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Centaur xpt

Manufactured by Siemens
Sourced in Germany

The Centaur XPT is a laboratory equipment product from Siemens. It is a clinical chemistry analyzer designed for the automated analysis of various bodily samples, such as blood, urine, or other fluids. The Centaur XPT is capable of performing a wide range of diagnostic tests, including biochemical, immunoassay, and drug testing procedures.

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7 protocols using centaur xpt

1

Multiparametric Hematological and Biochemical Assessment

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The number of lymphocytes was determined using a flow cytometry system (Advia 2120i; Siemens).
Blood biochemical analyses, such as creatinine (mg/dL), lactate dehydrogenase (LDH, U/L), CRP (mg/dL), complement 3 (C3, mg/dL), and complement 4 (C4, mg/dL) were measured using a fully automated spectrophotometric/immunoturbidimetric and ion selective electrode measurement system (Advia XPT analyzer; Siemens). Ferritin (ng/mL) and the inflammatory marker IL‐6 (mg/dL) were detected using Siemens immunoassay systems (Ferritin: Centaur XPT; IL6: Immulite 2000 XPI).
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2

Trace Mineral and Thyroid Hormone Profiling

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Fasting blood was collected from participants between 08:00 and 10:00 after an overnight fast and transported to the central laboratory within 2–4 h. The blood samples were used to detect the concentrations of metals, including Zn, Fe, Ca, Cu, Mg, and Mn, using inductively coupled plasma mass spectrometry (ICAP-RQ, Thermofisher Scientific, USA). The laboratory reference ranges were as follows: Zn (5.0–7.5 mg/L), Fe (421.1–660.8 mg/L), Cu (749.3–1,394.5 μg/L), Mg (26.9–49.4 mg/L), Mn (6.6–21.6 μg/L), and Ca (56.8–76.0 mg/L). Levels of TSH, FT3, and FT4 were assessed using chemiluminescent immunoassays (Siemens, Centaur XPT, Erlangen, Germany), and the laboratory reference ranges were as follows: TSH (0.49–4.91 μIU/ml), FT3 (3.28–6.47 pmol/L), and FT4 (7.64–16.03 pmol/L). For the covariates, the total cholesterol (TC) and triglycerides (TG) were measured using Mindray, BS-800 (Shenzhen, China). Glycated hemoglobin (HbA1c) was detected using high-performance liquid chromatography (TOSOH, HLC-723 G8, Tokyo, JAPAN), and urinary iodine was detected using the stripping voltammetry analysis method (Shenrui SR-L100, Wuxi, China).
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3

Comprehensive Metabolic and Thyroid Panel

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Serum samples were collected by a venous puncture after an overnight fast between 7:00 AM and 10:00 AM. The blood samples were cooled down to 4°C and within 2–4 h they were transported under cooling to a central laboratory that was certified by the College of American Pathologists (CAP). The following laboratory assays were performed: fasting plasma glucose (FPG), total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL), and high-density lipoprotein (HDL) were assessed by Hitachi, LABOSPECT 008AS (Tokyo, JAPAN). Thyroid peroxidase antibodies (TPO-Ab) and thyroglobulin antibodies (Tg-Ab) were detected by chemiluminescence (SNIBE, Biolumi 8,000, Shenzhen, China), Thyroid-stimulating hormone (TSH), free triiodothyronine (FT3), and free thyroxine (FT4) levels were measured by chemiluminescent immunoassays (Siemens, Centaur XPT, Erlangen, Germany).
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4

Cardiac Biomarkers in Myocardial Infarction

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Patients’ data were collected by careful reviewing of their electronic medical records. We registered baseline characteristics, cardiovascular risk factors, medical history, medications, ECG, routine biological analyses, and data from coronary angiography and ventriculography. Multiplane coronary angiography was performed in all patients using the standard techniques. Left ventricular ejection fraction (LVEF) was assessed using ventriculography results and 2D-echocardiography according to the Simpson biplane method. Right ventricle involvement was defined by a segmental wall motion alteration of the right ventricle. Three patterns of quantitative TnI and BNP were identified: at admission, at peak, and at discharge. The ratios of BNP/TnI were computed using the first concomitantly available levels of TnI and BNP. Blood samples were analyzed using the Access 2 (Beckman) analyzer in the Colmar center and the Centaur XPT (Siemens) in the Strasbourg center.
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5

Comprehensive Metabolic and Thyroid Profiling

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Trained study personnel administered a standard questionnaire to collect information on lifestyle characteristics and medications. Anthropometric parameters included body weight and height and were measured in accordance with a standard protocol. Body mass index (BMI) was calculated as weight in kilograms divided by height in meters squared (kg/m2). To avoid interference with circadian rhythm, participants were asked to fast, and blood samples were taken between 8:00 AM and 10:00 AM. All samples were shipped under cold chain management to a central laboratory (certified by the College of American Pathologists) and centrifuged within 4 h.
Levels of metals in blood were measured by inductively coupled plasma mass spectrometer (ICAP-RQ, Thermo Fisher Scientific, Waltham, USA). Thyroid function was tested by chemiluminescence immunoassay (Centaur XPT, Siemens, Erlangen, Germany). TPOAb was assessed using a UniCel Dxl800 (Beckman, Brea, USA), and TgAb with a Biolumi 8000 (SNIBE, Shenzhen, China). Blood lipid profiles were conducted by BS800 (Mindray, Shenzhen, China) and included the following: total cholesterol (TC), triglyceride (TG), high density lipoprotein (HDL), and low-density lipoprotein (LDL). Glycated hemoglobin (HbA1c) was measured with an HLC-723G8 (TOSOH, Tokyo, Japan).
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6

Comprehensive Blood and Biomarker Analysis

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A venous blood sample was collected prior to the first transfusion of packed red cells. Hematologic analysis was performed using an automated blood cell analyzer (Sysmex XN 1000 A), and Hb analysis was confirmed by high-performance liquid chromatography (HPLC) (Bio-Rad, USA) at the Department of Clinical Pathology, Dr. Hasan Sadikin General Hospital. Chemical immunoassay (Reagent, Siemens EXL 200 Dimension, USA) was used to measure liver function (AST and ALT), while particle-enhanced turbidimetric immunoassay (Dimension, USA) for CRP and ELISA (Elabscience, USA) for IL-6 levels. Iron status was measured by using enzyme immunoassays (Centaur XPT, Siemens, USA), while serum hepcidin levels were measured by human hepcidin using competitive enzyme-linked immunosorbent assay (C-ELISA) (R&D Systems, Minneapolis, MN, USA). The measurement of GDF15 levels was performed by using the quantitative sandwich enzyme immunoassay technique method (ELISA–Quantikine, human GDF15 immunoassay from R&D Systems, Inc., USA). The normal range for GDF15 is 289–1,096 pg/mL, and hepcidin is 12.5–400 ng/mL. The normal range for CRP is 0–6 mg/L, IL-6 is 0–16.4 pg/mL, ALT is 5–45 U/L, and AST is 20–63 U/L.
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7

Quantifying Insulin Resistance: Protocols

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Plasma concentrations of glucose were determined by the glucose oxidase method, in a dry chemistry equipment (Vitros 4600, Ortho Clinical Diagnostics). Serum concentrations of insulin were quantified by a capture chemiluminescent immunoassay (Centaur XPT, Siemens). Insulin resistance was calculated as the homeostasis model assessment of insulin resistance index, using the formula by Matthews et al. (13) : (fasting insulin (μU/ml) × fasting glucose (mmol/l))/22•5. Alternatively, the insulin sensitivity index (ISI)-composite was also determined, using the formula proposed by Matsuda & DeFronzo (14) : 10 000/(fasting glycaemia (mg/dl) × fasting insulin (μU/ml) × average glycaemia in the oral test (30-120 min) (mg/ dl) × average insulin in the oral test (30-120 min) (μU/ml)) 0•5 . Total AUC for insulinaemic and glycaemic responses were also calculated, using the trapezoidal rule (15) .
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