Test Code ADEVL | Beaker: LAB8221 Alzheimer Disease Evaluation, Spinal Fluid
Additional Codes
Epic EAP: LAB8221
Epic Description: ALZHEIMER'S DISEASE EVALUATION, CSF
NOTE: Replaces ADMARK PHOSPHO-TAU/TOTAL-TAU/A BETA 42
Specimen Required
Supplies:
Alzheimer's Disease Evaluation (ADEVL) Collection Kit (T836)
CSF AD Biomarker Tubes (T833; also included in T836)
Container/Tube:
Preferred: Sarstedt CSF False Bottom Tube 63.614.625 (2.5 mL)
Acceptable: Sarstedt 72.703.600 (1.5 mL) or Sarstedt 72.694.600 (2 mL)
Specimen Volume: 1.5 to 2.5 mL
Collection Instructions:
1. Perform lumbar puncture and discard the first 1 to 2 mL of cerebrospinal fluid (CSF).
2. Collect CSF directly into one of the listed collection tubes until the tube is at least 50% full.*
3. Send CSF specimen in original collection tube. Do not aliquot.
Note: Polystyrene collection tubes are not acceptable. Exposure of CSF to polystyrene tubes may result in falsely low Abeta42 concentrations. For more information see Cautions.
*The Alzheimer's Association consensus protocol for handling of CSF for clinical measurements of Abeta42 and tau recommends using the drip method for CSF collection and directly collecting into a low-bind polypropylene tube. Although some clinicians prefer the syringe pull method due to speed of collection, the drip method reduces the risk of Abeta42 binding to the plastic of any syringe used.
4. Collection instructions can also be found on Spinal Fluid Specimen Collection Instructions for Alzheimer Disease Evaluation (T967).
Secondary ID
607273Useful For
Assessment of adults with cognitive impairment being evaluated for Alzheimer disease and other causes of cognitive impairment
These assays should not be used to predict the development of dementia or other neurologic conditions or to monitor response to therapies.
Method Name
Electrochemiluminescent Immunoassay (ECLIA)
Reporting Name
Alzheimer's Disease Evaluation, CSFSpecimen Type
CSFSpecimen Minimum Volume
See Specimen Required
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
CSF | Refrigerated (preferred) | 14 days | BlueTop SARSTEDT |
Frozen | 60 days | BlueTop SARSTEDT | |
Ambient | 12 hours | BlueTop SARSTEDT |
Reject Due To
Gross hemolysis | Reject |
Gross lipemia | OK |
Gross icterus | Reject |
Reference Values
Beta-amyloid (1-42) (Abeta42): >834 pg/mL
Total-Tau: ≤238 pg/mL
Phosphorylated-Tau 181: ≤21.6 pg/mL
p-Tau/Abeta42: ≤0.028
Day(s) Performed
Tuesday, Thursday, Friday
Report Available
1 to 4 daysPerforming Laboratory
Mayo Clinic Laboratories in RochesterTest Classification
This test has been modified from the manufacturer's instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
83520 x 3
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
ADEVL | Alzheimer's Disease Evaluation, CSF | 104134-2 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
PTABR | p-Tau/Abeta42 | 41027-4 |
ADINT | AD Interpretation | 69048-7 |
AB42P | Abeta42 | 33203-1 |
TTAUP | Total-Tau | 30160-6 |
PTAUP | Phospho-Tau(181P) | 72260-3 |
Forms
If not ordering electronically, complete, print, and send a Neurology Specialty Testing Client Test Request (T732) with the specimen.