Biochemical Testing in Thyroid Disorders

Endocrinol Metab Clin North Am. 2017 Sep;46(3):631-648. doi: 10.1016/j.ecl.2017.04.002. Epub 2017 Jun 8.

Abstract

This article summarizes the main principles for the appropriate use of laboratory testing in the diagnosis and management of thyroid disorders, as well as controversies that have arisen in association with some of these biochemical tests. To place a test in perspective, its sensitivity and accuracy should be taken into account. Ordering the correct laboratory tests facilitates the early diagnosis of a thyroid disorder and allows for timely and appropriate treatment. This article focuses on a comprehensive update regarding thyroid-stimulating hormone, thyroxine/triiodothyronine, thyroid autoantibodies, thyroglobulin, and calcitonin. Clinical uses of these biochemical tests are outlined.

Keywords: Biochemical testing; Calcitonin; TSH; Thyroglobulin; Thyroid.

Publication types

  • Review

MeSH terms

  • Autoantibodies / analysis
  • Calcitonin / analysis
  • Diagnostic Techniques, Endocrine*
  • Humans
  • Thyroglobulin / analysis
  • Thyroid Diseases / diagnosis*
  • Thyroid Gland / physiopathology
  • Thyrotropin / analysis
  • Thyroxine / analysis
  • Triiodothyronine / analysis

Substances

  • Autoantibodies
  • Triiodothyronine
  • Thyrotropin
  • Calcitonin
  • Thyroglobulin
  • Thyroxine