Biological markers of substantial alcohol consumption (according to Allen and Litten, 2001)

Advantages Disadvantages Cut-off Cost
CDT, carbohydrate-deficient transferrinModerate to high sensitivity.* Relapse marker. Excellent specificity, half life of 15 days.Weak sensitivity in women and adolescents.
Expensive test. Sophisticated methodology.
Variable according to the method: 6% CDT in RIA.**High
GGT, gamma glutamyltransferaseModerate to high sensitivity.*
Easy to use.
Good acceptability.
Many false positives.
Poor relapse indicator.
50 IU/LLow
ASAT, aspartate aminotransferaseHalf-life of 2 to 3 weeks.
Easy dosing. Good acceptability.
Low sensitivity.
Many false positives.
45 IU/LLow
ALAT, alanine aminotransferaseHalf-life of 2 to 3 weeks.
Easy dosing. Good acceptability.
Low sensitivity.
Many false positives.
50 IU/LLow
MCV, mean corpuscular volumeLow cost.
Good acceptability.
Low sensitivity.
Many false positives.
Long half-life (several months).
98%Low

* In the capacity to distinguish alcoholics from teetotallers and moderate social drinkers.

** Radio-immunoassay.

From: Alcohol: Social damages, abuse, and dependence

Cover of Alcohol: Social damages, abuse, and dependence
Alcohol: Social damages, abuse, and dependence [Internet].
INSERM Collective Expertise Centre.
Copyright © 2003, Institut national de la santé et de la recherche médicale (INSERM)

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