TY - JOUR PY - 2019// TI - Can a threshold for 11-nor-9-carboxy-Δ9 -tetrahydrocannabinol in hair be derived when its respective concentration in blood serum indicates regular use? JO - Drug testing and analysis A1 - Zinka, B. A1 - Epple, S. A1 - Schick, S. A1 - Skopp, G. A1 - Graw, M. A1 - Musshoff, F. SP - 325 EP - 330 VL - 11 IS - 2 N2 - A 100 μg/L or higher concentration of 11-nor-9-carboxy-Δ9-tetrahydrocannabinol (THC-COOH) in blood serum is generally assumed to be associated with regular and/or heavy use of cannabis. At present, determination of the extent of cannabis use by means of the concentration of THC-COOH in hair has not been assessed. Therefore, we aimed at establishing a threshold for THC-COOH concentrations in hair to prove frequent consumption by comparing THC-COOH concentrations in 129 corresponding serum and hair samples, respectively. The concentration of THC-COOH in the serum was analysed by gas chromatography/mass spectrometry and in the hair by liquid chromatography/tandem mass spectrometry. Data were statistically evaluated using receiver operating characteristic curves and contingency tables. Our results suggest that a THC-COOH concentration of ≥ 4.2 pg/mg in hair was always accompanied by a THC-COOH concentration of at least 100 μg/L in blood serum. Should this be confirmed by further studies of a larger study population, a hair concentration of 4.2 pg/mg THC-COOH can be set as a threshold to predict regular and/or heavy consumption of cannabis even if no corresponding blood sample is available for analysis.

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Language: en

LA - en SN - 1942-7603 UR - http://dx.doi.org/10.1002/dta.2496 ID - ref1 ER -