Collect



Tissue, Royal Blue (No additive) - Red band

Aliquot Containers - Lab/Outreach Use Only

Preferred Draw Volume

1 cm

Minimum Draw Volume

1 cm

Other Acceptable Containers

Tissue can be fresh (in metal free royal blue), paraffin-embedded, or dried. Also acceptable: Formalin-fixed.

Unacceptable Conditions

Specimens less than 0.25 mg (dry weight). Specimens stored or shipped in saline.

Collection Comments

Transport at least a 1 cm long specimen obtained with an 18 gauge needle (Minimum 0.25 mg dry weight).. Tissue can be fresh, paraffin-embedded, or dried. Also acceptable: Formalin-fixed. Specimens should be stored and transported in a metal-free container such as a royal blue (no additive) or a metal free aliquot.   Label all containers with patient, name, MRN, DOB and date and time of collection.  Age is required in order to calculate iron index. Please enter patient age in order comment.

http://ltd.aruplab.com/Tests/Pub/0028250

Specimen Preparation

Transport at least a 1 cm long specimen. Tissue can be fresh, paraffin-embedded, or dried. Also acceptable: Formalin-fixed. Specimens should be stored and transported in a metal-free container such as a royal blue (no additive).

Storage/Transport Temperature

Refrigerated

Stability (from collection to initiation)

Paraffin block, preserved(formalin), or dried tissue: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Indefinitely Fresh Tissue: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: Indefinitely

Remarks

Age is required on test request form in order to calculate iron index.

Ordering Recommendations

Useful in confirming hepatic iron overload, particularly in individuals with hemochromatosis and no common HFE mutations. Initial approach to diagnosis for hemochromatosis should include Iron and Iron Binding Capacity (0020420) (NOTE: test includes serumtransferrin saturation) and Ferritin (0070065). http://ltd.aruplab.com/Tests/Pub/0028250

Performed

Monday, Wednesday - Saturday

Methodology

Quantitative Inductively Coupled Plasma-Mass Spectrometry

Reported

3-7 days

Performing Lab

Send Outs

Referral Lab

ARUP Laboratories

Synonyms

  • 10577
  • Hemochromatosis
  • Hepatic Iron Concentration
  • Hepatic Iron Index
  • Iron Liver Tissue
  • IronLivr
  • Metals, Tissue
  • Quantitative Iron
  • Iron, Liver
  • ARUP 0028250

Reference Interval

By Report

Interpretive Data

A Hepatic Iron Index (HII) is not calculated for patients less than 14 years.  An HII less than 1.0 is consistent with normal iron accumulation.  An HII 1.0 through 1.9 is consistent with mild iron accumulation such as in heterozygous hemochromatosis or alcoholic liver disease.  An HII greater than 1.9 is consistent with iron overload such as in homozygous hemochromatosis, porphyria cutanea tarda, and cirrhotic liver disease.  The HII will decrease with chelation, chronic blood loss, or phlebotomy.

Clinical Interpretation

CPT Codes

83540

Test Code (Outreach Synonym)

10577

Catalog Code

6980423057
Collection

Collect



Tissue, Royal Blue (No additive) - Red band

Aliquot Containers - Lab/Outreach Use Only

Preferred Draw Volume

1 cm

Minimum Draw Volume

1 cm

Other Acceptable Containers

Tissue can be fresh (in metal free royal blue), paraffin-embedded, or dried. Also acceptable: Formalin-fixed.

Unacceptable Conditions

Specimens less than 0.25 mg (dry weight). Specimens stored or shipped in saline.

Collection Comments

Transport at least a 1 cm long specimen obtained with an 18 gauge needle (Minimum 0.25 mg dry weight).. Tissue can be fresh, paraffin-embedded, or dried. Also acceptable: Formalin-fixed. Specimens should be stored and transported in a metal-free container such as a royal blue (no additive) or a metal free aliquot.   Label all containers with patient, name, MRN, DOB and date and time of collection.  Age is required in order to calculate iron index. Please enter patient age in order comment.

http://ltd.aruplab.com/Tests/Pub/0028250

Specimen Preparation

Transport at least a 1 cm long specimen. Tissue can be fresh, paraffin-embedded, or dried. Also acceptable: Formalin-fixed. Specimens should be stored and transported in a metal-free container such as a royal blue (no additive).

Storage/Transport Temperature

Refrigerated

Stability (from collection to initiation)

Paraffin block, preserved(formalin), or dried tissue: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Indefinitely Fresh Tissue: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: Indefinitely

Remarks

Age is required on test request form in order to calculate iron index.
Ordering

Ordering Recommendations

Useful in confirming hepatic iron overload, particularly in individuals with hemochromatosis and no common HFE mutations. Initial approach to diagnosis for hemochromatosis should include Iron and Iron Binding Capacity (0020420) (NOTE: test includes serumtransferrin saturation) and Ferritin (0070065). http://ltd.aruplab.com/Tests/Pub/0028250

Performed

Monday, Wednesday - Saturday

Methodology

Quantitative Inductively Coupled Plasma-Mass Spectrometry

Reported

3-7 days

Performing Lab

Send Outs

Referral Lab

ARUP Laboratories

Synonyms

  • 10577
  • Hemochromatosis
  • Hepatic Iron Concentration
  • Hepatic Iron Index
  • Iron Liver Tissue
  • IronLivr
  • Metals, Tissue
  • Quantitative Iron
  • Iron, Liver
  • ARUP 0028250
Result Interpretation

Reference Interval

By Report

Interpretive Data

A Hepatic Iron Index (HII) is not calculated for patients less than 14 years.  An HII less than 1.0 is consistent with normal iron accumulation.  An HII 1.0 through 1.9 is consistent with mild iron accumulation such as in heterozygous hemochromatosis or alcoholic liver disease.  An HII greater than 1.9 is consistent with iron overload such as in homozygous hemochromatosis, porphyria cutanea tarda, and cirrhotic liver disease.  The HII will decrease with chelation, chronic blood loss, or phlebotomy.

Clinical Interpretation

Additional Information

CPT Codes

83540

Test Code (Outreach Synonym)

10577

Catalog Code

6980423057