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WS/T 459-2018 in English

WS/T 459-2018 in English

VALID

Common used serum tumor marker tests:clinical practice and quality management

  • Issued on:2018-12-11
  • Implemented on:2019-06-01
  • File Format:PDF
  • Delivery:Via email within 1~3 business days
Price(USD): $370.00
$359.00
Standard No: WS/T 459-2018
Document status: VALID
Title in English: Common used serum tumor marker tests:clinical practice and quality management
Title in Chinese: 常用血清肿瘤标志物检测的临床应用和质量管理
Language: English
File Format: Electronic (PDF)
Delivery: Via email within 1~3 business days
Issued on: 2018-12-11
Implemented on: 2019-06-01
ICS Classification: 11.100-Laboratory medicine
Chinese Classification: C50-Sanitation in general
Professional Classification: WS-Hygiene
Related Topics: serum
the tumor
Clinical application
for clinical chemistry control serum
landmark
food serum testing
Clinical application
Marker detection
Tumor markers
serum concentration
Clinically tested in milliliters
tumor tumor
test serum
tumor antigen
Tumor Two Quantification
Serum by Flow Cytometry
broad spectrum of tumor markers
Tumor markers
Tumor surgery
broad-spectrum tumors
test serum
double serum test
Physical Measurement - Applied Physics
Seven tumor markers
cancer screening
cancer screening
commonly used
detection clinical
tumor antigen
serum test
multiple tumor markers
Clinical application of exosomes
medullary carcinoma
Tumor markers 20 times
clinical dosage
serum indicators
Bedside testing quality management
Separate serum
14 tumor markers
clinical serum
non-routine blood tests
detection clinical
17 tumor markers
Tumor marker 50
Abnormal biomarkers
broad-spectrum tumor markers
neuronal enolase
WS/T404-2018
Antu Bioclinical Mass Spectrometry Detection
Detecting markers of angiogenesis
Normal saline for serum
Development history of clinical application of mass spectrometry
Tumor marker cutoff value
Clinical application of test tube agglutination reaction
Clinical method for determination of serum inorganic phosphorus
neuron-specific enolase
Which test is used to detect serum IL8?
Lewis blood type
NB/70K tumor marker
WS T 586 2018
Instruments for measuring tumor markers
Clinical significance of serum magnesium determination
Tumor vascular experiment
Clinical mass spectrometry related
Hematoma detection equipment
Clinical mass spectrometry related detection
Commonly used quantitative detection methods
What are the commonly used biomass detection methods?
Tumor microbial detection methods
Quality control serum and standard serum
Tumor antigen detection methods
Clinical use of commonly used ototoxic drugs
Serum selenium detection standard document
Tumorsphere detection method
Serum mass spectrometry clinical standard method
Tumor marker analysis and detection methods
Tumor marker research methods
Detection method tumor marker range
Standard serum quality requirements
Principles and methods of clinical detection of blood lithium

本标准规定了常用血清肿瘤标志物检测的临床应用和质量管理要求。
本标准适用于临床实验室以及研制和生产肿瘤标志物试剂的单位。


Introduction

Analysis of the core content of the standard

Markers Main application tumors Diagnostic cut-off value Recommendation for combined detection
AFP Primary liver cancer 400μg/L for 1 month Ultrasound examination
CEA Colorectal cancer/lung cancer Method dependence Imaging examination
NSE Small cell lung cancer Method dependence ProGRP combined

Key technical requirements

Pre-analytical quality control: Avoid hemolysis (especially NSE detection requires centrifugation within 60 minutes), prevent sweat contamination (affects SCC), pay attention to physiological increases during pregnancy (AFP can exceed 1000μg/L)

Detection system validation: Need to verify precision (intra-batch CV <5%), accuracy (recovery rate 90-110%) and measurement range (including medical decision levels)


Clinical application warnings

  • ProGRP detection needs to exclude renal function interference (false positive rate increases when GFR <60)
  • CA19-9 has no diagnostic value in Lewis antigen-negative individuals (3-7%).
  • Transient NSE elevation may occur 24-72 hours after chemotherapy (tumor lysis).

Implementation recommendations

  1. Establish laboratory-specific reference intervals (variation between different methods can reach 30%).
  2. Screening plan for high-risk groups: HBV carriers should undergo combined monitoring with AFP and ultrasound every 6 months.
  3. Frequency of recurrence monitoring: Every 3 months within 2 years after surgery, and every 6 months for 3-5 years.

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