Table 3 FT4 and FT3 reference intervals derived using different laboratory instruments in children with TSH concentration 0.5–5.0 mIU/L.

From: Routine free thyroxine reference intervals are suboptimal for monitoring children on thyroxine replacement therapy and target intervals need to be assay-specific

Statistical Parameters

FT4, pmol/L

FT3, pmol/L

DxI 800

Centaur

Vitros 5600

Cobas

Architect

DxI 800

Centaur

Vitros 5600

Cobas

Architect

TSH < 0.5 mIU/L, n excluded

11

11

12

11

12

11

11

12

11

12

TSH > 5.0 mIU/L, n excluded

5

5

4

6

3

5

5

4

6

3

Outlier by Reeds test

0

0

0

0

0

0

0

0

0

0

Final n

44

44

44

43

45

44

44

44

43

45

Normality by Shapiro-Wilk test

Accept

Accept

Accept

Accept

Accept

Reject

Accept

Accept

Accept

Accept

Transformation

None

None

None

None

None

Logarithmic

None

None

None

None

Minimum

10.1

12.8

11.0

14.6

11.2

4.7

4.2

4.9

4.2

3.6

Maximum

19.0

23.2

25.0

27.0

20.1

9.1

8.5

9.2

8.4

7.0

Mean

13.9

17.6

17.7

20.5

15.7

6.4

5.8

6.7

5.9

5.0

Median

14.0

18.0

18.0

20.6

15.6

6.1

5.9

6.8

5.9

5.0

SD

2.0

2.3

3.1

2.8

1.9

NA

0.9

1.1

1.0

0.7

Reference intervals (normal)

Lower limit (2.5th percentile)

10.0

13.1

11.5

15.1

11.8

4.6

4.1

4.6

4.0

3.6

90% CI

9.1 to 10.8

12.1 to 14.1

10.2 to 12.9

13.8 to 16.3

11.0 to 12.7

4.3 to 5.0

3.7 to 4.5

4.1 to 5.0

3.6 to 4.4

3.4 to 3.9

Upper limit (97.5th percentile)

17.8

22.1

23.8

25.9

19.5

8.8

7.6

8.8

7.7

6.4

90% CI

17.0 to 18.7

21.1 to 23.0

22.4 to 25.1

24.7 to 27.1

18.6 to 20.3

8.2 to 9.5

7.2 to 8.0

8.3 to 9.3

7.3 to 8.1

6.1 to 6.7

Robust method (CLSI C28-A3)

Lower limit

9.8

12.8

11.3

14.9

11.7

4.4

4.0

4.4

3.8

3.5

90% CI

8.9 to 10.8

11.9 to 14.0

9.9 to 13.0

13.7 to 16.2

10.9 to 12.6

4.1 to 4.8

3.6 to 4.5

4.0 to 5.0

3.4 to 4.3

3.2 to 3.9

Upper limit

17.9

22.3

24.1

26.2

19.7

8.9

7.6

8.9

7.7

6.5

90% CI

17.1 to 18.8

21.3 to 23.2

22.9 to 25.4

25.0 to 27.3

18.8 to 20.5

8.1 to 9.6

7.2 to 8.0

8.4 to 9.3

7.3 to 8.2

6.2 to 6.8