The Laboratory's Role in Assessing Pituitary Function

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The page below is a sample from the LabCE course Pituitary Hormones. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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The Laboratory's Role in Assessing Pituitary Function

Physicians rely on accurate, sensitive, and specific measurement of pituitary hormones to aid in the diagnosis of pituitary diseases and to monitor the effectiveness of treatments. Over the past 10-20 years, we have seen improved analytical specificity for measuring hormones and enhanced analytical sensitivity to detect very small concentrations of hormones.
On the following pages, a brief overview of the historical and current technologies is provided.
Table 6: Analytical Principles for Measuring Hormone Levels
Analytical Principle Pituitary Hormone
Radioimmunassay (RIA)
ADH

ACTH

GH (historic)

FSH (historic)

LH (historic)

PRL

TSH (historic)
Enzyme Immunoassay (EIA)
ACTH

GH

FSH

LH

PRL

TSH (2nd generation)
Chemiluminescent Immunoassay (CIA)
ACTH

GH

FSH

LH

PRL

TSH (3rd generation)
Chromatographic
ADPH

Oxytocin

GH

FSH

LH

PRL