Pediatric endocrinology

Evaluation of a mass spectrometry-based method for estradiol determination in girls with benign premature thelarche – a method comparison with extraction radioimmunoassay (RIA)

Horm Res PaediatrPublished Method comparison study

Main finding · Agreement of estradiol concentrations between MS-based method and extraction RIAResult — go to the resultMean difference 5.3 (±2.7) pmol/L

Authors' conclusion

The estradiol upper limit level for what is considered benign in premature thelarche, obtained with extraction RIA, needs to be lowered when analyzed with high sensitivity MS-based methods.

Study context

Population
Girls aged 6–48 months with premature thelarche, Sweden
Participants
43 serum samples
Exposure
High-sensitivity mass spectrometry (MS)-based estradiol assay vs extraction RIA
Outcome
Performance of the MS-based estradiol method in comparison with extraction RIA
Methodological detailsprospective, observational
  • Prospective
  • Observational

Main finding

As reported in the abstract

Agreement of estradiol concentrations between MS-based method and extraction RIA

Mean difference

5.3 (±2.7) pmol/L

Significant correlation between the two methods, r
0.67, p=0.000

Observational data: associations, not effects.

Original publication

Evaluation of a mass spectrometry-based method for estradiol determination in girls with benign premature thelarche – a method comparison with extraction RIA. Horm Res Paediatr. Published 27 August 2026. doi:10.1159/hrp/adaag007

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