Finger prick test detects THC levels at roadside traffic stops

Validation of a Microsampling-Compatible Liquid-Liquid Extraction Method for Cannabinoid Quantitation in 50 µL of Whole Blood using LC-MS/MS.

Journal of analytical toxicology • • Highly Relevant
🤖

AI Summary

This research presents a breakthrough method for detecting cannabinoids in just 50 microliters of blood—roughly the size of a drop from a finger prick. Using advanced liquid chromatography-tandem mass spectrometry (LC-MS/MS), researchers developed a highly sensitive test that can measure THC, CBD, CBN, and other cannabinoids at sub-nanogram per milliliter levels. The method addresses critical limitations of existing dried blood spot tests, which can be inaccurate due to hematocrit variations, and volumetric microsampling devices, which are expensive. By using liquid-liquid extraction with sodium hydroxide alkalinization, the team achieved detection limits as low as 0.10 ng/mL for THC—more sensitive than most methods requiring larger blood samples.

The most significant application is roadside cannabis impairment testing. Current approaches require trained phlebotomists to draw larger blood samples at medical facilities, causing delays during which THC levels naturally decrease in the bloodstream. This new method could enable police to collect a simple finger prick sample at the roadside, capturing THC levels at the actual time of driving rather than hours later. The technique overcomes three major barriers: the need for large sample volumes, dependence on medical professionals for blood draws, and the problematic delay between traffic stops and testing.

This validation study demonstrates that microsampling approaches can match or exceed the sensitivity of traditional laboratory methods while being far more practical for field use. The research team achieved linear calibration ranges up to 300 ng/mL for all cannabinoids tested, making it suitable for both medical monitoring and forensic applications. While primarily developed for impaired driving enforcement, this ultra-low-volume testing method could also benefit cannabis research, therapeutic drug monitoring, and situations where obtaining large blood samples is challenging.

💡 Key Findings

1
The method requires only 50 microliters of blood (about one drop from a finger prick), making it the first validated technique for cannabinoid detection in less than 100 µL of liquid whole blood
High
95%
2
Detection sensitivity reached 0.10 ng/mL for THC, CBN, and CBG—exceeding most published methods that require larger blood volumes (≥100 µL)
High
95%
3
Roadside finger prick testing could capture THC levels at the actual time of driving, overcoming the problem of declining cannabinoid concentrations during delays to medical facilities
High
85%
4
The method achieved linear calibration from 0.10 to 300 ng/mL, providing accurate measurements across the full range relevant for both medical and forensic applications
High
90%

📄 Original Abstract

Recently developed dried blood analysis methods for cannabinoid quantitation utilize small blood volumes, making them microsampling-compatible, but are limited by hematocrit-related bias for dried blood spots (DBS) and higher consumable costs for volumetric absorptive microsampling (VAMS®). To address these issues, we developed a highly sensitive liquid chromatography-tandem mass spectrometry (LC-MS/MS) method capable of quantifying cannabinoids in 50 µL of liquid whole blood, providing a practical microsampling alternative to dried blood approaches. Using liquid-liquid extraction (LLE) with sodium hydroxide alkalinization and acetonitrile precipitation, followed by quantitative analysis on an Agilent 6495 liquid chromatography-triple quadrupole (LC-TQ) mass spectrometer, we achieved lower limits of quantitation (LLOQs) of 0.10 ng/mL for Δ9-tetrahydrocannabinol (THC), cannabinol (CBN), and cannabigerol (CBG), 0.20 ng/mL for cannabidiol (CBD), 0.50 ng/mL for 11-hydroxy-THC (11-OH-THC), and 1.0 ng/mL for 11-nor-9-carboxy-THC (THC-COOH). Calibration was linear from the LLOQ to 300 ng/mL for all analytes. To our knowledge, this is one of the first validated LLE approaches for cannabinoid quantitation in less than 100 µL of liquid whole blood. Further, it achieves sub-ng/mL sensitivity, exceeding the LLOQs of most published methods which require ≥100 µL of whole blood. We anticipate particular utility for our method in obtaining evidence from suspected impaired drivers at the roadside when paired with capillary microsampling, such as via finger prick. This approach enables measurement of THC levels at the time of driving, thereby overcoming current limitations, including the decrease in THC levels that occurs with delayed blood sampling, requirement for larger sample volumes (≥100 µL), and dependence on trained phlebotomists for venipuncture.

Explore More Research

Stay informed about the latest cannabis science.

Your stash, decoded.