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The National Academy of Clinical Biochemistry

STANDARDS OF LABORATORY PRACTICE
LABORATORY SUPPORT FOR THE DIAGNOSIS & MONITORING OF THYROID DISEASE

CALL FOR REVISION TO THE ACADEMY'S MONOGRAPH ON
THYROID DISEASE

In cooperation with the National Academy of Clinical Biochemistry the American Thyroid Asociation is spearheading an intersociety and international effort to update the Academy's monograph "Standards of Laboratory Practice: Laboratory Support for the Diagnosis & Monitoring of Thyroid Disease" in the coming year. The leaders of this project plan to distribute a new version at the International Thyroid Symposium to be held in Kyoto, Japan in October, 2000.

We invite all with interest in thyroid pathophysiology and measurement of thyroid function markers to review this current version reproduced below (or the original monograph in print - go to the AACC web site to arrange the purchase of a copy).

Since time is of the essence, please do not hesitate to send your comments, suggestions, additions (including new references) and deletions to Dr. Carole Spencer (email: cspencer@hsc.usc.edu). Please annotate your response with the section, subsection and the paragraph (e.g. first 3rd, etc).

Your comments along with comments received in Kyoto should generate a new, updated monograph soon. Please send your suggestions. Look to this site for a posting of the update.

If you have any questions, you may email either Dr. Carole Spencer or Dr. Larry Demers (lmd4@psu.edu).

GENERAL SERIES EDITOR:
LAWRENCE A. KAPLAN, Ph.D., F.A.C.B.
Department of Pathology, New York University, Bellevue Hospital; New York, NY

THYROID MONOGRAPH EDITOR:
CLARK T. SAWIN, M.D.
Endocrine-Diabetes Section, Boston VA Medical Center; Boston, MA

GUIDELINES COMMITTEE:

CO-CHAIRS:
L
AURENCE M. DEMERS, Ph.D., F.A.C.B.
Department of Pathology, Milton S. Hershey Medical Center; Hershey, PA

DAVID B. ENDRES, Ph.D., F.A.C.B.
Department of Pathology, University of Southern California; Los Angeles, CA

COMMITTEE:
GEORGE G. KLEE, M.D., Ph.D.
JERALD C. NELSON, M.D.
CLARK T. SAWIN, M.D.
CAROLE A. SPENCER, M.T., Ph.D.
JAN R. STOCKIGT, M.D.

The preparation of this monograph was achieved with the expert input of the above members of the guidelines committee, the experts in the field who submitted manuscripts on several topics, and the many reviewers. Those who submitted manuscripts also presented them at the NACB meeting in Anaheim, California, on July 14-15, 1995; their full manuscripts appear in Clinical Chemistry 1996;42:119-192. The lists of reviewers and participants are at the end
of the monograph.

The material in this monograph reflects the opinions of the editors, reviewers, and conference participants and does not represent the official position of the National Academy of Clinical Biochemistry or any of the co-sponsoring societies. This monograph should help others creating their own guidelines.

The National Academy of Clinical Biochemistry is the official academy of the American Association of Clinical Chemistry.

©1996 by the National Academy of Clinical Biochemistry. Permission is granted to make and
distribute verbatim copies of this monograph, provided the copyright notice and this permission notice are preserved on all copies. Permission is also granted to copy and distribute translations of this monograph into another language, provided that the entire resulting work is distributed under the terms of a permission notice identical to this one. The translation of the permission notice may be stated in a translation approved by the author of that translation.

We gratefully acknowledge the following individuals who contributed the
original manuscripts upon which this monograph is based:

Lewis E. Braverman, M.D.
Departments of Medicine and Nuclear Medicine,
University of Massachusetts Medical Center; Worcester, MA

Ulla Feldt-Rasmussen, M.D.
Department of Medicine, National University Hospital, Copenhagen, Denmark

Delbert A. Fisher, M.D.
Corning Nichols Institute, San Juan Capistrano, CA

Joseph H. Keffer, M.D.
Department of Pathology, University of Texas Southwestern Medical Center, Dallas, TX

George G. Klee, M.D., Ph.D.

Mayo Clinic and Foundation, Rochester, MN

Paul W. Ladenson, M.D.
Division of Endocrinology and Metabolism,
Johns Hopkins University School of Medicine, Baltimore, MD

Jerald C. Nelson, M.D.
Departments of Medicine and Pathology, Loma Linda University,
Loma Linda CA; and Corning Nichols Institute, San Juan Capistrano, CA

E. Chester Ridgway, M.D.
Divisions of Endocrinology, Metabolism, and Diabetes, University of Colorado, Denver, CO

Carole A. Spencer, M.T., Ph.D.
Department of Medicine, University of Southern California,
Los Angeles, CA

Jan R.Stockigt, M.D.
Department of Medicine, Alfred Hospital, Melbourne, Victoria, Australia

Leonard Wartofsky, M.D.
Department of Medicine, Washington Hospital Center, Washington, DC