Test Directory

Test Code
AB217
Test Name
AD-Detect AB 42/40, 217,P
CPT Codes
82233, 82234, 84393
Included Tests
  • AD-Detect™ Likelihood Score Interpretation
  • Quest AD-Detect™ Beta-Amyloid 42/40 Ratio
  • Quest AD-Detect™ Phosphorylated tau217(p-tau217)
  • AD-Detect™ Likelihood Score
Expected Turnaround Time
4-6 days
Clinical Utility

Intended use is for Alzheimer's Diagnosis. Independent measurement and interpretation of plasma amyloid ratios (AB42/40) and phosphorylated tau levels (p-tau181 and p-tau217) provide clinically valuable insight into patient risk for development of Alzheimer's disease. However, by combining core AD pathological markers for a single analytical interpretation have been shown to significantly improve predictive performance and accuracy for detecting amyloid positivity and confirming a diagnosis of Alzheimer's disease. The AD-Detect™ ABeta 42/40 and p-tau217 Evaluation, Plasma evaluates a patient's plasma AB42/40 ratios and p-tau217 levels reporting out the likelihood that a symptomatic patient suspected of AD has a High, Indeterminant, or Low likelihood of amyloid pathology consistent with AD. This panel meets established performance criteria for confirming a diagnosis of Alzheimer's disease utilizing plasma biomarkers.

Specimen and Container Info

Specimen Type: Plasma

Collection Container: Lavender Top (EDTA)

Desired Specimen Volume: 2.5 mL (1.25 mL split into two aliquot tubes)

Collection Instructions
  1. Collect 2 lavender top (EDTA) tubes via venipuncture.
Processing and Submission Instructions
  1. Mix by inversion 10 times.
  2. Separate plasma from cells within 1 hour of collection.
  3. Transfer and split 2.5 mL of plasma into two clear aliquot tubes (screw cap).
  4. There should be about 1.25 mL of plasma per aliquot tube.
Patient Preparation

Patients should be cautioned to stop biotin consumption at least 72 hours prior to collection of a sample.

Transport Instructions

Transport to the laboratory frozen.

Stability Requirements

Refrigerated

72 hours

Frozen

28 days

Causes for Rejection
  • Moderate hemolysis
  • Gross hemolysis
  • Specimen collected in a glass, polystyrene, or polycarbonate tube
Methodology
Immunoassay | Liquid Chromatography - Tandem Mass Spectrometry (LC-MS/MS)
Reference Intervals

See patient report.

Limitations

Quest Diagnostics does not perform this test for individuals under the age of 18. Pre-test and post-test counseling is strongly recommended.

Alternate Names
  • AD-Detect™ ABeta 42/40 and p-tau217 Evaluation, Plasma
Reference Lab
Quest Diagnostics Nichols Institute
Testing Schedule
Routine, Monday - Saturday