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interference with TgAb may lead to Tg values that are lower than expected or even undetectable. This Tg underestimation is considered the most serious clinical problem for the clinical follow-up of postoperative patients with DTCs. Liquid chromatography
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Department of Emergency Medicine, Maastricht University Medical Center, Maastricht, the Netherlands
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positivity and its relationship with Tg assay interference is still a point of discussion ( 3 ). Tg interpretation can be challenging since even low TgAb titers can interfere analytically with current Tg assays ( 4 ). However, recently, Côrtes et al. and
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different methods of Tg-Ab measurements showed only a 65% concordance between assays [ 11 ] and handling of problems with Tg-Ab interference in clinical practice remains controversial. The purpose of the present study was to evaluate the s-Tg and s
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situation, with higher cutoffs suggested in non-thyroidectomized patients [ 16 ]. Moreover, one study suggests that positive serum anti-thyroglobulin antibodies (TgAb) lowered FNA-Tg levels and influenced the diagnostic accuracy of FNA-Tg in suspicious LNs
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(AiaPack TgAb Tosoh Corporation, Tokyo, Japan) with a normal range between 0 and 30 U/mL and a Tg interference value of 8 UI/mL, determined in our laboratory ( 13 ). Neck US Neck US was performed by endocrinologists with more than 5 years of
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Department of Medicine, University of Udine, Udine, Italy
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with the others ( 4 ). In such cases, analytical interferences should be investigated in order to avoid unnecessary further diagnostic procedures and/or treatments ( 5 ). In fact, despite numerous advances in immunoassay technology, thyroid hormone
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Department of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy
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). Assay interferences Analytical interferences in thyroid function tests (TFTs) can result in diagnostic delays, unnecessary testing, and inappropriate treatments. A recent review of 150 patients with interferences in TFTs shows that in more than 50
Department of Clinical Sciences and Community Health, University of Milan, Italy
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3 months post-infection in 65 patients and detected in 8 (12%; 6 TgAb and TPOAb, 2 only TgAb); there was no difference in thyroid autoantibodies prevalence between patients with or without areas of focal hypoechogenicity at US ( P = 0.56). At 6 and
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of antithyroglobulin antibodies (TgAb) measured by ultrasensitive assay at the time of ablation. Patients had to be followed up over at least 36 months. M0 status was initially evaluated with chest CT scan in high-risk patients and then confirmed by
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when clinical or biochemical differences occur ( 38 ). Therefore, we recommend serial dilution and measuring thyroid function with different analytical platforms to exclude assay interference. Besides, it has been reported that elevated serum