Abstract :
[en] The constantly increasing requests for the measurement of serum 25-hydroxyvitamin D over
the last years has led reagent manufacturers to market different automated and semi-automated
methods, that being unfortunately not fully harmonized, yield different results. Liquid chromatography
coupled to tandem mass spectrometry (LC/MS2) has more recently been introduced. This approach
allows the distinction between the two forms of 25-hydroxyvitamin D and to measure other
metabolites. This approach also requires harmonization to curtail the differences between the different
analytical methods. To meet this requirement, the American National Institutes of Health (NIH), the
CDC (Centre for Disease Control and Prevention) in Atlanta, the NIST (National Institute of Standards
and Technology) and the vitamin D Reference laboratory of Ghent University have pooled their
expertise to develop a standardization program.
This article reviews the main elements and the difficulties of the automated and semi-automated
methods for 25-hydroxyvitamin D, from sample preparation to the analytical phase, as well as those
related to mass spectrometry. It also addresses the issues related to the clinical decision thresholds
and the possibility of measurements in different biological liquids.
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