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Test Code MISC2MAYOHEXU Iohexol, Timed Collection, Urine

Reporting Name

Iohexol, U

Useful For

Determining glomerular filtration rate in urine specimens

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Urine


Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Container/Tube: Plastic vial

Specimen Volume: 5 mL

Collection Instructions: Collect a timed urine specimen. Timing may be variable and patient dependent.


Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Refrigerated (preferred) 7 days
  Frozen  35 days
  Ambient  7 days

Reference Values

Not applicable

Day(s) Performed

Monday through Friday

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

82542

LOINC Code Information

Test ID Test Order Name Order LOINC Value
HEXU Iohexol, U 93973-6

 

Result ID Test Result Name Result LOINC Value
61712 Iohexol, U 93973-6

Clinical Information

The assessment of glomerular filtration rate (GFR) is an important parameter of kidney function utilized by clinicians in the care of patients with varying kidney diseases, and for clinical research when precise assessment of kidney function is necessary. The GFR is the sum of all the filtration rates of the individual nephrons within the kidney and, as such, reflects the number of functioning nephrons.

 

Urine concentrations of iohexol can be used for measurement of GFR following a subcutaneous injection of iohexol (plasma disappearance), or during a continuous infusion of iohexol when used in conjunction with plasma iohexol determinations (HEXP / Iohexol, Plasma). The results can be used to determine the clearance of iohexol, which is a measure of GFR.

Method Description

Timed urine specimens are obtained after subcutaneous injection of nonradiolabeled iohexol. Iohexol results are acquired via a liquid chromatography tandem mass spectrometry (LC-MS/MS) system. A ThermoFisher LX-2 Cohesive high-performance liquid chromatography system and an ABSciex 5500 MS/MS are used for analysis.(Seegmiller JC, Burns BE, Lieske JC, et al. Discordant glomerular filtration rate determinations between iothalamate and iohexol renal clearances. Poster presented at: Renal Week 2010. 43rd Annual Meeting of the American Society of Nephrology; November 16-21, 2010; Denver, CO)

Report Available

3 to 4 days

Reject Due To

  All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Secondary ID

606985

Forms

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