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Analytical Methods in Clinical Chemistry: A Complete Overview

Analytical Methods in Clinical Chemistry: A Complete Overview

Analytical methods of clinical chemistry in a modern laboratory

Clinical chemistry brings together dozens of analytical methods, each responsible for its own class of biomarkers — from electrolytes and proteins to hormones, drugs and trace elements. Understanding which method underlies a particular test helps you equip the laboratory properly, choose the right equipment and ensure reliable results. In this overview, we examine 12 key analytical technologies of modern clinical chemistry and link to detailed articles on each method.

12 Analytical Methods in Clinical Chemistry

MethodWhat it measuresTypical analytes
HPLCSeparation of non-volatile compoundsVitamins, drugs, HbA1c
LC-MS/MSHighly sensitive quantificationSteroids, metabolites, TDM
GC / GC-MSAnalysis of volatile compoundsToxicology, fatty acids
UV-Vis photometryLight absorptionSubstrates, enzymes
Flow cytometrySingle-cell analysisImmunophenotyping, CD markers
CoagulometryHemostasis parametersPT, aPTT, fibrinogen
ImmunoturbidimetryLight scattering in solutionCRP, specific proteins
NephelometryLight scattered at an angleImmunoglobulins, complement
Electrochemistry / ISEElectrode potential/currentElectrolytes, blood gases
Ligand-binding assays (ELISA/CLIA)Antigen-antibody reactionHormones, markers, infections
AASAtomic absorptionHeavy metals, trace elements
ICP-MSInductively coupled plasma mass spectrometryMulti-element trace analysis

Below is a brief description of each group of methods, with links to detailed articles.

Chromatography: HPLC, LC-MS/MS, GC-MS

Chromatographic methods separate complex mixtures into individual components. HPLC is indispensable for non-volatile compounds (vitamins, HbA1c, drugs), GC-MS for volatile substances in toxicology, and LC-MS/MS has become the gold standard for quantifying steroids and metabolites and for therapeutic drug monitoring (TDM) thanks to its combination of selectivity and sensitivity.

Learn more: What Is Chromatography? and Mass Spectrometry: How It Works.

Spectrophotometry and Elemental Analysis: UV-Vis, AAS, ICP-MS

UV-Vis photometry is the foundation of routine clinical chemistry: light absorption measurement underlies most enzyme and substrate assays. AAS and ICP-MS handle the determination of metals and trace elements: atomic absorption is suited to individual elements, while inductively coupled plasma mass spectrometry provides multi-element analysis at trace concentrations.

Learn more: UV-Vis spectrophotometers and ICP-MS: trace element analysis.

Immunology and Cell Analysis

Flow cytometry analyzes cells one at a time, determining their size, granularity and surface markers — the basis of immunophenotyping. Ligand-binding assays (ELISA/CLIA) use the antigen-antibody reaction to quantify hormones, tumor markers and infectious disease markers. Immunoturbidimetry and nephelometry measure light scattering by antigen-antibody complexes to determine specific proteins.

Learn more: Flow Cytometry in Clinical Diagnostics, Immunoassays: ELISA, CLIA and ligand-binding methods and Immunoturbidimetry and Nephelometry.

Hemostasis and Electrochemistry

Coagulometry measures blood clotting parameters (PT, aPTT, fibrinogen) using optical and mechanical methods. Electrochemical methods and ion-selective electrodes (ISE) determine electrolytes and blood gases from changes in electrode potential or current — the standard for potassium, sodium, chloride and acid-base status analysis.

Learn more: Coagulometry and Hemostasis Testing and Electrochemical Methods and Ion-Selective Electrodes.

Frequently Asked Questions

How many methods are used in clinical chemistry?
Modern clinical chemistry relies on dozens of methods. This overview covers 12 key groups, from chromatography and mass spectrometry to flow cytometry, coagulometry and elemental analysis.
Which method is the most sensitive?
LC-MS/MS leads for quantifying trace concentrations of organic compounds, and ICP-MS for elemental analysis. The choice always depends on the specific analyte and matrix.
How do I choose equipment for the methods I need?
Start from your list of analytes, the required throughput and your accreditation standards. KombiMED helps configure equipment to your laboratory's needs — contact KombiMED.

Equipping a Clinical Chemistry Laboratory

KombiMED GmbH is an independent procurement and market access partner for laboratory equipment from Europe. We help select analyzers and instruments for the full range of clinical chemistry methods and provide delivery, commissioning and staff training in Central Asia, the Caucasus, Eastern Europe, the Baltics, the Middle East and North Africa.

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