The Interchangeability of Plasma and Whole Blood Metal Ion Measurement in the Monitoring of Metal on Metal Hips.

Arthritis Pub Date : 2015-01-01 Epub Date: 2015-12-20 DOI:10.1155/2015/216785
Ibrahim A Malek, Joanne Rogers, Amanda Christina King, Juliet Clutton, Daniel Winson, Alun John
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Abstract

One hundred and twenty six paired samples of plasma and whole blood were measured with inductively coupled plasma mass spectrometry technique for metal ions analysis to determine a relationship between them. There was a significant difference between the mean plasma and whole blood concentrations of both cobalt (Co) and chromium (Cr) (p < 0.0001 for both Co and Cr). The mean ratio between plasma and whole blood Cr and Co was 1.56 (range: 0.39-3.85) and 1.54 (range: 0.64-18.26), respectively, but Bland and Altman analysis illustrated that this relationship was not universal throughout the range of concentrations. There was higher variability at high concentrations for both ions. We conclude that both these concentrations should not be used interchangeably and conversion factors are unreliable due to concentration dependent variability.

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血浆和全血金属离子测量在监测金属对金属髋关节中的互换性。
采用电感耦合等离子体质谱技术对 126 份成对的血浆和全血样本进行了金属离子分析,以确定它们之间的关系。钴(Co)和铬(Cr)的平均血浆浓度与全血浓度之间存在明显差异(Co 和 Cr 的差异均小于 0.0001)。血浆和全血中铬和钴的平均比值分别为 1.56(范围:0.39-3.85)和 1.54(范围:0.64-18.26),但布兰德和阿尔特曼分析表明,这种关系在整个浓度范围内并不普遍。两种离子在高浓度时的变异性更大。我们的结论是,这两种浓度不应互换使用,而且由于浓度相关的变异性,换算系数并不可靠。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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