P1NP has replaced BALP as the preferred bonemarker for bone formation.
BALP is a less specific test and now only available by prior arrangement.
It may be useful in some research studies.
Department
Endo/Steroid Lab
Delphic Registration Code
BALP
Synonyms
Bone ALP
Ostase
Test Code
6556
Specimen Type
Serum
Plasma
Specimen Requirements
Tube/Container Type:
Preferred
Serum (Red Cap)
Acceptable
SST II (Gold Cap)
Lithium Heparin - Non-gel (Green Cap)
Lithium Heparin - Gel (Green Cap)
Preferred Sample Volume (ml)
2.0
No of Samples Required
1
Aliquot Instructions
Sample Type
Serum
Plasma
Minimum Volume (ml)
0.5
Transport to Lab
Frozen
If overnight - Frozen
Interpretation
1. This method is not interchangeable with other alkaline phosphatase assays. While it shows relatively low interference from the liver ALP isoenzyme, raised levels (liver ALP>110 U/L) may influence BALP results.
2. Results are not valid in the presence of EDTA. Samples will be screened for EDTA before BALP assay.