Urine| Hair Follicle | Oral Fluid | Blood | ETG
Hair analysis is increasingly recognized as a robust means for detecting drug and alcohol consumption. Hair preserves a comprehensive timeline of alcohol and various drug usage by capturing biomarkers within the hair's growing strands. When gathered close to the scalp, hair can offer around a three-month detection timeframe for alcohol and other substances. It is easy to acquire, relatively hard to tamper with, and simple to transport.
Collecting a 1.5-inch segment of approximately 200 hair strands (about the size of a #2 pencil) nearest to the scalp yields around 100mg—the ideal amount for initial tests and confirmatory procedures. For EtG, additional analyses, or tests exceeding 10 panels, 150mg is advised. We suggest measuring the material using a jeweler’s scale. Should scalp hair be unavailable, an equal quantity of body hair might be utilized. When mentioning head hair, we are specifically referring to scalp hair. Body hair pertains to all other forms (facial, axillary, etc.).
Process Overview
The four primary stages in laboratory processing of drug test outcomes include Accessioning, Screening, Extraction, and Confirmation.
Accessioning encompasses the preliminary step of incorporating a sample into a lab's framework. This phase includes confirming that the sample was sealed and dispatched correctly, assigning it a random LAN (Laboratory Accessioning Number), and inputting any extra data not covered by an electronic chain of custody system.
Screening entails an initial check for the presence of drugs. Although Screening is an economical method to rule out drug use for most samples, a positive outcome needs confirmation to be considered valid in legal proceedings. Any samples deemed presumptively positive in Screening must undergo a secondary confirmation.
If a specimen shows presumptive positivity in the Screening step, additional hair is taken from the original sample and prepped for Extraction. In this process, drugs are removed from hair at much lower concentrations compared to other methods (like urine or oral fluid), rendering hair drug testing particularly challenging.
Any positive Screening results are confirmed via GC/MS, GC/MS/MS, or LC/MS/MS. All samples with presumptive positives undergo washing before confirmation if necessary. The comprehensive lab process from Accessioning to Confirmation adheres to the CAP (College of American Pathologists) Hair classification and meets ISO / IEC 17025 standards.
Benefits of hair drug testing:
Drawbacks:
Note: Although commonly called "hair follicle tests," the test evaluates the hair strand rather than the follicle beneath the scalp.
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