The recent development of immunoradiometric assays (IRMA) for the dete
ction of human intact parathyroid hormone (PTH) in serum has led to th
e diagnosis of disorders of the parathyroid glands. We evaluated the a
nalytical performance of two commercial IRMA kits for the detection of
intact PTH in serum by assessing the following performance characteri
stics: imprecision, parallelism, and range of linearity. We also asses
sed analytical sensitivity in order to validate the reportable range f
or patient sample results. We compared the PTH concentration in 90 ser
um samples measured by two IRMA kits in our laboratory with those obta
ined on the same samples assayed by one of the commercial IRMA kits at
a reference laboratory. The acceptable performance and excellent corr
elations demonstrated that either commercial IRMA kit for intact PTH w
ould be suitable for routine use in a clinical laboratory. This articl
e is the final installment in a two-part series on PTH. The first arti
cle focused on the measurement and clinical use of PTH.