The Laboratory's Role in Assessing Pituitary Function

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The Laboratory's Role in Assessing Pituitary Function

Physicians rely on accurate, sensitive, and specific measurement of the pituitary hormones to aid in the diagnosis of pituitary diseases and to monitor the effectiveness of treatments. Over the past 10-20 years, improved analytical specificity for measuring the hormone of interest, and the enhanced analytical sensitivity to detect very small concentrations of hormones has been the focus of manufacturers to provide reliable clinical laboratory results.
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