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Serum/plasma mass concentration of donor-specific antibodies (DSA) for pre-transplant antibody screening

Published: August 9, 2026Updated: August 16, 2026

This test measures antibodies in your blood that may react against donor organs, helping ensure compatibility before a transplant.

Quick summary

["Prevents potential rejection risks by checking for harmful antibodies against potential organ donors."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
68490-2
Short code
TRANSPLANTPREPARATIONFACILITYNAME
Synonyms
—
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Matters for Transplant Preparation

Transplant teams use this screening to identify if your immune system has developed antibodies that could attack a donated organ. These antibodies, called donor-specific antibodies (DSAs), are often detected through blood tests before a transplant procedure. Finding them early allows for careful matching of donors and organs to minimize rejection risks.

How the Test Works

Your blood sample is tested using a sensitive immunoassay method to detect specific antibodies that target proteins on donor organ cells. The test measures the concentration of these antibodies to determine compatibility.

What to Expect Before Your Test

No special preparation is needed, but you may be asked to fast for 8–12 hours before the test if it involves a blood draw. Wear comfortable clothing and bring your identification. Your healthcare provider will explain the process and answer any questions.

Common Reasons for This Test

This test is typically ordered if you have a history of organ transplants, autoimmune diseases, or blood transfusions, as these conditions can increase your risk of developing DSAs. It’s also used in pre-transplant evaluations to assess immune compatibility.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Preventing Transplant Rejection

Short name

DSA Screening (Serum/Plasma)

Frequently asked questions

What does a positive result mean?
A positive result indicates the presence of antibodies that may attack a donated organ, increasing the risk of rejection. Your transplant team will work with you to find a compatible donor or adjust your immune-suppressing medications accordingly.
How often will I need this test?
The frequency depends on your medical history and transplant plan. Your healthcare provider will schedule follow-up tests as needed, often before each transplant procedure or during immune monitoring.
Can I fast before this test?
Most often, fasting is not required unless the test involves a specific specimen type (like urine or stool). Always follow your healthcare provider’s instructions for the best accuracy.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy