Evidence map›Paper›PMID 30091720›Full record

ArticlePhysiological measurement2018

Validation of x-ray fluorescence measurements of metals in toenail clippings against inductively coupled plasma mass spectrometry in a Nigerian population<sup/>.

Aaron J Specht, Kale Kponee, Kpobari W Nkpaa, Prentiss H Balcom, Jennifer Weuve, Linda H Nie, Marc G Weisskopf

Abstract readValidation Study
In one paragraph

Article in Physiological measurement, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Ways to Measure Metals: From ICP-MS to XRF.Current environmental health reports · 2025
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Toenail Metal Exposures in Fishermen from Bodo City, Nigeria.Bulletin of environmental contamination and toxicology · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Aaron J SpechtHarvard T.H. Chan School of Public Health, Boston, MA, United States of America.ORCID 0000-0002-3342-1229
Kale KponeeHarvard T.H. Chan School of Public Health, Boston, MA, United States of America.
Kpobari W NkpaaUniversity of Port Harcourt, Faculty of Science, Port Harcourt, Rivers State, Nigeria.ORCID 0000-0003-0347-2348
Prentiss H BalcomHarvard John A. Paulson School of Engineering and Applied Sciences, Cambridge, MA, United States of America.
Jennifer WeuveBoston University School of Public Health, Boston, MA, United States of America.
Linda H NiePurdue University School of Health and Human Sciences, West Lafayette, IN, United States of America.
Marc G WeisskopfHarvard T.H. Chan School of Public Health, Boston, MA, United States of America.
Harvard University · USBoston University · USPurdue University West Lafayette · USUniversity of Port Harcourt · NG

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI SUSAN A KORRICK · 1985 to 2026
$44.6M
Validation of Portable XRF for In Vivo Measurement of Heavy Metal ExposuresR21ES024700 · NIEHS · RUSH UNIVERSITY MEDICAL CENTER · PI NIE, LINDA H, WEISSKOPF, MARC G · 2015 to 2018
$712k
NIEHS NIH HHS P30 ES000002NIEHS NIH HHS R21 ES024700
6 · The paper itself

Abstract

objectiveMetal exposures have been linked with many adverse health outcomes affecting nearly every system in the body. Exposure to metals has been tracked primarily using blood. Blood metal concentrations have drawbacks as biomarkers stemming from the metals' short biologic half-lives, shipping and storage requirements, and invasive collection procedures. Toenails, which capture a longer exposure period, can be collected non-invasively and stored at room temperature, and can be more feasible and cost-effective for large-scale population studies. APPROACH: Inductively coupled plasma mass spectrometry (ICP-MS) has been used for analysis of toenail metal concentrations, but x-ray fluorescence (XRF) has many advantages in versatility and cost effectiveness over these analyses. This study compared toenail concentrations of manganese (Mn) and lead (Pb) measured with XRF against ICP-MS, in samples collected from 20 adults in Nigeria. To do this we developed a novel calibration method that corrects XRF measurements for toenail weight and thickness to reduce the variability in XRF measurements of toenail clippings. MAIN

resultsWe found a high correlation (R  =  0.91) between toenail manganese metal measurements made with XRF and ICP-MS and a correlation of (R  =  0.32) between toenail lead XRF and ICP-MS with over half of the lead results below the detection limit of the instrumentation. SIGNIFICANCE: XRF can be used effectively to quantify metals at the part per million level or lower depending on the XRF equipment used in the measurements.

Indexed as

CalibrationHumansMass SpectrometryMetalsNailsNigeriaSpectrometry, X-Ray EmissionMetals

Identifiers

PMID30091720
PMCPMC6156793
OpenAlexW2885492081

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.