Comparison Study of AAS and ISE Method in the Lithium Analysis of Serum and Urine

혈액 및 소변의 Lithium치 측정에 있어서 AAS법과 ISE법의 비교

In the method for lithium (Li) analysis, flame emission photometry and atomic absorption spectrophotometry (AAS) have been used most frequently. In addition, lithium can be analyzed by ion-selective electrode (ISE) or fluorscence polarization immunoassay. We evaluated the comparison between AAS method based on the principle of absorption of light at 670.8 nm by Li and ISE method based on the principle of voltage difference generated by Li in contact with lithium ionophore. We compared with those obtained by AAS (AA/AE Spectrophotometer 551, Instrumentation Laboratory Co.) and ISE(CSYNCHRON EL-ISE, Beckman Co.) in the serum and urine of 6 patients and evaluated time-related changes of serum lithium concentration after dosing in both methods. The results are summarized as follows : 1. In within-run precision study for lithium concentration, coefficient variations (CVs, %) ranged from 1.34 to 2.17 for AAS and from 0.34 to 0.85 for ISE method. In between-run precision study for lithium concentration, CVs ranged from 1.23 to 1.72 for AAS and from 0.61 to 1.38 for ISE method. 2. The correlation study between AAS and ISE method resulted in Y=0.946X+0.137 (N=32, r=0.933, X=AAS, Y=ISE) for serum lithium and Y=1.092X+0.977 (N=28, r=0.943, X=AAS, Y=ISE) for urine lithium. 3. Time-related changes of serum lithium concentration in both AAS and ISE method resulted in peak serum levels about 2 hours after dosing and then rapidly decreased after the peak serum level and finally arrived at nearly initial levels about 9 hours after dosing. 4. The reference range of serum lithium was found as undetectable level for both AAS and ISE method and the reference range of urine lithium to the urine creatinine was 0-0.00014 mmol/mg(mean 0.00002 mmol/mg) for AAS method.

이상에서와 같이 lithium치의 측정에 있어서 본 병원에서 기존 이용하던 AAS법이나 ISE법 모두 정밀도나 직선성 평가에 있어 비교적 좋았으나, 정밀도(재현성)에 있어서 ISE법이 AAS법보다 더 우수한 것으로 나왔고 ISE법의 경우 측정방법이 매우 간편하였다. 그러나 ISE법에 의한 혈중 측정치가 AAS법에 의한 것보다 다소 높게 나타났으며, ISE법이 AAS법에 비하여 분석 최하한치가 더 높아 예민도는 상대적으로 낮았다.