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معرفی بخش

 

 

ایمونواسی

  ایمنی‌شناسی یا ایمونولوژی یکی از شاخه‌های زیست‌ شناسی است که به بررسی انواع واکنش های ایمنی جانداران در برابر آنتی ژن‌های بیگانه و روند ایجاد مصونیت در برابر عوامل بیماری زا می‌پردازد. این علم هم به جنبه های فیزیولوژیک پاسخ دفاعی بدن به عوامل بیگانه، و هم به جنبه های پاتولوژیک سیستم ایمنی مانند بیماری های خودایمنی، حساسیت، نقص ایمنی، واکسیناسیون و پیوند اعضاء می‌پردازد.

سیستم ایمنی بدن سیستمی پیچیده و در نهایت دقت می‌باشد که شامل اعضاء متنوع، با عملکردی متفاوت و مرتبط می باشند و در صورت کوچکترین تداخل و ناهماهنگی در انجام وظایف اعضاء آن امکان پیدایش اختلالات و ظهور عوارضی وخیم و بعضا غیر قابل برگشت وجود دارد. با استفاده از روش های ایمونواسی می توان انواع هورمون ها، تومورمارکرها، آنتی بادی علیه عوامل عفونی و نیز آنتی بادی های عامل بیماری های خودایمنی را شناسایی کرد که در ذیل این بخش به آن ها اشاره شده است.

بخش تخصصی ایمونواسی آزمایشگاه تشخیص طبی و تخصصی پیوند با بهره گیری از تکنولوژِی نوین تشخیصی با حساسیت و دقت بالا تجهیز از معتبر ترین کمپانی های روز دنیا که تماما تحت کنترل و نظارت بوده از قبیل Roche, Biomerieux, Euroimmun همانند فلورسنت اسی و ایمونوبلات به صورت روزانه تست های درخواستی انجام شده و برای جواب دهی آماده می کنند.

 

سرولوژی

سرولوژی مطالعه علمی سرم و سایر مایعات بدن است. در عمل سرولوژی معمولا به تشخیص آنتی بادی هایی که در سرم وجود دارند و به طور معمول در پاسخ به عفونت تشکیل می شوند اشاره می کند. از تست های سرولوژیکی می توان برای شناسایی عفونت های حاد و یا مزمن استفاده کرد و نیز می تواند برای کمک به تشخیص بیماری های اتوایمیون خاص که در آن ها آنتی بادی مشاهده نمی شود مانند هیپوگاماگلوبولینمی استفاده کرد.     

بخش ایمونواسی آزمایشگاه تشخیص طبی و تخصصی پیوند در حیطه های زیر دارای فعالیت می باشد:

 

1) هورمون ها

هورمون ماده ای شیمیایی است که در غدد درون ریز ساخته شده و به داخل جریان خون می ریزد. این ماده روی سلول های هدف گیرنده دارد و با نشستن روی آن اعمال سلول را تغییر می دهد. مقدار هورمون ها توسط ارتباطات پیچیده اعضای دستگاه درون ریز با هم و با دستگاه عصبی تنظیم می شود. سیستم غدد درون ریز شامل غدد مختلفی در بدن است. این غدد ترشحات خود را به جریان خون می ریزند. در واقع هورمون های ترشح شده از غدد درون ریز نقش پیام رسان شیمیایی را در بدن بازی می کنند و بسیاری از توانایی های بدن به این واسطه ممکن می شود.  در بخش هورمون شناسی آزمایشگاه پیوند با استفاده از تجهیزات تمام اتوماتیک بر اساس تکنولوژی های روز دنیا مقدار انواع هورمون های موجود در نمونه سرم اندازه گیری می شود.

 

2) شاخص های توموری (Tumor Markers):

شاخص های توموری مواد مترشحه از سلول های طبیعی و نیز سلول های توموری می باشند با این تفاوت که در حالت طبیعی میزان این شاخص ها در حد کم (طبیعی) است و با توموری شدن بافت میزان آن در خون به طور قابل توجهی افزایش می یابد. از این شاخص برای غربالگری تومورهای مختلف معمولا استفاده نمی گردد، مگر طبق شرایط و معیارهای تعریف شده و مشخص. از شاخص های توموری بیشتر در پایش درمان در مواردی که انتظار می رود با شروع درمان میزان این شاخص ها در نمونه بیمار کاهش یابد، استفاده می گردد.

 

3) بیماری های عفونی:

در این قسمت آزمایش های مربوط به تشخیص و پایش درمان بیماری های عفونی مختلف از جمله عوامل ایجاد کننده ی هپاتیت های ویروسی (HBV ،HCV و ...) و عامل ایجاد کننده ی (AIDS HIV)، با تکنولوژی های روز دنیا مورد ارزیابی قرار می گیرد.     4) بیماری های خود ایمن و التهابی: بیماری های خود ایمن همان طور که از نامشان پیداست در اثر برهم خوردن فعالیت های سیستم ایمنی ایجاد شده و طی آن بدن بر ضد بافت ها و سلول های خود واکنش می دهد. از جمله این بیماری ها می توان به مواردی از جمله ارتریت روماتوئید (Rheumatoid Arthritis)، لوپوس (SLE) و ... اشاره نمود.

 

 

فهرست آزمایش ها

      

Test Name Assay Method Sample Type Preparation before Specimen Collection Sample Volume Storage Transport Testing Time Reporting Time Rejection Others
17-OH Progesterone ELISA Serum, Plasma (EDTA) Centrifuge & Separating  sample immediately 0.5 mL Frozen at -20 °C
at -20 °C
Monday Next day Hemolyzed, Icteric, lipemic  
5-OH Indole acetic acid (5HIAA) ELISA Urine 24hrs
(No Preservative)
Not Recommended 5 mL at 2-8  °c at 2-8  °c Daily in 5 working days *  Light sensitive. Transport in dark container.
Acid Phosphatase Prostatic   Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily in 2 working days Hemolysis Place the sample immediately on the ice.
ACTH CLIA Plasma (EDTA) centrifuge & Separating  sample immediately 0.5 mL Frozen at -20 °C
at -20 °C
Sat/Mon/Wed in 10 working days Hemolyzed, Icteric, lipemic  
Aldolase Enzymatic Serum Not Recommended 1 mL Frozen at -20 °C
at -20 °C
Sun/Wed in 5 working days *  
Aldosterone ELISA Serum, Plasma (EDTA)
Urine 24h
Not Recommended 0.5 mL S or P: 4 days at 2°C to 8°C
 More than: =<-20 °C
Urine: 8 hours at 2°C to 8°C
More than 8 hours: =<-20 °C
at: 2-8 °C
……….
at: -20 °C
Sunday Next day Hemolyzed, Icteric, lipemic Drug interferences : High sodium diet, antihypertensives, Steroids, Oral contraceptives, Renin inhibitors (e.g, propranolol, Licorice.)
Alpha 1 Antitrypsin Photometric Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily in 3 working days Hemolysis  
Alpha 1 Antitrypsin SMC Tech Stool Not Recommended 200 mg Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day *  
Alpha Fetoprotein (AFP) ELFA Serum, Plasma (EDTA,Heparine)
Amniotic Fluid
Not Recommended 0.5 mL One week at 2°C to 8°C
 Up to Two Months: =<-20 °C
 
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Androstenedione ELISA Serum, Plasma (EDTA) Not Recommended 0.5 mL  Five days at 2°C to 8°C
  More than Five days: =<-20 °C
at: 2-8 °C
at: -20 °C
Wednesday Next day Hemolyzed, Icteric, lipemic  
Anti SCL-70 Ab (Topoisomerase) ELISA Serum Not Recommended 0.2 mL Frozen at -20 °C
at -20 °C
Thursday in 3 working days Hemolyzed, Icteric, lipemic  
Anti TTG (IgG & IgA) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-Beta 2 Glycoprotein 1 (IgG & IgM) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-Borellia Antibody (IgG & IgM) SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-Brucella (IgG & IgM) ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Two weeks at 2°C to 8°C
 More than Two weeks: =<-20 °C
at: 2-8 °C
at: -20 °C
Tuesday Next day Hemolyzed, Icteric, lipemic  
Anti-Cardiolipin Antibody (IgG & IgM) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-Centromere B (ACM) ELISA Serum Not Recommended 0.3 mL Frozen at -20 °C
at -20 °C
Thursday in 3 working days Hemolyzed, Icteric, lipemic  
Anti-double Strand-DNA, dsDNA ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Two weeks at 2°C to 8°C
 More than Two weeks: =<-20 °C
at: 2-8 °C
at: -20 °C
Saturday Next day Hemolyzed, Icteric, lipemic  
Anti-echinococcus(hydatid cyst) Antibody (IgG) ELISA Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Sat/Tue in 3 working days Hemolyzed, Icteric, lipemic  
Anti-Gliadin Antibody (IgG & IgA) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-HAV (IgM) ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Five days at 2°C to 8°C
 More than Five days: =<-20 °C
at: 2-8 °C
at: -20 °C
Saturday Next day Hemolyzed, Icteric, lipemic  
Anti-HAV (total/IgG) ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Five days at 2°C to 8°C
 More than Five days: =<-20 °C
at: 2-8 °C
at: -20 °C
Saturday Next day Hemolyzed, Icteric, lipemic  
Anti-HBc ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day Hemolyzed, Icteric, lipemic  
Anti-HBs ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Two weeks at 2°C to 8°C
 More than Two weeks: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day Hemolyzed, Icteric, lipemic  
Anti-HCV ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day Hemolyzed, Icteric, lipemic  
Anti-Jo-1 SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-MCV(IgG) SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-Measles Antibody (IgG,IgM) ELISA Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily in 4 working days *  
Anti-Mitochondrial Antibody (AMA-M2) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-MPO (PANCA) SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-Mullerian Hormone, AMH ECL or ELFA Serum Not Recommended 0.5 mL Three days at 2°C to 8°C
 Up to Two Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-Mumps Antibody (IgG,IgM) SMC Tech Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily in 5 working days *  
Anti-parietal Cell Antibody (PCA) SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-Phospholipid Antibodies  - see Lupus Screen SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-RNP 70 ELISA Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Wednesday in 4 working days Hemolyzed, Icteric, lipemic  
Anti-Saccharomyces cerevisiae antibody (ASCA) IgA,IgG SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-Smith Antibodies SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Sunday Next day Hemolyzed, Icteric, lipemic  
Anti-SSA (Ro) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-SSB (La ) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Anti-TPO ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Three days at 2°C to 8°C
  Up to One Month: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  
Apolipoprotein A Photometric Serum Not Recommended 0.5 mL Frozen at -20 °C at: 2-8 °C
at: -20 °C
Daily in 10 working days Hemolysis  
Apolipoprotein B Photometric Serum Not Recommended 0.5 mL Frozen at -20 °C at: 2-8 °C
at: -20 °C
Daily in 10 working days Hemolysis  
Aspergillus Antigen (Galactomannan) ELISA Serum, BAL fluid Collection in sterile tube is recommended 0.6 mL S: 48 hours at 2-8°C(after opening)
5 days at 2°C to 8°C(unopened)
Up to 5 days: =<-70 °C
BAL: 24 hrs. at 2-8°C
Up to 24hrs: =<-20 °C
at: 2-8 °C
at: -20 °C
Tuesday Next day Hemolyzed, Icteric, lipemic False positive results should be considered in patients treated with antibiotics produced
by Penicillium sp. (ampicillin, amoxicillin, and piperacillin-tazobactam) or electrolyte
solutions such as Plasmalyte® used in bronchoscopy.
Beta – crosslaps (CTX) ECL Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Monday in 3 working days Hemolyzed, Icteric, lipemic  
Beta 2 -Microglobulin (B2M) ELFA Serum Not Recommended 0.3 mL Frozen at -20 °C
at -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
C1q SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
C3 Immuno. Turbid Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
C4 Immuno. Turbid Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
CA 125 ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  
CA 15-3 ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  
CA 19-9 ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  
CA 242 ELISA Serum Not Recommended 0.5 mL Two weeks at 2°C to 8°C at 2-8  °c Thursday in 3 working days Hemolyzed, Icteric, lipemic  
Calcitonin CLIA Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Tuesday in 10 working days Hemolyzed, Icteric, lipemic  
Calprotectin SMC Tech Stool Not Recommended 200 mg Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day *  
CEA ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  
Chlamydia  (Tracomatis) IgG, IgM ELISA Serum Not Recommended 0.5 mL Frozen at -20 °C at: 2-8 °C
at: -20 °C
Wednesday in 3 working days Hemolyzed, Icteric, lipemic  
Circulating Immuno Complex (CIC) (IgG) ELISA Serum Not Recommended 0.5 mL Two weeks at 2°C to 8°C at 2-8  °c Thursday in 3 working days Hemolyzed, Icteric, lipemic  
Clostridium difficile Toxin A&B ELFA Stool Not Recommended 500 mg Three days at 2°C to 8°C
  Up to One Month: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day *  
CMV Antibody (IgG & IgM) ELFA Serum Not Recommended 0.4 mL Five days at 2°C to 8°C
  Up to 2 Months =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
CMV Avidity ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Two weeks at 2°C to 8°C
 More than Two weeks: =<-20 °C
at: 2-8 °C
at: -20 °C
Tuesday Next day Hemolyzed, Icteric, lipemic  
Cortisol ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Two weeks at 2°C to 8°C
  Up to 30 days: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic Drug interferences : Dexamethasone Suppression. Acute stress (including hospitalization and surgery), alcoholism, depression, and many drugs (e.g., exogenous cortisones, anti-convulsants) can obliterate normal diurnal variation, affect response to suppression/stimulation tests, and cause elevated baseline levels.
C-Peptide CLIA Serum Not Recommended 0.5 mL       Two Hours at RT
One day at 2°C to 8°C
One Month at -20

at -20 °C
Sat/Mon/Wed in 3 working days Hemolyzed, Icteric, lipemic  
Cyclosporine Base (Sandimun) ECL or CLIA Whole Blood (EDTA) Not Recommended 3 mL One week at 2°C to 8°C at 2-8  °c Daily Same day * Dose of drug is required.
Cystatin C Photometric Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily in 3 working days Hemolyzed, Icteric, lipemic  
Cystine Urine ELISA Random Urine, 24 hrs. Urine (No Preservative) Not Recommended 10 mL at 2-8  °c at 2-8  °c Daily in 3 working days *  
DHEASo4 ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Eight days at 2°C to 8°C
  More than Eight days: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day Hemolyzed, Icteric, lipemic  
Digoxin ECL Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Sun/Tue/Thurs in 5 working days Hemolyzed, Icteric, lipemic  
Dihydro Testosterone (DHT) Immunoassay Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Monday in 4 working days Hemolyzed, Icteric, lipemic  
EBV- CA (IgG & IgM) SMC Tech or ELFA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
EBV Profile - IgG & IgM
(VCA, EA & EBNA)
Immuno Blot Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Two weeks at 2°C to 8°C
 More than Two weeks: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Next day Hemolyzed, Icteric, lipemic  
Erythropoietin ELISA Serum Fasting is recommended 0.5 mL Frozen at -20 °C
at -20 °C
at 10th, 20th and 30th of month Next day Hemolyzed, Icteric, lipemic Place the sample immediately on the ice. Critical Frozen
Estradiol ELFA Serum, Plasma (Heparin) Not Recommended 0.5 mL Three days at 2°C to 8°C
 Up to Four Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Ferritin ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
  Up to One year: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Folate (Serum) ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Fasting is recommended 0.5 mL One week at 2°C to 8°C
  Up to One Month: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  
Follicle Stimulating Hormone (FSH) ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day Hemolyzed, Icteric, lipemic  
Free PSA (FPSA) ECL or CLIA Serum Not Recommended 0.5 mL One day at 2°C to 8°C
More than One day: =<-20 °C

at -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Free T3 ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Six days at 2°C to 8°C
 More than a week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  
Free T4 ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Six days at 2°C to 8°C
 More than a week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  
Free Testosterone ELISA Serum, Plasma (EDTA) Not Recommended 0.3 mL Frozen at -20 °C
at -20 °C
Monday Next day Hemolyzed, Icteric, lipemic  
GBM Antibodies SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day *  
Growth Hormone (GH) ECL Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One day at 2°C to 8°C
Up to 28 days: =<-20 °C

at -20 °C
Monday Same day Hemolyzed, Icteric, lipemic  
HBc (IgM) ELFA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
 Up to Two Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day *  
HBe Antibody ELFA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.4 mL One week at 2°C to 8°C
 Up to Two Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day *  
HBe-Ag ELFA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.4 mL One week at 2°C to 8°C
 Up to Two Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day *  
HBS-Ag ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Six days at 2°C to 8°C
 More than a week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day *  
HCG Pregnancy Test ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
  More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic LMP is required
HCG Tumor Marker ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
  More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
HDV Antibody ELISA Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Monday in 3 working days *  
HE4 ECL Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Two days at 2°C to 8°C
  Up to Two Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  
Helicobacter Pylori ( IgM ) ELISA Serum Not Recommended 0.3 mL Two days at 2°C to 8°C
  More than Two days: =<-20 °C
at: 2-8 °C
at: -20 °C
Wednesday Next day *  
Helicobacter Pylori Antibody ( IgG & IgA ) SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Helicobacter Pylori Antigen Stool ELISA Stool Not Recommended 500 mg Two days at 2°C to 8°C
  More than Two days: =<-20 °C
at: 2-8 °C
at: -20 °C
Monday Next day *  
HIV Antibody+Antigen ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Two weeks at 2°C to 8°C
More than Two weeks: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day *  
HIV P24 ECL Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily in 3 working days *  
HSV 1 ( IgG & IgM ) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day *  
HSV 2 ( IgG & IgM ) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day *  
HSV- I & II Antibodies (IgG & IgM) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day *  
HTLV 1 & 2 Antibodies CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Sat/Mon/Wed Same day *  
Ig G1 subclass Immunoassay Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Monday in 4 working days Hemolyzed, Icteric, lipemic  
Ig G2 subclass Immunoassay Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Monday in 4 working days Hemolyzed, Icteric, lipemic  
Ig G3 subclass Immunoassay Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Monday in 4 working days Hemolyzed, Icteric, lipemic  
IL-6 ECL Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Monday Same day Hemolyzed, Icteric, lipemic  
Immunoglobulin total IgE ELFA Serum, Plasma (Heparin) Not Recommended 0.5 mL Five days at 2°C to 8°C
 Up to 2 Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Inhibin A ELISA Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Thursday in 2 working days Hemolyzed, Icteric, lipemic  
Inhibin B ELISA Serum Not Recommended 1 mL Frozen at -20 °C
at -20 °C
Monday in 3 working days Hemolyzed, Icteric, lipemic  
Insulin ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
  More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  
Insulin-like growth factor I  (IGF-1) ELISA Serum Not Recommended 0.5 mL One day at 2°C to 8°C
More than One day: =<-20 °C

at -20 °C
Saturday Next day Hemolyzed, Icteric, lipemic  
Intrinsic Factor Antibodies SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Lipo a Immuno Turbid Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Sat/Tue in 3 working days *  
LKM Antibody SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Luteinizing Hormone (LH) ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
  More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day Hemolyzed, Icteric, lipemic  
Macroprolactin ECL or CLIA * Fasting is recommended, 3 hours after wake up  0.5 mL Two days at 2°C to 8°C
  More than Two days: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Methotrexate Level CLIA Serum, Plasma(EDTA K2,Sodium Heparin) Not Recommended 0.5 mL *   Daily Same day Hemolyzed, Icteric, lipemic Dose of drug is required. Urgent test.
Myoglubin ECL Serum,Random Urine Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily in 2 working days *  
Pb Atomic Abso. Whole Blood (EDTA) Not Recommended 3 mL at 2-8  °c at 2-8  °c Sat/Mon in 6 working days *  
Pro BNP ELFA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Frozen at -20 °C
at -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Pro Calcitonin ELFA Serum, Plasma (Heparin) Not Recommended 0.5 mL Two days at 2°C to 8°C
 Up to Two Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Progesterone ELFA Serum, Plasma (EDTA,Heparine) Not Recommended 0.5 mL Two days at 2°C to 8°C
 More than Two Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Prolactin ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Fasting is recommended, 3 hours after wake up  0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day Hemolyzed, Icteric, lipemic  
PTH ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Two days at 2°C to 8°C
  Up to Six Months =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day Hemolyzed, Icteric, lipemic  
Renin ELISA Serum, Plasma (EDTA) Separating immediately 0.3 mL Frozen at -20 °C
at -20 °C
at 15th and 30th of month Next day Hemolyzed, Icteric, lipemic Drug interferences : High sodium diet, Spironolactone, ACE inhibitors, antihypertensives, Diuretics, estrogens, Oral contraceptives, Vasodilators, Beta-blockers, Clonidine, Licorice, nonsteroidal, anti-inflammatory agents, potassium and reserpine
Rubella Antibody (IgG & IgM) ELFA Serum Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Rubella Avidity ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Two weeks at 2°C to 8°C
 More than Two weeks: =<-20 °C
at: 2-8 °C
at: -20 °C
Tuesday Next day Hemolyzed, Icteric, lipemic  
Sex Hormone Binding Globulin (SHBG) ECL Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Saturday in 4 working days Hemolyzed, Icteric, lipemic  
Stool M2-PK* Strip test Stool Not Recommended 200 mg Two days at 2°C to 8°C
 Up to 1 Year: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day *  
T3-Uptake ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Two weeks at 2°C to 8°C
  Up to 30 days: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day Hemolyzed, Icteric, lipemic  
TB Gold ELISA Whole Blood (Heparin) Not Recommended 5 mL up to 16 hours at 4°C to 25°C at 4°C up to 25°C at 15th and 30th of month Next day * Not accepted before Holidays.
Testosterone ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sat/Mon/Wed Same day Hemolyzed, Icteric, lipemic  
Thyroglobulin ECL Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Three days at 2°C to 8°C
  Up to One Month =<-20 °C
at: 2-8 °C
at: -20 °C
Monday Same day Hemolyzed, Icteric, lipemic  
Thyroglobulin Antibody SMC Tech Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.2 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Total PSA (TPSA) ECL or CLIA Serum Not Recommended 0.5 mL One day at 2°C to 8°C
More than One day: =<-20 °C

at -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Total T3 ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Six days at 2°C to 8°C
 More than a week: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Total T4 ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Six days at 2°C to 8°C
 More than a week: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Toxoplasma Antibody(IgG & IgM) ELFA Serum Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Toxoplasma Avidity ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Two weeks at 2°C to 8°C
 More than Two weeks: =<-20 °C
at: 2-8 °C
at: -20 °C
Tuesday Next day Hemolyzed, Icteric, lipemic  
Troponin I ELFA Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily Same day Hemolyzed, Icteric, lipemic Urgent 
Troponin T ECL Serum Not Recommended 0.5 mL Frozen at -20 °C
at -20 °C
Daily in 2 working days Hemolyzed, Icteric, lipemic  
TSH ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Urine Free Cortisol CLIA Urine 24hrs
(No Preservative)
Not Recommended 5 mL Frozen at -20 °C
at -20 °C
Sunday in 6 working days *  
Urine Osmolality * Random Urine Not Recommended 5 mL Up to 24 hrs. at  2°C to 8°C,   Frozen at -20
at -20 °C
Daily in 5 working days *  
Varicella zoster virus (VZV) (IgG & IgM) SMC Tech or ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL Five days at 2°C to 8°C
 Up to Six Months: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Varicella zoster virus (VZV) Avidity ELISA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.3 mL Two weeks at 2°C to 8°C
 More than Two weeks: =<-20 °C
at: 2-8 °C
at: -20 °C
Tuesday Next day Hemolyzed, Icteric, lipemic  
VDRL (RPR) Agglutination Serum Not Recommended 0.3 mL Two days at 2°C to 8°C
 Up to Six Weeks: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  
Vitamin B12 ECL or CLIA Serum Fasting is recommended 0.5 mL One week at 2°C to 8°C
More than One week: =<-20 °C
at: 2-8 °C
at: -20 °C
Sun/Tue/Thurs Same day Hemolyzed, Icteric, lipemic  Light sensitive. Transport in dark container.
Vitamin D ECL or CLIA Serum, Plasma
(EDTA, Citrate,Heparine)
Not Recommended 0.5 mL One week at 2°C to 8°C
 More than 12 days: =<-20 °C
at: 2-8 °C
at: -20 °C
Daily Same day Hemolyzed, Icteric, lipemic  

                                                                                                                                                                                                                                                                                               

گالری تصاویر

                                                                                                                                                                                                                                                                                       

 

                                                                                                                                                                                                                                                                                               

 

دیدگاه‌ها  

# haji sharif 1397-11-10 05:18
جهان سپاس وامتنان ازمعلومات تان
پاسخ دادن

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