Test Code LAB7550 Thallium, Blood
Additional Codes
TLB
Useful For
Detecting toxic exposure in whole blood specimens
Performing Laboratory
Mayo Clinic Laboratories in RochesterSpecimen Type
Whole bloodSpecimen 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 (EDTA), 6 mL (T183)
Container/Tube: Royal blue top (EDTA) plastic trace element blood collection tube
Specimen Volume: Full tube
Collection Instructions:
1. See Metals Analysis Specimen Collection and Transport for complete instructions.
2. Send specimen in original tube. Do not aliquot.
Specimen Minimum Volume
0.3 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Whole blood | Refrigerated (preferred) | 28 days | |
Ambient | 28 days | ||
Frozen | 28 days |
On-campus collections: Tube to 99 or deliver to University Extension Hospital Room EH318
Send original tube, Refrigerated
Off-campus collections:
Do NOT Spin! Send in original tube.
Specimen to be stored/transported at Refrigerated temp.
Special Instructions
Reference Values
0-17 years: Not established
≥18 years: <2 ng/mL
Day(s) Performed
Tuesday, Friday
CPT Code Information
83018
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
TLB | Thallium, B | 5743-0 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
8149 | Thallium, B | 5743-0 |
Interpretation
Normal thallium blood concentrations are less than 1 ng/mL.
Significant exposure is associated with thallium concentrations in blood greater than 10 ng/mL and as high as 50 ng/mL. The long-term sequelae from such an exposure is poor.
Patients exposed to high doses of thallium (>1 g) present clinically with alopecia (hair loss), peripheral neuropathy, seizures, and kidney failure
Method Description
The metal of interest is analyzed by inductively coupled plasma mass spectrometry.(Unpublished Mayo method)
Report Available
2 to 5 daysSpecimen Retention Time
14 daysReject Due To
Gross hemolysis | OK |
Gross lipemia | OK |
Gross icterus | OK |
Method Name
Inductively Coupled Plasma Mass Spectrometry (ICP-MS)