ABSTRACT. Canine serum amyloid A (SAA) is a useful diagnostic marker of systemic inflammation. A latex agglutination turbidimetric immunoassay (LAT) was validated for automated measurements. The aim of the study was to evaluate the clinical applicability of SAA measured by the LAT. SAA was measured in 7 groups of dogs with and without systemic inflammation (n=247). Overlap performance was investigated. Diagnostic performance was compared to body temperature and leukocyte markers. Clinical decision limits for SAA were estimated. In dogs with neurological, neoplastic or gastrointestinal disorders (n=143), it was investigated whether a higher proportion of SAA positive dogs could be detected in cases of complications with risk of systemic inflammation. Significantly higher concentrations of SAA were measured in dogs with (range [48.75; 5,032 mg/l]), compared to dogs without systemic inflammation [0; 56.4 mg/l]. SAA was a more sensitive and specific marker of systemic inflammation (area under the receiver-operating characteristic curve (AUC) 1.00), compared to body temperature (0.6) and segmented neutrophils (best performing leukocyte marker, 0.84). A clinical decision limit of 56.4 mg/l was established giving close to perfect discrimination between dogs with and without systemic inflammation. Higher proportions of SAApositive dogs were observed in dogs with neurological, neoplastic and gastrointestinal disorders with complications known to increase risk of systemic inflammation, compared to uncomplicated cases. The automated LAT makes SAA applicable as a relevant diagnostic marker of systemic inflammation in dogs for routine random-access real-time use in a general clinical setting. KEY WORDS: canine, inflammation, veterinary clinical pathology.doi: 10.1292/jvms.12-0404; J. Vet. Med. Sci. 75(4): 459-466, 2013 The acute phase response (APR) is an unspecific systemic reaction, which follows various stimuli such as infection or trauma, causing systemic inflammation and disrupting homeostasis [3,21]. During the APR, the concentrations of acute phase proteins (APP) are altered [21]. Serum amyloid A (SAA) is a major positive APP in dogs, and marked increases in concentrations are consequently observed during the APR [3]. Studies in several species have shown that SAA is a more sensitive marker of systemic inflammation than traditionally used parameters such as body temperature, leukocyte and neutrophil counts [12,19], and SAA can be used as a diagnostic marker of systemic inflammation in several species, including dogs [1,4,8,21]. The commercial availability of diagnostic assays has, however, been limited to resource and time consuming methods, and so far measurements of canine SAA have not been implemented in routine veterinary clinical biochemistry [3]. The initial evaluations of an automated latex agglutination turbidimetric immunoassay (LAT, EIKEN, Tokyo, Japan), based on human monoclonal antibodies, have shown acceptable analytical and overlap performance [7], making routine diagnostic measurements of canine SAA ...