B, Inci A, Oksal A (March 2003). "Alpha-1 antitrypsin deficiency: an overlooked cause of late hemorrhagic disease of the newborn". Journal of Pediatric Hematology/Oncology. 25 (3): 274–75. doi:10.1097/00043426-200303000-00019. PMID 12621252.
^ a bDerived from mass values using molar mass of 44324.5 g/mol
^ a bDerived from molar values using molar mass of 44324.5 g/mol
^"Procalcitonin, Serum". Mayo Clinic. Retrieved 2015-03-01.
^ a b c d e f g h i jThe Society for American Clinical Laboratory Science > Chemistry Tests > Immunoglobulins Archived 2009-10-15 at the Wayback Machine Retrieved on Nov 26, 2009
^ a b"SSA – Clinical: SS-A/Ro Antibodies, IgG, Serum". www.mayocliniclabs.com. Mayo Clinic Laboratories. Retrieved 2 July 2020.
^ a b"SSB – Clinical: SS-B/La Antibodies, IgG, Serum". www.mayocliniclabs.com. Mayo Clinic Laboratories. Retrieved 2 July 2020.
^ a b c"ADNA – Clinical: DNA Double-Stranded Antibodies, IgG, Serum". www.mayocliniclabs.com. Mayo Clinic Laboratories. Retrieved 2 July 2020.
^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad aechronolab.com > Autoantibodies associated with rheumatic diseases > Reference ranges Archived 2013-07-30 at the Wayback Machine Retrieved on April 29, 2010
^ a b c"AMA – Clinical: Mitochondrial Antibodies (M2), Serum". www.mayocliniclabs.com. Mayo Clinic Laboratories. Retrieved 2 July 2020.
^ a bRajkumar SV, Kyle RA, Therneau TM, et al. (August 2005). "Serum free light chain ratio is an independent risk factor for progression in monoclonal gammopathy of undetermined significance". Blood. 106 (3): 812–17. doi:10.1182/blood-2005-03-1038. PMC 1895159. PMID 15855274.
^Ageno W, Finazzi S, Steidl L, et al. (2002). "Plasma measurement of D-dimer levels for the early diagnosis of ischemic stroke subtypes". Archives of Internal Medicine. 162 (22): 2589–93. doi:10.1001/archinte.162.22.2589. hdl:2434/51239. PMID 12456231.
^Kline JA, Williams GW, Hernandez-Nino J (May 2005). "D-dimer concentrations in normal pregnancy: new diagnostic thresholds are needed". Clinical Chemistry. 51 (5): 825–29. doi:10.1373/clinchem.2004.044883. PMID 15764641.
^ a bGardner MD, Scott R (April 1980). "Age- and sex-related reference ranges for eight plasma constituents derived from randomly selected adults in a Scottish new town". Journal of Clinical Pathology. 33 (4): 380–85. doi:10.1136/jcp.33.4.380. PMC 1146084. PMID 7400337.
^ a b c dFinney H, Newman DJ, Price CP (January 2000). "Adult reference ranges for serum cystatin C, creatinine and predicted creatinine clearance". Annals of Clinical Biochemistry. 37 (1): 49–59. doi:10.1258/0004563001901524. PMID 10672373. S2CID 35866310.
^ a b c d e f g hDerived from molar values by multiplying with the molar mass of 113.118 g/mol, and divided by 10.000 to adapt from μg/L to mg/dL
^ a b c dPage 700 in: Richard C. Dart (2004). Medical Toxicology. Lippincott Williams & Wilkins=year=2004. ISBN 9780781728454.
^The UK Electronic Medical Compendium recommends 0.4–0.8 mmol/L plasma lithium level in adults for prophylaxis of recurrent affective bipolar manic-depressive illness Camcolit 250 mg Lithium Carbonate Archived 2016-03-04 at the Wayback Machine Revision 2 December 2010, Retrieved 5 May 2011
^ a bAmdisen A. (1978). "Clinical and serum level monitoring in lithium therapy and lithium intoxication". J. Anal. Toxicol. 2 (5): 193–202. doi:10.1093/jat/2.5.193.
^ a bR. Baselt, Disposition of Toxic Drugs and Chemicals in Man, 8th edition, Biomedical Publications, Foster City, CA, 2008, pp. 851–54.
^One study (Solomon, D.; Ristow, W.; Keller, M.; Kane, J.; Gelenberg, A.; Rosenbaum, J.; Warshaw, M. (1996). "Serum lithium levels and psychosocial function in patients with bipolar I disorder". The American Journal of Psychiatry. 153 (10): 1301–07. doi:10.1176/ajp.153.10.1301. PMID 8831438.) concluded a "low" dose of 0.4–0.6 mmol/L serum lithium treatment for patients with bipolar 1 disorder had less side effects, but a higher rate of relapse, than a "standard" dose of 0.8–1.0 mmol/L. However, a reanalysis of the same experimental data (Perlis, R.; Sachs, G.; Lafer, B.; Otto, M.; Faraone, S.; Kane, J.; Rosenbaum, J. (2002). "Effect of abrupt change from standard to low serum levels of lithium: A reanalysis of double-blind lithium maintenance data". The American Journal of Psychiatry. 159 (7): 1155–59. doi:10.1176/appi.ajp.159.7.1155. PMID 12091193. S2CID 12103424.) concluded the higher rate of relapse for the "low" dose was due to abrupt changes in the lithium serum levels[improper synthesis?]
^ a bJohn Marx; Ron Walls; Robert Hockberger (2013). Rosen's Emergency Medicine – Concepts and Clinical Practice. Elsevier Health Sciences. ISBN 9781455749874.
External links
Descriptions at amarillomed.com
Values at lymphomation.org
Further reading
Rappoport, n.; Paik, P.; Oskotsky, B.; Tor, R.; Ziv, E.; Zaitlen, N.; Butte, A. (4 November 2017). "Creating ethnicity-specific reference intervals for lab tests from EHR data". bioRxiv10.1101/213892.