Application Note: 350 Rapid Quantitative and Confirmational Screening for Drugs in Race Horse Urine by ESI-LC-MS/MS and MS3 Patrick Russell,1 Paul Steinberg,2 Mary L. Blackburn,2 Diane Cho,2 Robert Heather2 1 University of Florida, Racing Laboratory, Gainesville, Florida; 2Thermo Fisher Scientific, San Jose, California Key Words • LTQ™ • Confirmation • Drug Screening • MS3 • Quantitation Introduction Experimental Conditions Drugs of abuse in the horse racing industry encompass a variety of chemical classes and are typically analyzed from a complex urine matrix. These factors render the rapid and effective diagnostic screening of these drugs at low levels difficult. Traditionally, quantitation has been performed by triple quadrupole mass spectrometry using reaction monitoring (SRM) mode. However, this method does not monitor structurally diagnostic fragmentation. Thus, a second step involving derivatization and GC/MS confirmation was required. Sample Preparation Goal To develop a simple and fast, yet rugged LC/MS based method capable of simultaneous qualitative and quantitative analysis. We have evaluated the application of the Thermo Scientific LTQ linear ion trap mass spectrometer for providing low levels of detection, good reproducibility, and wide linear dynamic range required for reliable quantitation, with simultaneous structural confirmation using diagnostic full-scan MS/MS or MS3 mass spectrometry. Standards and Unknowns: Standards of the compounds listed in Table 1 were prepared neat and in urine. Urine standards and unknowns were spiked, dried, and reconstituted with 90% water and 10% acetonitrile with 0.1% acetic acid. Typical Instrument Setup settings are shown in Figure 1. HPLC HPLC System: Thermo Scientific Surveyor™ LC system Column: Thermo Scientific BETASIL™ C18, 3 µm, 100 × 2.1 mm Flow Rate: 350 µL/min Injection Volume: 10 µL (full loop) Mobile Phase: (A) Water with 0.1% acetic acid (B) Acetonitrile with 0.1% acetic acid Gradient: 92% A to 90% B. MS Mass Spectrometry: Thermo Scientific LTQ linear ion trap mass spectrometer API Source: Thermo Scientific Ion Max™ source with electrospray ionization (ESI) probe Ion Transfer Capillary: 220 °C; Sheath Gas: 30 units Auxiliary Gas: 0 units; Sweep Gas: 20 units Spray Voltage: 4.5 kV; Isolation Width: 3 amu Normalized Collision Energy™: 28% WideBand Activation™: Applied as needed (see Table 1) Ion Polarity Mode: positive or negative (see Table 1) Results Quantitation Calibration curves were established using neat standards based on ion intensities from full-scan MS/MS chromatograms. Chromatograms for all the compounds listed in Table 1 were obtained in a single chromatographic run at each concentration. Figure 2 shows reconstructed ion chromatograms (RICs) from the analysis of the 50 pg/µL standards. The MS/MS spectra for all the drugs, with the exception of ketoprofen, are shown in Figure 3. The MS/MS spectra were generated using a Normalized Collision Energy of 28%. The use of Normalized Collision Energy alleviates the necessity to optimize the collision energy for each compound as is necessary in traditional triple-quadrupole analysis, thus making this method extremely easy to set up and run. Compounds that underwent a non-specific water loss were additionally fragmented using WideBand Activation (see Table 1). This mode of fragmentation results in information-rich spectra enabling structural confirmation without requiring an additional MS3 transition. The compound ketoprofen undergoes a neutral loss outside of the WideBand Activation window and was selected for an MS/MS to MS3 comparison study and is discussed later. Chromatographic and mass spectrometric methods were validated using the neat standards; subsequently the experiments were repeated using standards in horse urine. The RICs from these experiments are shown in Figure 4. Using the RICs, calibration curves were created for each of the compounds either neat (Figure 5) or in urine matrix (Figure 6). The calibration curves were linear over the three orders of magnitude assayed. In addition to demonstrating linearity, the quantitative results shown in Tables 2 and 3 demonstrate excellent reproducibility. 2 SEGMENT RT 1 3.40 4.44 4.56 2 5.58 5.71 6.02 6.20 6.49 3 7.20 4 8.95 9.60 10.16 5 11.28 11.33 11.93 12.05 ID# COMPOUND 416 417 152 071 089 107 198 311 614 117 481 499 216 130 175 235 Theobromine Theophylline Dyphylline Caffeine Chlorothiazide Cromolyn-Na Hydroclorothiazide Pemoline Petoxifyline Dexamethasone Boldenone Ketoprofen† Indomethacin Diclofenac Flufenamic Acid Meclofenamic Acid M/Z WB 181.0 181.0 255.1 195.1 -293.9 469.2 ✔✔✔ -295.8 177.0 279.1 393.1 ✔ 287.1 ✔ 255 (209) 358.0 295.9 ✔ 282.1 295.9 ✔ RIC 137 + 163 + 181 124 + 137 181 138 214 + 215 245 205 + 232 + 269 106 181 355 + 337 + 319 121 + 135 + 173 209 (105 + 194) 139 + 174 215 + 250 264 242 + 243 † Ketoprofen was analyzed by both MS/MS and MS3 for comparison study. 4 WB denotes use of wideband activation during MS/MS fragmentation. Table 1: List of target compounds; corresponding RT (retention time), segment (method segment see Figure 1), m/z denotes isolation mass and Ion Polarity, WB–WideBand Activation, RIC–masses used in generation of Reconstructed Ion Chromatograms for quantitation. Figure 1: Instrument Setup settings for chlorothiazide (segment 2, scan event 2) and cromolyn-Na (segment 2, scan event 3) RT: 2.99 100 RT: 5.97 100 50 50 50 RT: 4.25 0 Theobromine Boldenone 0 Cromolyn-Na 0 RT: 4.24 100 RT: 9.60 100 RT: 10.15 100 RT: 6.08 100 50 50 Ketoprofen 50 RT: 3.01 Theophylline 0 100 Hydrochlorothiazide 0 100 RT: 4.36 50 0 100 RT: 6.45 50 Dyphylline Pemoline 0 100 RT: 5.46 50 0 100 RT: 5.57 50 Flufenamic Acid 0 100 RT: 12.06 50 Meclofenamic Acid Dexamethasone Chlorothiazide 3 RT: 11.95 50 RT: 8.95 50 0 Diclofenac 0 100 Pentoxifylline Caffeine RT: 11.34 50 RT: 7.18 50 0 100 Indomethacin 0 100 50 0 100 RT: 11.28 0 4 5 Time (min) 0 6 6 7 8 Time (min) 9 10 11 Time (min) 12 Figure 2: Reconstructed ion chromatograms, using the product ions listed in Table 1 (RIC column), from the analysis of 10 µL of the 50 pg/µL standards in solvent Theobromine Theophylline 162.97 100 80 137.01 60 40 Meclofenamic Acid Dyphylline 123.95 100 180.93 100 Dexamethasone 242.95 100 355.03 100 80 80 80 60 60 60 40 40 40 80 241.92 60 337.03 319.08 40 139.88 180.99 20 157.88 110.01 100 20 197.79 0 150 m/z 200 Hydrochlorothiazide 100 163.02 181.03 150 m/z 200 100 150 200 20 100 250 177.30 150 181.03 200 m/z 250 200 300 80 80 60 60 60 60 60 40 40 40 100 150 20 231.94 159.78 0 295.88 200 m/z 250 100 300 Diclofenac 148.93 177.03 20 138.01 0 150 m/z 200 100 150 200 m/z 250 100 300 200 300 100 Cromolyn-Na 293.87 100 100 80 80 80 60 60 60 60 40 40 40 40 40 20 20 20 20 165.12 214.99 254.62 134.02 0 100 150 200 m/z 250 300 100 150 196.79 200 m/z 247.16 250 264.96 300 164.76 0 100 150 200 m/z 186.81 200 m/z 0 250 300 200 276.88 300 20 262.97 229.92 250 137.97 100 60 107.95 150 Caffeine 244.91 80 213.86 241.07 0 80 0 186.97 199.02 339.67 0 m/z 263.94 100 172.97 20 311.96 201.97 261.04 Chlorothiazide Flufenamic Acid 249.86 100 221.01 135.02 40 138.88 20 135.86 0 400 Boldenone 100 80 20 300 m/z 80 204.92 356.96 0 174.00 100 237.03 148.92 249.92 227.82 Indomethacin Pentoxifyline 100 309.10 20 150.22 0 m/z 105.93 100 236.99 219.04 240.10 130.08 156.03 0 80 40 Relative Abundance 137.02 Pemoline 268.88 100 20 119.98 0 300 m/z 424.89 505.47 400 500 109.93 138.98 177.00 195.01 0 100 150 m/z 200 Figure 3: Full-scan MS/MS spectra corresponding to compounds depicted in Figure 2 3 RT: 3.06 100 100 100 RT: 5.98 50 50 0 100 0 100 RT: 9.60 Cromolyn-Na Theobromine Boldenone 50 0 3.06 RT: 4.28 50 100 RT: 10.14 RT: 6.11 50 Hydrochlorothiazide Theophylline 50 Ketoprofen 0 100 0 RT: 11.30 0 100 100 RT: 4.41 0 100 50 RT: 6.45 Pemoline (not found) Dyphylline 50 0 100 50 RT: 11.35 Diclofenac 50 0 100 RT: 5.50 Indomethacin RT: 7.17 0 Caffeine 50 Pentoxifylline 50 RT: 11.95 100 Flufenamic Acid 50 0 100 0 100 RT: 5.63 0 100 50 50 Chlorothiazide Dexamethasone (not found) 0 0 3 4 5 RT: 12.07 50 Meclofenamic Acid 0 6 6 7 Time (min) 8 10 9 11 Time (min) 12 Time (min) Figure 4: Reconstructed ion chromatograms, using the product ions listed in Table 1 (RIC column), from the analysis of a 10 µL injection of the 50 pg/µL standard in horse urine Y = 18.5962+131.036*X R^2 = 0.9986 25000 Theobromine 12000 Y = -233.655+246.415*X R^2 = 0.9994 Y = 4568.38+224.452*X R^2 = 0.9974 Y = -79.8728+249.537*X R^2 = 0.9998 14000 Theophylline Theobromine 800000 20000 Theophylline 150000 6000 Area 600000 15000 Area 8000 Area Area 10000 10000 400000 5000 200000 50000 4000 0 0 0 20 40 60 80 Y = -399.929+957.285*X R^2 = 0.9997 100000 20 40 60 80 100 80000 2000 3000 300000 20000 200000 20000 10000 60 80 100 Caffeine 500000 100000 0 0 0 20 40 60 Figure 5: Representative calibration curves from standards prepared in solvent 80 300000 200000 0 40 600 Y = 1103.78+772.157*X R^2 = 0.9996 Dyphilline 100000 0 20 400 400000 40000 0 200 400000 30000 0 0 4000 500000 40000 Area 1000 Y = 9455.91+862.639*X R^2 = 0.9993 600000 Caffeine 50000 60000 0 Y = -604.499+521.811*X R^2 = 0.9991 Dyphilline 0 0 0 100 Area 2000 4 100000 200 400 600 0 200 400 100 Figure 6: Representative calibration curves from standards prepared in horse urine 600 MS3 experiment was performed to generate additional diagnostic ions without sacrificing sensitivity or reproducibility. To demonstrate this, standards and two urine QC samples were analyzed in both MS/MS and MS3 mode, with results shown in Figure 7. There is no loss of sensitivity, accuracy, or reproducibility in obtaining this additional information. The %RSD from the MS/MS and MS3 data are virtually identical. While the sensitivity remains unchanged, the accuracy in the analysis of the unknowns is actually improved in the MS3 experiments (see Figure 7). The %RSD for three replicate injections is less than 10% for all neat standards at the 1 pg/µL level and higher (see Table 2). The results for standards in urine were also excellent. The %RSD, five replicate injections, for the lowest level assayed in urine was less than 10% for most analytes (see Table 3), and commonly less than 3% for mid- and high-concentration samples. To complete the quantitative study, two QC urine samples were analyzed. The results shown in Table 4 demonstrate a high level of quantitation accuracy, with a deviation of less than 10% for most analytes. In addition, excellent reproducibility was demonstrated with the %RSD being less than 8% for all but two compounds (see Table 4). Robustness To assess the ruggedness of the method, a 166 pg/µL standard in horse urine was assayed over 100 consecutive injections. The results are displayed in Figure 9. The mean and coefficient of variation (%CV) for four compounds: theobromine, caffeine, pentoxyphylline, and ketoprofen were determined to be less than 4% for all four compounds. Ketoprofen – MS/MS vs. MS3: Ketoprofen undergoes a neutral loss of a 46 amu fragment in MS/MS mode due to the loss of the carboxyl group (see Ketoprofen structure). This is outside of the mass window for WideBand Activation and thus, an RT: 10.15 Relative Abundance 100 208.97 SN: 2857 100 100 SN: 2166 80 80 80 80 60 60 60 60 40 40 20 20 40 20 130.99 181.03 166.03 194.65 76.96 0 Time (min) 10.0 0 10.5 11.0 0 0 100 150 200 Time (min) 10.0 250 193.96 40 MS 3 : 255 209 MS/MS: 255 20 104.94 100 10.5 11.0 100 m/z 150 200 250 m/z AREA KETOPROFEN CAL. CONC. %RSD KETOPROFEN - MS3 AREA CAL. CONC. %RSD 20350 19635 3.3 pg/µL 20281 20046 19185 6.073 5.751 6.042 5.936 5.548 8205 8012 3.75% 8201 7928 8137 3.874 3.636 3.87 3.531 3.79 45386 43015 16.6 pg/µL 44934 42855 42111 17.362 16.293 17.158 16.221 15.885 17551 18007 3.86% 17120 17380 17830 15.425 15.988 14.892 15.214 15.769 90353 87917 41.6 pg/µL 87285 91348 87594 37.637 36.539 36.254 38.086 36.393 37454 36469 2.23% 37773 36210 37289 40.022 38.805 40.417 38.485 39.818 2.09% 762536 760825 33.3 pg/µL 755161 762369 733111 340.72 339.948 337.394 340.644 327.452 279903 278910 1.67% 270466 282912 284341 339.663 338.436 328. 343.382 345.147 1.97% 1447518 1482572 650 pg/µL 1505908 1505854 1466808 649.573 665.378 675.901 675.876 658.27 554232 519271 1.72% 551821 552697 533792 678.703 635.495 675.723 676.806 653.441 Ketoprofen Ketoprofen-MS 3 Y = 8058.18+2201.79*X R^2 = 0.9996 Y = 4911+812.486*X R^2 = 0.9993 600000 1500000 500000 Area 4.05% 400000 1000000 Area SAMPLE 300000 200000 500000 100000 0 0 2.82% 0 200 400 0 600 200 41.6 41.6 38.0 41.7 91.4% 100.2% 1.22% 1.26% 600 Unknown 2 L) µ . / e (pg onc enc SD fer l. C nc. %R Dif Ca Co Unknown 1 L) µ . / e (pg onc enc SD fer l. C nc. %R Dif Ca Co Ketoprofen Ketoprofen - MS3 400 104.1 104.1 104.6 106.1 100.5% 101.9% CH3 O CH – C – OH O C 2.86% Figure 7: Comparison of MS/MS to MS3 quantitation of Ketoprofen Ketoprofen 5 1.53% 2.05% AVERAGE AREA AVERAGE CALC. CONC %RSD AVERAGE AREA 0.1 pg/µL Theobromine Theophylline Dyphylline Caffeine Chlorothiazine Cromolyn-Na Hydroclorothiazide Pemoline Petoxifyline Dexamethasone Boldenone Ketoprofen Indomethacin Diclofenac Flufenamic Acid Meclofenamic Acid AVERAGE CALC. CONC %RSD AVERAGE AREA 0.5 pg/µL 72 0.49 0.52% 427 1 2.40% 176 0.25 42.33% 75 456 0 1 24.53% 1.28% 102 793 0.34 -0.32 18.81% 3.79% 219 315 -0.01 0.60 14.44% 7.64% 64 310 14 0.30 0.22 0.18 11.55% 13.97% 17.51% 400 4308 479 1261 1191 103 281 892 61 1 0 0 0 1 1 1 1 1 11.86% 1.86% 2.45% 1.97% 9.43% 11.11% 8.84% 2.52% 41.26% 234 784 149 917 255 780 8319 1017 2471 2381 212 475 1780 113 Table 2: Quantitation results for standards prepared in solvent Theophylline (A) Dyphylline (A) Caffeine (A) Chlorothiazine (A) Hydroclorothiazide (A) Pentoxifylline (A) Boldenone (A) Ketoprofen (A) Ketoprofen – MS3 (A) Indomethacin (A) Diclofenac (A) Meclofenamic Acid (A) AVERAGE AREA AVERAGE CALC. CONC 3.3 pg/µL 1129 9832 6330 1798 2487 122524 13426 19899 8097 1087 2577 290 6 5 6 7 7 -2 7 6 4 2 3 7 %RSD 10.48% 1.94% 6.86% 5.99% 3.07% -6.01% 2.77% 3.75% 4.05% 28.26% 2.37% 10.78% AVERAGE AREA AVERAGE CALC. CONC 16.6 pg/µL 2540 22461 15401 3834 5684 296023 33942 43660 17578 2382 5355 447 17 17 18 17 18 16 19 17 15 13 13 10 6.6 pg/µL Cromolyn-Na (B) Flufenamic Acid (B) 11298 3442 9 15 6293 51 2.70% 3.59% 30183 7763 5185 44917 30016 7967 11276 605430 58628 88899 37039 6442 14471 2130 38 39 37 37 38 49 35 37 40 48 46 44 27 21 1.86% 17288 92 %RSD AVERAGE AREA AVERAGE CALC. CONC 333.3 pg/µL 2.82% 0.98% 2.14% 0.94% 2.02% 2.36% 2.21% 2.23% 2.09% 4.05% 4.62% 2.92% 45170 322434 258749 70426 92748 3152583 593649 754801 279306 35792 78597 6086 334 334 336 334 331 332 334 337 339 332 332 122 83.3 pg/µL 1.08% 1.84% 88171 55407 100 pg/µL Table 3: Quantitation results for standards prepared in horse urine 6 5.53% 2.73% 4.94% 5.48% 2.05% 3.35% 1.55% 3.86% 2.82% 6.78% 5.46% 22.75% AVERAGE CALC. CONC 41.6 pg/µL 33.4 pg/µL 20 pg/µL Theobromine (C) %RSD AVERAGE AREA 83 88 51615 222 2.11% 2.24% 1.20% 1.24% 1.39% 0.97% 1.24% 1.67% 1.97% 2.61% 2.94% 16.84% 333.3 pg/µL 0.80% 2.44% 698392 135790 250 pg/µL 3.23% %RSD 675 200 2.40% 13.92% 2000 pg/µL 1.58% 471898 2009 0.77% AVERAGE CALC. CONC %RSD AVERAGE AREA 1.0 pg/µL AVERAGE CALC. CONC %RSD AVERAGE AREA 5.0 pg/µL AVERAGE CALC. CONC %RSD AVERAGE AREA 10 pg/µL AVERAGE CALC. CONC %RSD AVERAGE AREA 50 pg/µL AVERAGE CALC. CONC %RSD 100 pg/µL 1 1 1.79% 3.10% 625 1208 4359 2330 5 5 5 6 0.47% 2.58% 0.91% 5.03% 1222 2408 8593 3912 9 10 9 9 2.55% 2.52% 0.72% 3.15% 6856 12207 46667 26131 52 49 49 51 0.41% 1.36% 1.47% 0.85% 12993 24967 95782 51308 99 100 100 99 1.43% 0.66% 1.13% 1.07% 1 1 1 1 1 1 1 1 1 1 1 1 22.14% 5.66% 7.88% 3.65% 1.13% 5.52% 5.08% 7.15% 2.78% 8.40% 6.92% 7.84% 645 4672 1170 3774 44808 5758 12325 11906 212 2382 8546 641 4 5 5 5 5 5 5 5 1 5 5 5 13.31% 7.11% 11.66% 2.79% 0.56% 1.14% 2.25% 1.22% 2.78% 1.20% 0.39% 7.97% 1294 8889 2663 8117 93532 11952 23958 22945 2259 4712 17468 1446 9 9 10 10 10 10 10 10 10 10 10 10 4.88% 2.63% 2.83% 1.35% 1.05% 0.47% 1.07% 3.13% 2.80% 3.18% 2.60% 12.83% 7711 49369 13545 42321 474442 60483 120812 119082 11565 24920 90104 7294 53 51 50 50 53 51 50 48 50 50 50 51 2.66% 3.40% 1.19% 0.62% 2.08% 2.69% 1.33% 1.17% 1.77% 1.14% 0.36% 1.39% 14231 96148 26856 84890 877603 118294 238560 253903 23189 50161 178996 14337 98 100 100 100 98 100 100 101 100 100 100 100 1.10% 1.12% 2.72% 1.79% 1.77% 1.68% 1.68% 0.46% 0.18% 2.06% 1.28% 0.21% AVERAGE AREA 96129 575760 511382 143677 186723 5840616 1301762 1481732 542362 61378 122821 7065 AVERAGE CALC. CONC 650 pg/µL 667 667 666 666 668 667 666 665 664 667 668 142 %RSD 1.31% 3.71% 1.21% 0.54% 1.64% 0.95% 1.22% 1.72% 2.86% 1.74% 2.18% 10.74% QC Sample ) . /µL e g p ( onc enc SD fer l. C nc. %R Dif Ca Co 1350 pg/µL 88842 170496 84 249 2.10% 10.77% 4000 pg/µL 825323 3998 1.85% Theobromine (C) 250.0 Theophylline (A) 41.6 Dyphylline (A) 41.6 Caffeine (A) 41.6 Chlorothiazine (A) 41.6 Cromolyn-Na (B) 83.3 Hydroclorothiazide (A) 41.6 Pentoxifylline (A) 41.6 Boldenone (A) 41.6 Ketoprofen (A) 41.6 Ketoprofen – MS3 (A) 41.6 Indomethacin (A) Diclofenac (A) Flufenamic Acid (B) Meclofenamic Acid (A) 41.6 41.6 83.3 41.6 QC Sample 2 ) L µ . / e (pg onc enc SD fer l. C nc. %R Dif Ca Co 231.7 38.6 41.3 42.4 43.0 83.9 41.8 44.5 38.8 38.0 41.7 92.7% 92.7% 99.3% 101.9% 103.3% 100.7% 100.5% 106.9% 93.4% 91.4% 100.2% 1.72% 1.96% 2.02% 3.30% 2.64% 2.10% 2.64% 2.23% 1.04% 1.22% 1.26% 625.0 104.1 104.1 104.1 104.1 210.0 104.1 104.1 104.1 104.1 104.1 615.0 103.5 115.5 109.6 114.4 193.9 113.1 126.5 102.4 104.6 106.1 98.4% 99.4% 110.9% 105.3% 109.9% 92.4% 108.6% 121.5% 98.4% 100.5% 101.9% 1.84% 2.58% 3.38% 3.05% 1.65% 1.77% 2.27% 1.43% 2.63% 1.53% 2.05% 49.7 48.4 60.7 33.3 119.5% 116.3% 72.9% 80.1% 5.78% 5.89% 2.21% 6.74% 104.1 104.1 210.0 104.1 116.4 124.1 141.6 89.8 111.8% 1.62% 119.2% 7.94% 67.4% 19.10% 86.3% 21.76% Table 4: Quantitation results for the analysis of unknown levels of drugs in horse urine 7 achieve the low % RSD required in quantitation due to the fast cycle time of the Thermo Scientific LTQ. In the case of non-specific neutral molecule losses, MS3 experiments generated diagnostic spectra for confirmational purposes while providing quantitative results comparable to the MS/MS data. Results of the ruggedness study demonstrate no appreciable loss of sensitivity or reproducibility across 100 replicate urine injections. Thus, using the Thermo Scientific LTQ two-dimensional linear ion trap, we have demonstrated the development of a simple, rapid, and rugged method capable of confirmational screening and simultaneous quantitation of drugs in horse urine using both full-scan LC/MS/MS and MS3 spectra. Conclusions Positive and negative ion detection of co-eluting drugs was accomplished in a single chromatographic run using automated polarity switching. Drugs that underwent a neutral water loss were further fragmented using WideBand Activation to provide a diagnostically rich MS/MS spectrum for structural confirmation. The compound ketoprofen underwent a prominent, non-specific neutral loss of formic acid and was further analyzed using an MS3 transition. Full-scan MSn data was reprocessed to quantify all 16 compounds by reconstructed ion chromatograms (RICs), or postacquisition MRM, and provided results comparable to triple quadrupole SRM quantitation. It is possible to 45000 40000 B 35000 35000 30000 30000 25000 25000 20000 Average Area = 18574 CV = 3.43% 40000 Area Area Average Area = 27690 CV = 2.32% A 20000 15000 15000 10000 10000 5000 5000 0 0 0 20 40 60 80 100 0 20 Injection Number Average Area = 482146 CV = 3.81% 1000000 C 900000 800000 600000 500000 Area Area 700000 400000 300000 200000 100000 0 0 20 40 40 60 80 100 Injection Number 60 Injection Number 80 100 100000 90000 80000 70000 60000 50000 40000 30000 20000 10000 0 Average Area = 65211 CV = 2.41% D 0 20 40 60 80 100 Injection Number Figure 8: Ruggedness and reproducibility for 100 consecutive injections of a 166 pg/µL standard of theobromine, caffeine, pentoxyphylline, and ketoprofen in urine In addition to these offices, Thermo Fisher Scientific maintains a network of representative organizations throughout the world. 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