Biochemistry Analyzer Tests List

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Biochemistry Analyzer Tests List

Instruments Manufacturing Corporation (IMC) is known for producing a wide array of laboratory equipment, including biochemistry instruments. These analyzers can be semi-automatic or fully automatic, discrete/random access or batch, open or closed reagent systems. The test menu depends on the instrument’s design, reagent availability, and throughput capacity.

1. What is a Biochemistry Analyzer?

A biochemistry analyzer is a medical device used in laboratories to measure chemical components in body fluids (blood, serum, plasma, urine, etc.). These include enzymes, lipids, electrolytes, proteins, metabolites, hormones, and many more. The results help in diagnosis, monitoring of disease, guiding therapy, and health screening.

2. Types of Biochemistry Analyzers

Type Automation Level Typical Use Case
Manual No automation Small labs, teaching labs, low throughput
Semi‑automatic Part automation (e.g. reagent dispensing, reading) Medium workloads, cost‑sensitive settings
Fully automatic Automatic sample handling to result reporting Large hospitals, central labs, high throughput

2.1 Technologies Used

  • Wet chemistry / liquid reagents
  • Dry chemistry (solid reagent strips or slides)
  • Immunoassays (for hormones, proteins, antigens)
  • Integrated multiparameter platforms

3. Major Categories of Tests

Tests performed by biochemistry analyzers generally fall into the following categories:

  • Liver Function Tests (LFTs)
  • Kidney Function Tests (KFTs)
  • Lipid Profile
  • Electrolytes & Minerals
  • Blood Sugar & Metabolism
  • Proteins & Enzymes
  • Hormones & Special Tests
  • Inflammatory / Infectious Markers
  • Other / Miscellaneous Tests

4. Common Tests by Parameter

Test Name Abbreviation Category Clinical Significance
Alanine AminotransferaseALT (SGPT)Liver Function Indicator of liver cell injury
Aspartate AminotransferaseAST (SGOT)Liver Function / Muscle Disorders Liver damage, heart or muscle disease
Alkaline PhosphataseALPLiver / Bone Obstruction, bone disease
Total Bilirubin--Liver Function Assess bilirubin metabolism, jaundice
Direct Bilirubin--Liver Function Conjugated bilirubin measure, indicates excretory issues
Indirect (Unconjugated) Bilirubin--Liver Function Pre‑liver conjugation phase, hemolysis etc.
Total ProteinTPProteins Nutritional status, edema, liver/kidney disease
AlbuminProteins Liver synthesis, nutritional status, kidney losses
GlobulinProteins Immunity, inflammation, multiple myeloma etc.
Kidney‐related: UreaKFTRenal function, protein catabolism
CreatinineKFTGlomerular filtration status
Uric AcidMetabolism / KFTGout, renal stones etc.
Blood Urea Nitrogen (BUN)BUNKFT / MetabolismProtein breakdown & kidney excretion
Glucose (Fasting / Random / PP)MetabolismDiabetes diagnosis & monitoring
Glycated HemoglobinHbA1cMetabolismLong‑term glucose control
Total CholesterolLipid ProfileCardiovascular risk
TriglyceridesLipid ProfileHeart disease risk
High‑Density Lipoprotein CholesterolHDLLipid Profile“Good” cholesterol
Low‑Density Lipoprotein CholesterolLDLLipid Profile“Bad” cholesterol; often calculated
Very Low‑Density Lipoprotein CholesterolVLDLLipid ProfileUsually calculated; triglyceride relation
SodiumNa⁺ElectrolytesFluid balance, nerve/muscle function
PotassiumK⁺ElectrolytesCardiac, muscle activity
ChlorideCl⁻ElectrolytesAcid‑base, osmotic pressure
Calcium (Total / Ionized)CaMineralsBone health, parathyroid, neuromuscular
Phosphorus (Phosphate)PMineralsBone & kidney function
MagnesiumMgMineralsNeuromuscular, enzyme cofactor, cardiac
Lactate DehydrogenaseLDHEnzymes / Tissue DamageCell injury, hemolysis, heart/liver/muscle damage
Gamma‑Glutamyl TransferaseGGTLiver / BiliaryCholestasis, alcohol use
AmylaseEnzymes / PancreasPancreatitis, saliva/pancreatic disorders
LipaseEnzymes / PancreasMore specific for pancreas vs amylase
C‑Reactive ProteinCRPInflammatory MarkerInfection, inflammation, prognosis
Hormones (examples: Thyroid hormones T3, T4, TSH; Cortisol etc.)Endocrine / HormonesThyroid disorders, adrenal function etc.
Vitamin DVitamins / Nutritional StatusBone health, immune function
Vitamin B12 / FolateVitamins / NutritionalAnemia, neurological effects
Iron / Ferritin / Transferrin / TIBC / Transferrin SaturationIron StudiesIron deficiency / overload
Uric AcidMetabolism / RenalGout, kidney stones etc.
AmmoniaMetabolism / LiverInborn errors of metabolism, hepatic failure
Prostate‑Specific AntigenPSATumor MarkerProstate disease screening
Cancer Antigens (e.g. CA‑125, CA‑15‑3, AFP etc.)Tumor MarkersSpecific cancers monitoring

Note: Which tests are available depends on the analyzer model, reagents, and the lab’s accreditation or licensing.

5. Methods / Analytical Principles

Some of the commonly used methods include:

  • Colorimetric assays (fixed time, endpoint) – e.g., for enzymes, bilirubin, etc.
  • Kinetic assays – where rate of reaction is measured (e.g. AST, ALT, ALP kinetics).
  • Ion‑selective electrode (ISE) – for electrolytes (Na⁺, K⁺, Cl⁻).
  • Immunoturbidimetric / Nephelometric – for proteins, immunoglobulins, etc.
  • Immunoassay / Chemiluminescence / Electrochemiluminescence – for hormones, tumour markers, antigen/antibody tests.
  • Enzymatic (e.g. for glucose, cholesterol etc.).

6. Quality Control and Standards

To ensure that results are reliable:

  • Use of internal quality controls (IQC) every run or daily.
  • External quality assessment (EQA) or proficiency testing.
  • Calibration of reagents and analyzers regularly.
  • Maintenance of analyzer, cleaning, lamp checking, etc.
  • Proper handling, sample collection, avoiding hemolysis, lipemia, etc.

7. Imcorp Section

(Placeholder for Imcorp details.)

  • Imcorp Device / Analyzer Name:
  • Tests Offered by Imcorp:
  • Unique Features:
  • Methods Used:
  • Use Cases / Clinics / Hospitals:

8. Report Format and Interpretation Tips

Key parts of a biochemistry result report usually include:

  • Patient details (name, age, gender, ID)
  • Specimen type (serum, plasma, urine etc.), collection time & date
  • Test name & abbreviation
  • Result value & unit (e.g. mg/dL, µmol/L, U/L etc.)
  • Reference (normal) range – often age & sex specific
  • Flagging of abnormal/high/low results

Tips:

  • Always check if sample has hemolysis, lipemia or icterus – can affect many tests.
  • Consider patient clinical history, medications, diet (e.g. fasting or non‑fasting state, recent meals, etc.).
  • When multiple tests are abnormal, think in terms of syndromic patterns (e.g. liver dysfunction, kidney disease, metabolic syndrome).
  • Verify units – mg/dL vs mmol/L etc., especially for lipids and glucose.

9. Emerging & Special Tests

TestCategory / MarkerUse Case
Procalcitonin (PCT)Inflammatory / SepsisHelps in diagnosing bacterial sepsis, guiding antibiotic therapy
HomocysteineCardiovascular RiskHigh levels associated with cardiovascular disease, deficiency of B vitamins
Vitamin D (25‑OH D)Nutritional Marker / Bone HealthDeficiency very common; impacts bone & immune health
High Sensitivity CRP (hs‑CRP)Inflammatory Marker / CardiovascularRisk prediction of cardiovascular events
Troponin I / TCardiac MarkerDiagnosis of myocardial infarction / cardiac injury
Cancer Antigens (e.g. CA‑125, CA‑15‑3, AFP)Tumour MarkersCancer detection, monitoring therapy
Thyroid Antibodies (e.g. TPO, TG antibodies)Autoimmune / ThyroidIdentify thyroid autoimmunity (Hashimoto’s, Graves etc.)

10. Summary

Biochemistry analyzers are central to clinical diagnostics. The test panels are vast, covering routine metabolism, organ function, nutritional markers, hormonal assay, inflammatory markers, and more. Choosing the right analyzer – whether manual, semi or fully auto – depends on volume, budget, required tests, and workflow. Imcorp (if applicable) should be evaluated similarly based on its test menu, speed, sample type, and support.

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