Alzheimer Disease Evaluation, Spinal Fluid
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).
Specimen 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 |
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 daysSpecimen Retention Time
12 monthsPerforming Laboratory
Mayo Clinic Laboratories in RochesterCPT 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.