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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2025-22-8-13</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4601</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Концепция определения референтных интервалов на примере тиреоидной панели</article-title><trans-title-group xml:lang="en"><trans-title>The concept of reference intervals using the thyroid panel as an example</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2592-6857</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ройтман</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Roytman</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ройтман Александр Польевич, д. м. н., профессор кафедры клинической лабораторной диагностики с курсом лабораторной иммунологи</p><p>Москва</p></bio><bio xml:lang="en"><p>Roytman Alexander P., DM Sci (habil.), professor at Dept of Clinical Laboratory Diagnostics with a Course in Laboratory Immunology</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-1063-9492</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузнецова</surname><given-names>Т. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuznetsova</surname><given-names>T. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кузнецова Татьяна Евгеньевна, старший лаборант кафедры клинической лабораторной диагностики с курсом лабораторной иммунологии; врач клинической лабораторной диагностики</p><p>Москва</p></bio><bio xml:lang="en"><p>Kuznetsova Tatyana E., senior laboratory assistant at Dept of Clinical Laboratory Diagnostics with a Course of Laboratory Immunology; physician of clinical laboratory diagnostics</p><p>Moscow</p></bio><email xlink:type="simple">kuznetsovate@bk.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1404-4699</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бугров</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bugrov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бугров Алексей Викторович, к. м. н., доцент кафедры клинической лабораторной диагностики с курсом лабораторной иммунологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Bugrov Alexey V., PhD Med, associate professor at Dept of Clinical Laboratory Diagnostics with a Course in Laboratory Immunology</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4945-7269</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Евгина</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Evgina</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Евгина Светлана Александровна, к. б. н., программный директор</p><p>Москва</p></bio><bio xml:lang="en"><p>Evgina Svetlana A., PhD Bio, program director</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9624-5883</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шустов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shustov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шустов Валерий Валерьевич, заведующий клинической лаборатории Клиники имени профессора Ю. Н. Касаткина; врач клинической лабораторной диагностики </p><p>Москва</p></bio><bio xml:lang="en"><p>Shustov Valery V., head of Clinical Laboratory of Yu. N. Kasatkin Clinic; physician of clinical laboratory diagnostics</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-9534-2520</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ламбакахар</surname><given-names>М. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Lambakakhar</surname><given-names>M. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ламбакахар Мария Георгиевна, к. м. н., доцент кафедры клинической лабораторной диагностики с курсом лабораторной иммунологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Lambakahar Maria G., PhD Med, associate professor at Dept of Clinical Laboratory Diagnostics with a Course in Laboratory Immunology</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1537-7444</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Долгов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dolgov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Долгов Владимир Владимирович, д. м. н., профессор кафедры клинической лабораторной диагностики с курсом лабораторной иммунологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Dolgov Vladimir V., DM Sci (habil.), professor at Dept of Clinical Laboratory Diagnostics with a Course in Laboratory Immunology</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9612-6705</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Годков</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Godkov</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Годков Михаил Андреевич, заведующий кафедрой клинической лабораторной диагностики с курсом лабораторной иммунологии; д. м. н., заведующий научным отделом лабораторной диагностики</p><p>Москва</p></bio><bio xml:lang="en"><p>Godkov Mikhail A., head of Dept of Clinical Laboratory Diagnostics with a Course in Laboratory Immunology; DM Sci (habil.), head of Scientific Dept of LaboratoryDiagnostics</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuing Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ГБУЗ Научно-исследовательский институт скорой помощи имени Н. В. Склифосовского Департамента здравоохранения г. Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuing Professional Education; N. V. Sklifosovsky Research Institute for Emergency Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Ассоциация «Федерация лабораторной медицины»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Association of Laboratory Specialists and Organizations «Federation of Laboratory Medicine (FLM)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>25</day><month>10</month><year>2025</year></pub-date><volume>0</volume><issue>22</issue><issue-title>«Современная лаборатория» (2)</issue-title><fpage>8</fpage><lpage>13</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ройтман А.П., Кузнецова Т.Е., Бугров А.В., Евгина С.А., Шустов В.В., Ламбакахар М.Г., Долгов В.В., Годков М.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Ройтман А.П., Кузнецова Т.Е., Бугров А.В., Евгина С.А., Шустов В.В., Ламбакахар М.Г., Долгов В.В., Годков М.А.</copyright-holder><copyright-holder xml:lang="en">Roytman A.P., Kuznetsova T.E., Bugrov A.V., Evgina S.A., Shustov V.V., Lambakakhar M.G., Dolgov V.V., Godkov M.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/4601">https://www.med-alphabet.com/jour/article/view/4601</self-uri><abstract><p>Обзор литературы посвящен обобщению имеющихся зарубежных и отечественных данных о новых подходах к оценке референтных интервалов (РИ) и обоснованию актуальности их применения в лабораторной практике. Обсуждаются преимущества и ограничения разных методов определения РИ. Приведен пример расчета РИ косвенным методом для тиреоидной панели наборами реагентов компании MINDRAY (Китай).</p></abstract><trans-abstract xml:lang="en"><p>The review focuses on summarizing information about new approaches to the assessment of reference intervals (RI) and substantiating the relevance of their further application in clinical practice. The article considers the concept of RI using the thyroid panel as an example. The advantages and limitations of alternative methods for determining RI are discussed kits MINDRAY.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>референтные интервалы</kwd><kwd>непрямой метод</kwd><kwd>тиреотропный гормон</kwd><kwd>тироксин</kwd><kwd>трийодтиронин</kwd></kwd-group><kwd-group xml:lang="en"><kwd>reference intervals</kwd><kwd>indirect method</kwd><kwd>markers of thyroid gland</kwd><kwd>thyrotropin</kwd><kwd>thyroxine</kwd><kwd>triiodothyronine</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">ГОСТ Р 53022.3–2008 «Технологии лабораторные клинические. Требования к качеству клинических лабораторных исследований. Часть 3. Правила оценки клинической информативности лабораторных тестов» (утв. приказом Федерального агентства по техническому регулированию и метрологии РФ от 18 декабря 2008 г. 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