A practical procedure for assigning a reference value and uncertainty in the frame of an interlaboratory comparison

A method is suggested for the calculation of a reference value and its uncertainty to be used in the frame of an interlaboratory comparison (ILC). It is assumed that the reference value of the measurand is determined independently from the ILC round. It is derived from a limited set of measurement results obtained from one or several expert laboratories. The procedure involves three stages: (1) check of the experimental data and possible corrections; (2) check of the consistency of data, and possibly increase of the uncertainties in order to attain internal consistency; (3) choice between fully, partially or un-weighted mean.     

Reference materials and analytical standards to stimulate improved laboratory performance: Experience from the external quality assessment scheme for trace elements in biological samples

The performance of a large number of laboratories measuring trace elements in biological fluids has been monitored over many years by examination of their results in the Guildford external quality assessment scheme. Specific experiences of the UK trace elements reference laboratories have been used to stimulate improvements in performance of other participants in the scheme. The key features of these initiatives were: specially prepared reference materials, used as internal quality control specimens within a common procedure, contributed to accuracy control; proposed standards of satisfactory and unacceptable analytical performance associated with a new system for scoring; regular non-threatening open discussion of performance with interested colleagues. The impact of these features is illustrated with reference to measurements of Al and Zn in serum and Pb in whole blood.     

Quality assurance in biological monitoring of environmental exposure to pollutants: from reference materials to external quality assessment schemes

The presence of chemicals in the environment is a matter of concern in that it poses potential health risks. At present, exposure to toxic chemicals and their biological and biochemical effects can be better estimated by biological monitoring, through the systematic collection of specimens from potentially exposed humans. Biological monitoring of human exposure to environmental pollutants is hampered by the difficulty to assess data reliability. As a consequence, the validity of biological monitoring should depend on the strict implementation of a quality assurance (QA) program, which includes a series of procedures aiming to ensure that laboratory results meet defined standards of quality and are reliable. For the validation and monitoring of methods’ performance, to ensure the trueness of measurements and to warrant the traceability to international standards, reference materials (RMs) and certified reference materials should be used. Internal quality control and external quality assessment (EQA) are part of overall QA and are carried out to verify that analytical errors are compatible with the specific requirements or needs of the user. In particular EQA schemes (EQAS) allow to test independently the analytical performance of participating laboratories. In the last decades, increasing concern has been raised by urban air pollution; lead and benzene, two gasoline components released by motor vehicle exhausts, are known to be toxic to humans. For biological monitoring of lead exposure of the general population, screening campaigns, utilizing lead in blood as a biomarker, have been carried out since the 1970s. Strict strategies were adopted to ensure data comparability, including the preparation of RMs, the organization of EQAS and the cross-exchange and analysis of blood samples between laboratories. Biological monitoring of benzene exposure could be carried out by means of various biomarkers such as benzene in blood and benzene, trans,trans-muconic acid (t,t-MA) and S-phenylmercapturic acid (S-PMA) in urine. At present, few RMs and EQAS are available for these biomarkers. A pilot EQAS for t,t-MA in urine, adopted to assess the reliability of data regarding benzene exposure, has been organized and carried out between 1996 and 1997 in Italy. From the accrued experience, it clearly emerges the importance of strategies designed to guarantee the quality of biological monitoring data. The use of RMs and the participation in EQAS are highly recommended in order to improve the global performance of methods and laboratories involved in biological monitoring.     

IMEP-12: trace elements in water; objective evaluation of the performance of the laboratories when measuring quality parameters prescribed in the European Directive 98/83/EC

The International Measurement Evaluation Programme (IMEP) is an interlaboratory comparison scheme, founded, owned and co-ordinated by the Institute for Reference Materials and Measurements (IRMM) since 1988. IMEP-12, for the fourth time in the series, focused on trace elements in water and it was designed specifically to support European Commission directive 98/83/EC. Reference values for the concentration of ten elements were established with expanded uncertainties according to GUM. In total, 348 laboratories from 46 countries in five continents participated in the comparison and the degree of equivalence between the results of the laboratories and the reference values is presented graphically. Samples from the same batch were distributed to ten laboratories from European Countries, which represented their country in the framework of the EUROMET project 528. Participation in this comparison was offered to the European Co-operation for Accreditation (EA) for participation of accredited laboratories from all over Europe in the framework of the collaboration between IRMM and EA and to laboratories from the EU new member states and acceding countries in the frame of IRMM’s ‘Metrology in Chemistry support program for EU new member states and acceding countries.’     

Blood lead and cadmium determination: Results of the Italian external quality assessment scheme

The procedures adopted in the Italian external quality assessment scheme (EQAS) for blood Pb (B-Pb) and Cd (B-Cd) determination, including the preparation of control materials, are described. Each scheme involves the use of internal quality control materials and the participation in periodical external quality assessment trials. All control materials are prepared at the Laboratory of Clinical Biochemistry, Italian National Institute of Health (Istituto Superiore di Sanità, ISS), as the reference centre. Computerized procedures have been adopted whenever possible, i.e. sample randomization, data transfer and treatment. The analytical performance of the participating laboratories, evaluated from the results obtained in ten years of activity, is reported. A total of eight phases has been carried out between 1983 and 1993. Over the course of these ten years, a positive trend was observed for B-Pb towards a smaller bias and a lower percentage of laboratories with poor performance. In the eighth phase, taking into account the results from all participants, the mean absolute inaccuracy for B-Pb was 32 g/l (mean Pb concentration in control samples, 165 g/l). The percentage of laboratories providing results within established acceptability limits for at least 80% of the examined samples (good performers) increased with time from 28% in the first phase to 48% in the last phase. The laboratories providing less than 50% of acceptable results (poor performers) decreased from 35% in the first phase to 22% in the last phase. As regards B-Cd, mean absolute inaccuracy decreased from 0.96 g/l to 0.55 g/l between the first phase and the sixth phase. The percentage of good performers increased from 45% to 62% and that of poor performers decreased from 31% to 5%. From the seventh phase a large group of new laboratories agreed to participate in the EQAS for B-Cd and the inaccuracy rose to 0.75 g/l (mean concentration: 2.7 g/l) and the percentage of poor performers rose to 24%, whereas the percentage of good performers remained almost unchanged.     

Developing external quality assessment programmes for primary health: care level in resource limited countries

Laboratory services are an essential component of health care delivery in tropical countries and play a vital role in improving the accuracy of clinical diagnosis and the investigation of disease outbreaks. In developing countries, laboratories face numerous constraints to providing quality services, including poor selection of techniques, difficulties in equipment availability and maintenance, and shortages of supplies, staffing and supervision. Currently in the eastern African countries (Kenya, Tanzania and Uganda), internal quality control procedures are inconsistently carried out in most laboratories. National External Quality Assessment Schemes (EQAS) have been established in all countries addressing a limited number of tests, but are constrained by difficulties of sustainability and poor coverage. The Laboratory Programme of the African Medical and Research Foundation (AMREF) has been operating a simple EQAS for primary heath care laboratories since 1993. Tests addressed are those carried out in primary health care laboratories in eastern Africa. A total of 81 laboratories from 5 countries in the eastern African region have participated in the scheme since 1993 and 9 distributions were submitted since the start of the scheme. No laboratory participated in all distributions; 24 (30%) laboratories participated in 4 or more distributions. Of these, the hospital laboratories in Kenya and Tanzania showed improved average mean scores between the first two and subsequent distributions. The educational benefit of participation in the scheme is emphasised. There was an overall low rate of participation of laboratories (35%) once the scheme was expanded to include laboratories outside direct AMREF project activities. Contributing factors include shortages of staff and lack of time in busy rural laboratories, together with difficulties in communication; however, the voluntary nature and lack of appreciation of the benefits of participation may also play a role. To increase participation in the scheme and to address the quality of laboratory services throughout the region, AMREF is currently developing a Regional EQAS in collaboration with the Ministries of Health of Kenya, Tanzania and Uganda, in affiliation with the World Health Organisation (WHO). The approaches used to establish reference values for haemoglobin samples are discussed. The scheme has also been utilised to examine the performance of different techniques for haemoglobin estimation, demonstrating the inaccuracy of the visual comparator methods. Received: 13 April 2002 Accepted: 5 July 2002     

Matrix effect on the detection limit and accuracy in total reflection X-ray fluorescence analysis of trace elements in environmental and biological samples

The effect of matrix contents on the detection limit of total reflection X-ray fluorescence analysis was experimentally investigated using a set of multielement standard solutions (500 ng/mL of each element) in variable concentrations of NH₄NO₃. It was found that high matrix concentration, i.e. 0.1–10% NH₄NO₃, had a strong effect on the detection limits for all investigated elements, whereas no effect was observed at lower matrix concentration, i.e. 0–0.1% NH₄NO₃.     

Establishment of SI-traceable reference values for the content of various elements in the IMEP-14 sediment sample

For the first time in the International Measurement Evaluation Programme (IMEP)-14, a sediment sample was offered to analytical laboratories to perform measurements of As, Cd, Cr, Cu, Fe, Pb, Hg, Ni, U and Zn. In line with IMEP policy, the results were presented according to the certified / assigned reference values established by several reference laboratories around the world. The certification campaign is described in detail. Isotope dilution mass spectrometry was applied as a primary method of measurement, whenever possible, to achieve SI-traceable results. For reference measurements of As, Fe, Hg and Zn, k₀-neutron activation analysis and Zeeman atomic absorption spectrometry were applied. The reference values (ranges) were characterised as ”certified” (for Cd, Cr, Pb, Ni and U) or ”assigned” (for As, Cu, Fe, Hg and Zn) according to IMEP policy. The measurement uncertainty of the certified / assured reference values was calculated according to the ISO/BIPM Guide. Received: 7 June 2001-10-27 Accepted: 19 August 2001     

A two-group separation scheme for the determination of eleven trace elements in biological material by neutron activation analysis.

The applicability of solvent extraction with tri-n-octylphosphine oxide (TOPO) in the neutron activation analysis of biological material has been studied. A two-group radiochemical separation scheme is presented. After wet oxidation, As, Se, and Hg are removed by distillation and subsequent sulfide precipitation; Ca, Cd, Co, Fe, Mo, Sc, W, and Zn are then determined after extraction with TOPO. Chemical yield is determined for the volatile group by re-irradiation of the sulfide precipitate. No chemical yield determination is performed for the TOPO group. Results for six international biological standards are presented. The method is applicable to a wide variety of biological samples.     

International Measurement Evaluation Programme (IMEP); IMEP-14: Picturing the performance of analytical laboratories measuring trace elements in sediment

The International Measurement Evaluation Programme (IMEP) is an interlaboratory comparison scheme founded, owned and co-ordinated by the Institute for Reference Materials and Measurements (IRMM) since 1988. IMEP-14, for the first time in the series, is focusing on trace elements in sediment. Reference values for ten elements stating total concentrations and expanded uncertainties according to GUM were established. In total, 239 laboratories from 43 countries in five continents participated in the comparison, and the degree of equivalence between the results from the laboratories and the reference values is presented graphically. Identical samples were distributed to nine National Measurement Institutes within the frame of the CCQM-P15 pilot study. Participation in the IMEP-14 interlaboratory comparison was offered to laboratories in the EU new member states and acceding countries according to the IRMMs Metrology in Chemistry support programme for EU new member states and acceding countries.This revised version was published online in August 2004 with corrections to text especially to the Discussion section.     

Quality specifications for evaluation and comparison of performance among external quality assessment schemes in occupational and environmental laboratory medicine

Quality specifications (QS) are proposed for lead in blood and for aluminium, copper, selenium and zinc in serum as part of the aim to set standards of performance for laboratories so that results can be demonstrated to be fit for the purpose to which they are applied. The QS were established taking account of the analytical state-of-the-art, physiological variations in the concentrations of the analyte and the clinical purpose for which the assay is to be used. A procedure was devised that uses these QS to give equivalence of assessment among external quality assessment schemes (EQAS), thus avoiding conflicting information which has been demonstrated in the past. Advantages of this procedure are: to provide direct comparison of performance of laboratories taking part in different schemes, to provide equivalence of assessment of laboratory performance necessary to establish mutual recognition agreements, and to demonstrate the fitness for purpose of results from participants.Presented at the Eurachem PT Workshop September 2005, Portorož, Slovenia     

Determination of soluble ions and elements in ambient air suspended particulate matter: Inter-technique comparison of XRF, IC and ICP for sample-by-sample quality control

In this paper, we describe a validation procedure for chemical fractionation analysis of elements (Al, As, Ba, Ca, Cd, Cr, Cu, Fe, K, Mg, Mn, Na, Ni, Pb, S, Sb, Si, Sr, Ti and V) and soluble ions (Cl⁻, NO₃⁻, SO₄²⁻, Na⁺, NH₄⁺, Mg²⁺, Ca²⁺) in suspended particulate matter (PM). The procedure applies three distinct measurement techniques (XRF, IC and ICP-OES) to the analysis of individual samples. The techniques used generate different outputs at different stages in the procedure. This makes it possible to identify the contributions of specific parameters to measurement uncertainty. On this basis, we propose a scheme for controlling the analytical quality of data from individual samples in which inter-technique comparisons is used in the same way many analytical methods use surrogates. We apply this scheme to about 310 samples of PM₁₀ and PM_2.5 identifying and assessing the main factors contributing to measurement uncertainty. This procedure successfully resolved a number of difficulties frequently encountered during the analysis of PM, including lack of appropriate reference materials and the low reliability of alternative techniques of quality control. The results demonstrate the critical importance of sample treatment prior to destructive analysis by IC and ICP.     

Criteria to define the standard deviation for proficiency assessment for the determination of essential trace elements in serum: comparison of Z-scores based on the Horwitz function or on biological variability

A critical issue in the organisation of Proficiency Testing/External Quality Assessment Schemes is the definition of the criteria against which the performance of individual laboratories should be evaluated. Organisers of EQAS in Occupational and Environmental Laboratory Medicine (http://www.occupational-environmental-laboratory.com) collaborate to define common acceptable levels of performance. The aim of this study was to compare the Horwitz function to the Fraser’s approach. Sets of results obtained from the distribution of test materials in the Network schemes (for the measurands: copper, selenium or zinc in serum) were used to calculate Z-scores according to both approaches. Quality specifications derived from both approaches were also compared to the standard deviations obtained. Except for selenium, Horwitz criteria suggests a more stringent evaluation than Fraser criteria, the latter being very stringent as regard the participant analytical variability.     

Hollow fiber liquid-phase microextraction for the determination of trace amounts of rosiglitazone (anti-diabetic drug) in biological fluids using capillary electrophoresis and high performance liquid chromatographic methods

A three-phase hollow fiber liquid-phase microextraction (HF-LPME) coupled either with capillary electrophoresis (CE) or high performance liquid chromatography (HPLC) with UV detection methods was successfully developed for the determination of trace levels of the anti-diabetic drug, rosiglitazone (ROSI) in biological fluids. The analyte was extracted into dihexyl ether that was immobilized in the wall pores of a porous hollow fiber from 10 mL of aqueous sample, pH 9.5 (donor phase), and was back extracted into the acceptor phase that contained 0.1 M HCl located in the lumen of the hollow fiber. Parameters affecting the extraction process such as type of extraction solvent, HCl concentration, donor phase pH, extraction time, stirring speed, and salt addition were studied and optimized. Under the optimized conditions (extraction solvent, dihexyl ether; donor phase pH, 9.5; acceptor phase, 0.1 M HCl; stirring speed, 600 rpm; extraction time, 30 min; without addition of salt), enrichment factor of 280 was obtained. Good linearity and correlation coefficients of the analyte was obtained over the concentration ranges of 1.0–500 and 5.0–500 ng mL⁻¹ for the HPLC (r² = 0.9988) and CE (r² = 0.9967) methods, respectively. The limits of detection (LOD) and limits of quantitation (LOQ) for the HPLC and CE methods were (0.18, 2.83) and (0.56, 5.00) ng mL⁻¹, respectively. The percent relative standard deviation (n = 6) for the extraction and determination of three concentration levels (10, 250, 500 ng mL⁻¹) of ROSI using the HPLC and CE methods were less than 10.9% and 13.2%, respectively. The developed methods are simple, rapid, sensitive and are suitable for the determination of trace amounts of ROSI in biological fluids.     

HPLC-AAS hybrid technique for studying the speciation of trace metals (Al,Fe, Si,Hg) in biological fluids: A review of applications,recent experiences and perspectives

A method developed using the combination of HPLC and AAS enabling both qualitative and quantitative study of the protein binding and speciation of trace metals in biological fluids at clinical relevant levels is reviewed. The whole system was made metal-free by using polymer-based columns, column holders and tubing and by the insertion of a silica-based scavenger column placed immediately before the injection valve to selectively retain any trace of aluminum and iron originating from buffer solutions and recipients. ETAAS instrumental conditions were carefully selected to eliminate interferences secondary to the salt gradient elution. Particular attention was paid to the choice of HPLC columns. Protein recoveries varied between 95 and 105% and trace metal recoveries were close to 100%. Intra-assay and inter-assay CVs of the HPLC/AAS hybrid technique were below 10%. Because of its high sensitivity, the method can be used at clinically relevant concentrations and was applied successfully to study (i) the interaction between iron and aluminum for binding to transferrin, (ii) the influence of citrate on the transferrin binding of aluminum, (iii) the speciation of silicon in the serum of dialysis patients and (iv) the toxicity of mercury compounds in cell cultures.     

Determination of plutonium and other transuranic elements by inductively coupled plasma mass spectrometry: A historical perspective and new frontiers in the environmental sciences

Inductively coupled plasma mass spectrometry (ICPMS), particularly with sector field mass analyzers (SF-ICPMS), has emerged in the past several years as an excellent analytical technique for rapid, highly sensitive determination of transuranic elements (TRU) in environmental samples. SF-ICPMS has advantages of simplicity of sample preparation, high sample throughput, widespread availability in laboratories worldwide, and relatively straightforward operation when compared to other competing mass spectrometric techniques. Arguably, SF-ICPMS is the preferred technique for routine, high-throughput determination of ²³⁷Np and the Pu isotopes, excepting ²³⁸Pu, at fg-pg levels in environmental samples. Many research groups have now demonstrated the SF-ICPMS determination of ^239 + 240Pu activities, ²⁴⁰Pu/²³⁹Pu and other Pu atom ratios in several different application areas. Many studies have examined the relative contribution of global fallout vs. local/regional Pu sources in the environment through measurement of ²⁴⁰Pu/²³⁹Pu and, in some cases, ²⁴¹Pu/²³⁹Pu and ²⁴²Pu/²³⁹Pu. “Stratospheric fallout”, which was deposited from thermonuclear tests, conducted largely during the 1952–1964 time period, is characterized by a well-defined ²⁴⁰Pu/²³⁹Pu of ~ 0.18, while most other sources have different ratios. Examples of local/regional Pu sources are the Nevada Test Site, the Chernobyl plume, and accidents at Palomares, Spain and Thule, Greenland. The determination of Pu activities and atom ratios has stimulated much interest in the use of Pu as a marine tracer; several studies have shown that Pu is transported over long distances by ocean currents. ²⁴⁰Pu/²³⁹Pu ratios > 0.20 in sediments and seawater of the North Pacific are ascribed to ocean current transport of fallout from the Pacific Proving Ground. In nuclear forensics, much effort is focused on detection and fingerprinting of small amounts of TRU in environmental samples consisting of bulk material or individual isolated particles. Activity measurements of ^239 + 240Pu, determined by SF-ICPMS, have the potential to supplement and/or replace ¹³⁷Cs as a tracer of erosion, deposition, and sedimentation. Undoubtedly, the application of SF-ICPMS in TRU analysis will continue to expand, witness new developments, and generate interesting unforeseen applications in upcoming years.     

Activated aluminum oxide selectively retaining long chain n-alkanes: Part II. Integration into an on-line high performance liquid chromatography-liquid chromatography-gas chromatography-flame ionization detection method to remove plant paraffins for the determination of mineral paraffins in foods and environmental samples

Aluminum oxide activated by heating to 300-400 °C retains n-alkanes with more than about 20 carbon atoms, whereas iso-alkanes largely pass non-retained (with characteristics described in more detail in Part I). This property is useful for the analysis of mineral oil contamination of foods and other matrices: it enables the removal of plant n-alkanes, typically ranging from C₂₃ to C₃₃, when they disturb the analysis of mineral paraffins (usually almost exclusively consisting of iso-alkanes). An on-line HPLC-LC-GC-FID method is proposed in which a first silica gel HPLC column isolates the paraffins from the bulk of edible oils or extracts and is backflushed with dichloromethane. In a second separation step, a 10 cm × 2 mm i.d. column packed with activated aluminum oxide separates the long chain n-alkanes from the fraction of the iso-alkanes which is transferred to GC-FID by the on-column interface and the retention gap technique. The retained n-alkanes are removed by flushing with iso-octane.