In a comment to "Getting around to Specificity", Mr. Idiot reaches some important understandings, and we post it for broader visibility. It's been a real slow couple of weeks, and what comments there have been are in topics lost down the page.
My basic understanding is now that LNDD's method of detecting the presence of exogenous testosterone is not "fit for purpose." This failure of the assay to be fit for purpose has come about because LNDD failed to take account of a key difference between the pre-IRMS testosterone test, and the GC/C/IRMS testosterone test.
Before IRMS (about 1997 at UCLA - I don't know exactly when LNDD got it, but certainly before 2003), testosterone was clearly a threshold substance. The T/E ratio had to cross the quantitative threshold of 6/1 (now 4/1). The key measurement was the AMOUNT of testosterone compared to the amount of epitestosterone.
In that context, TD2003IDCR makes perfect sense. In order to use GC/MS to detect exogenous testosterone you can identify and measure the amount of testosterone and epitestosterone with a GC/MS in Selected Ion Monitoring (SIM) mode. By monitoring three ions of each substance you are able to both clearly identify and quantify both T and epi-T. First you separate the substances with the GC, and then monitor the three key most abundant ions (i.e. the "diagnostic ions") of the proper GC peak with the MS.
The key thing to note here is that even if your GC separation is not perfect, or even if there is an indistinguishable perfectly co-eluting peak, leading to other substances in your GC peak, it does not invalidate your measurement. If the ratio of the three diagnostic ions is right (those are known ratios) then you know you have the right substance with no interference AT THOSE IONS. There maybe other things in that peak, but, when you are not using IRMS, it doesn't matter because you have identified and quantified your testosterone properly with the three diagnostic ions. Same for epi-T.
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(This is not really relevant to my present topic, but as it turns out LNDD only analyzed ONE diagnostic ion in their T/E test, so the arbs ruled their process violated TD2003IDCR and that the evidence of that test was without value. If that was the only test, the case would have been dismissed.)
Now, when TD2003IRCR was approved in 2003 IRMS was still relatively new, and not all WADA labs had an IRMS machine. When TD2004IAAS became effective in August of 2004, IMRS was still officially an "add on" - that is, if the T/E confirmation test, describe roughly above, was not conclusive, then an IRMS test was recommended. Thus TD2003IDCR was written so that administration of exogenous testosterone could still be confirmed without IRMS - and, in fact, as best I can tell, that is still the situation today. That said, even WADA understands that the IRMS test is much more conclusive when done properly.
So, historically speaking, you have the situation in which GC/MS works "fine" (at least by WADA standards), and then, at different times in different labs, the IRMS test is added as an additional piece of evidence.
Now, what LNDD apparently did when they added the IRMS test to their arsenal, was to continue to do the GCMS test the same way they had before - with SIM - the way it had been perfectly effective before, and, importantly, a way it is perfectly in line with TD2003IDCR.
HOWEVER, when the IRMS test is added to the GCMS test, the GCMS test must be done a little differently. Of course, you are analyzing metabolites of testosterone, not T itself, but that is not important here. The key thing is that SIM no longer does the job you need done. For GC/C/IRMS you not only need to know that there is substance x in a given GC peak, but you also need to know that there is nothing else in addition to substance x in the peak. SIM mode does not tell you this. Only doing a full ion scan of a given peak will tell you this. That is, you have to monitor not just three diagnostic ions, but all ions present in the peak because all the ions are going to the IRMS. Remember for the T/E test, it didn't matter if other stuff was present. The SIM/three diagnostic ions told you everything you needed to know. But doing the same thing as part of the IRMS test is not good enough. It does not give you the information you need.
So, if the GCMS part of GC/C/IRMS is done in SIM mode then the whole assay is not fit for purpose, even though, for "historical" reasons, it is probably technically allowed according to TD2003IDCR.
The wise reader will ask why WADA has not yet recognized and fixed this problem. Well, I can only guess that it is because, prior to the Landis case, no lab had run the GC/C/IRMS assay in exactly this way. You see, while TD2003IDCR says that SIM mode is acceptable, it also says the "preferred method" is to use full scan mode. And if you run the assay with this full scan mode then you have the conclusive evidence you need that you have measured the right stuff in the IRMS. I imagine that other labs have either not done IRMS or have done IRMS with the GCMS part done in full scan mode. Dr. Goldberger testified at the hearing that he had seen lab documentation packages from the UCLA lab and they included the full scan data for the T/E test - and if they did it for that, they would surely do it for the GCMS part of the GC/C/IRMS test also.
So, why didn't Landis' legal team press this particular issue at the hearing - that the way LNDD does the GCMS part of the IRMS test makes the assay not fit for purpose? Well, one answer is that, as Larry said above, that is a very difficult legal argument to make given the nature of the controlling documents. Especially given that the way LNDD does it appears to be okay according to TD2003IDCR. The truth is that TD2003IDCR has inadequately accounted for the nature of the IRMS test - leaving the "loop hole" of running SIM mode open, even when doing IRMS.
Another answer as to why Landis' legal team didn't press this at the hearing is to say that "They did, sort of." This is exactly what they were trying to get at with all the arguments about good chromatography. If they could not use (the inadequate) TD2003IDCR to prove an ISL violation, they had to get at the issue another way. If they could show that there was a some degree of likelihood of other material in the peaks of interest, then that should have raised enough questions to prove an ISL violation of the "matrix interference" bullet of ISL 5.4.4.2.1. But there are two problems with that approach - ISL 5.4.4.2.1 has weak language ("should" rather than "shall"), and also that there are no cut and dried criteria for what constitutes good or bad chromatography. The arbs, who did NOT understand the critical flaw in applying TD2003IDCR to IRMS, allowed the use of SIM to stand, with mediocre chromatography, because "should" does not mean "shall."
And this is where the "threshold substance" vs. "non-threshold substance" argument comes in. The way the IRMS test works, clearly testosterone SHOULD be a threshold substance, and the stronger language included in ISL 5.4.4.2.2 should apply. But because WADA has not yet admitted the fatal flaw in applying TD2003IDCR to the IRMS test, both Landis' legal team and the arbs assume that testosterone is a non-threshold substance and the weaker language of 5.4.4.2.1 applies.
There is more to talk about with regard to what exactly could be in those peaks of interest other than what should be there, but that's obviously enough for now.
Bottom line is that LNDDs method of using the SIM mode for the GCMS part of the GC/C/IRMS test makes the assay not "fit for purpose."
Oh, I just have to add one more thing - about ISO certification. This apparent technical adherence to TD2003IDCR is why LNDD could get ISO re-certification for its IRMS test just six months before Landis' tests. ISO certification does not assure that the test really does what it is supposed to do. It only assures that the test is in line with the controlling documents. If those documents are flawed, that's not ISO's fault.
SYI
We've noted before that the WADA system appears to have no body responsible for "fitness for purpose" review of test protocols. If a dunking stool were used for determination, and it's execution were to the letter of the SOP, ISO would be OK with it.
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