Lecureuil M, Crouzat-Reynes G, Besnard J C, Choffel C
Clin Chim Acta. 1978 Aug 1;87(3):373-81. doi: 10.1016/0009-8981(78)90181-x.
The concentration of thyroxine-binding globulin in the serum can now be measured by a simple and specific radioimmunoassay. Triiodothyronine uptake and measurement of total thyroxine have been combined to yield a free thyroxine index which has been found to correlate with the clinical state of the patients. An estimate of the free thyroxine concentration, as measured by the thyroxine and thyroxine-binding globulin radioimmunoassays, provided a good correlation with the free thyroxine index and the thyroxine: thyroxine-binding globulin ratio. However, the thyroxine: thyroxine-binding globulin ratio is inaccurate when thyroxine-binding globulin concentrations are high or low.
现在可以通过一种简单且特异的放射免疫分析法来测定血清中甲状腺素结合球蛋白的浓度。三碘甲状腺原氨酸摄取率与总甲状腺素的测量相结合,得出了一个游离甲状腺素指数,该指数已被发现与患者的临床状况相关。通过甲状腺素和甲状腺素结合球蛋白放射免疫分析法测得的游离甲状腺素浓度估计值,与游离甲状腺素指数及甲状腺素:甲状腺素结合球蛋白比值具有良好的相关性。然而,当甲状腺素结合球蛋白浓度过高或过低时,甲状腺素:甲状腺素结合球蛋白比值并不准确。