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Test Code AL Aluminum, Serum

Important Note

Order GO23910 Generic Orderable/Misc Test

Reporting Name

Aluminum, S

Useful For

Preferred monitoring for aluminum toxicity in patients undergoing dialysis

 

Preferred test for routine aluminum screening

 

Monitoring metallic prosthetic implant wear

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Serum


Specimen Required


Patient Preparation: High concentrations of gadolinium and iodine are known to interfere with most metal tests. If either gadolinium- or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.

Supplies:

-Metal Free B-D Tube (No Additive), 6 mL (T184)

-Metal Free Specimen Vial (T173)

Container/Tube: 6-mL Plain, royal blue-top Vacutainer plastic trace element blood collection tube

Submission Container/Tube: 7-mL Metal-free, screw-capped, polypropylene vial

Specimen Volume: 1.2 mL

Collection Instructions: See Metals Analysis Specimen Collection and Transport for complete instructions.


Specimen Minimum Volume

0.3 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Refrigerated (preferred) 7 days METAL FREE
  Ambient  7 days METAL FREE
  Frozen  7 days METAL FREE

Reference Values

<7 ng/mL

<60 ng/mL (dialysis patients)

 

For International System of Units (SI) conversion for Reference Values, see www.mayocliniclabs.com/order-tests/si-unit-conversion.html

Day(s) Performed

Tuesday

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

82108

LOINC Code Information

Test ID Test Order Name Order LOINC Value
AL Aluminum, S 5574-9

 

Result ID Test Result Name Result LOINC Value
8373 Aluminum, S 5574-9

Cautions

Failure to pay attention to proper specimen collection procedures can cause abnormal results due to specimen contamination, which can lead to misinterpretation and misdiagnosis:

-Most of the common evacuated blood collection devices have rubber stoppers that are comprised of aluminum-silicate. Simple puncture of the rubber stopper for blood collection is sufficient to contaminate the specimen with aluminum. Typically, blood drawn in standard evacuated blood tubes will be contaminated by 20 to 60 ng/mL aluminum.

-The use of wooden applicator sticks or pipette tips during specimen aliquoting can cause abnormal results due to contamination.

-Royal Blue (BD) top tubes can potentially artificially elevate the aluminum value up to 15 ng/mL due to contamination. Interpret results with caution.

Report Available

2 to 8 days

Reject Due To

Gross hemolysis OK
Gross lipemia OK
Gross icterus OK

NY State Approved

Yes

Method Name

Dynamic-Reaction Cell Inductively-Coupled Plasma Mass Spectrometry (DRC-ICP-MS)

Forms

If not ordering electronically, complete, print, and send a Renal Diagnostics Test Request (T830) with the specimen.

Secondary ID

8373