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آزمایشات ایراژن

آزمایشات ایراژن (11)

آزمایش HPV

چهارشنبه, 17 شهریور 1400 09:06 نوشته شده توسط

( آزمایش HPV ) عفونت HPV یک عفونت ویروسی است که معمولاً باعث رشد زگیل هایی روی پوست یا غشای مخاطی می شود. بیش از 100 نوع ویروس پاپیلومای انسانی (HPV) وجود دارد. برخی از انواع عفونت HPV باعث ایجاد زگیل می شوند و برخی نیز می توانند باعث ایجاد انواع مختلفی از سرطان شوند. بیشتر عفونتهای HPV منجر به سرطان نمی شوند. اما برخی از انواع HPV های دستگاه تناسلی می توانند باعث سرطان بخش پایینی رحم که به واژن وصل می شود (گردن رحم) شوند. آزمایشگاه مندل با روش های استاندارد مطابق با دستورالعمل های WHO (سازمان جهانی بهداشت) نسبت به بررسی حضور یا عدم حضور ویروس HPV در نمونه های مختلف افراد و به دنبال آن تعیین نوع ژنوتیپ ویروس در سریعترین زمان ممکن اقدام می نماید.

روش انتقال HPV (آزمایش HPV)

روش انتقال HPV از پوست به پوست بوده و شایعترین راه انتقال آن، تماس جنسی است (شایعترین آلودگی منتقله از طریق تماس جنسی در آمریکا). استفاده از کاندوم ریسک انتقال HPV را (تا 70%) کاهش می دهد ولی از آنجائیکه نمی تواند بطور کامل پوست یا مخاط منطقه آلوده را پوشش دهد امکان انتقال را به صفر نمی رساند. هرچه تعداد شرکا جنسی یک فرد بیشتر باشد، امکان آلوده شدن وی به HPV نیز بیشتر می شود. در موارد بسیار نادر امکان انتقال HPV از مادر به نوزاد (از طریق کانال زایمان) نیز وجود دارد و در صورت وجود زگیل تناسلی توصیه بر آنست که از روش سزارین استفاده شود.

آزمایش HPV

روش های آزمایشگاهی تشخیص ویروس HPV (آزمایش HPV)


روش‌های سنتی تشخیص ویروسی مانند میکروسکوپ الکترونی ، کشت سلول و برخی روش‌های ایمونولوژیک برای تشخیص ویروس HPV مناسب نیستند. ویروس HPV را نمی توان به صورت سلولی کشت داد.

روش‌های مهم و مدرن برای تشخیص ویروس HPV و عفونت حاصل از آن عبارتند از:

  • آزمایش کولپوسکوپی و اسید استیک
  • نمونه برداری
  • آزمایش DNA
  • نمونه برداری از سلول های دهانه رحم

1.  آزمایش کولپوسکوپی و اسید استیک

کولپوسکوپی ( آزمایش HPV ) روشی است که توسط پزشکان متخصص به عنوان یک روش سرپایی با استفاده از میکروسکوپ کم قدرت و کولپوسکوپ انجام می شود.

کولپوسکوپی معاینه دهانه رحم ، واژن و در بعضی موارد ولو پس از استفاده از محلول اسید استیک است.

یافته‌های کولپوسکوپی با توجه به درجه ضایعه استوویتیت ، کانتور سطح ، الگوی موزاییک و علائم نگارشی درجه بندی می‌شود و ناهنجاری بیشتر این پارامترها به شدت ضایعات مربوط می‌شود.

تست اسید استیک

خیساندن ضایعات مشکوک در اسید استیک می‌تواند درجه تشخیص در ضایعات بدون ویژگی‌های کلاسیک را افزایش دهد.

این روش شامل استفاده از یک گاز مرطوب شده با اسید استیک است که به مدت ۵ تا ۱۰ دقیقه بر روی ضایعات مشکوک به آلت تناسلی مرد ، دهانه رحم ، لابیا یا ناحیه پریانال قرار می‌گیرد.

در این حالت ضایعات نامشخص ، مسطح و دستگاه تناسلی که ارزیابی آنها دشوار است ، قابل مشاهده می‌گردند. در این آزمایش ( آزمایش HPV ) زگیل‌های تناسلی ، بافت‌های دیسپلاستیک و نئوپلاستیک سفید می‌شوند (استووویت).

این روش با نتایج مثبت کاذب نیز همراه است و می‌تواند از هر چیزی که باعث پاراکراتوز شود (به عنوان مثال ، کاندیدیازیس ، پسوریازیس ، لیکن پلان ، التهاب اپیتلیوم ، غدد چربی) ناشی شود.

توجه داشته باشید از آزمایش اسید استیک نباید برای غربالگری معمول استفاده شود.

2.  نمونه برداری یا بیوپسی

کولپوسکوپی امکان نمونه برداری از بافت (بیوپسی) را فراهم می‌کند که در آن مناطق غیرطبیعی دیده شده است. در واقع ، نمونه برداری از نواحی غیرطبیعی قسمت مهمی از کولپوسکوپی است، زیرا درمان بستگی به شدت ناهنجاری در نمونه بیوپسی دارد.

اگر نتایج بیوپسی پیش از سرطان (دیسپلازی) یا سرطان را نشان دهد ، درمان توصیه می شود. بیوپسی برش دار هنگامی توصیه می شود که ظاهر کولپوسکوپی نشان دهنده ناهنجاری درجه بالا باشد.

در زگیل های تناسلی ، مشخصه ترین ویژگی وجود کویلوسیت ها است که سلول‌های سنگفرشی بالغ با مناطق اطراف هسته ای شفاف هستند. ممکن است هسته های کولیوسیت بزرگ شده و هسته های دو رنگ بیش از حد رنگی نیز دیده شوند.

۳- تکنیک های DNA

روش‌های اولیه تشخیص ویروس HPV ، ( آزمایش HPV ) شامل هیبریداسیون پروب مستقیم مانند لکه نقطه ای و بلات جنوبی است. این روش‌ها علاوه بر اینکه زیاد کار می برند ، وقت گیر هم هستند و علاوه بر حساسیت کم ، به مقدار زیادی DNA در نمونه‌های بالینی نیاز دارند.

این روش تا حد زیادی توسط فناوری، تقویت و جایگزین شده که اجازه می‌دهد تعداد تکثیر ویروس در سطح پایین نمونه‌های بالینی شناسایی شود.

آزمایش HPV

روش معمول ایجاد شده برای تشخیص ویروس HPV ، ترکیبی شدن اسیدهای نوکلئیک ویروسی است. دو تکنیک اصلی در این روش عبارتند از:

جذب ترکیبی (hc2)

حساسیت و ویژگی آن تقریباً قابل مقایسه با روش‌های تشخیص مبتنی بر PCR است. از مزایای آزمون Hybrid Capture 2 استفاده نسبتاً ساده و قابلیت تکرار خوب نتایج است که این تست را به بهترین روش استاندارد تشخیص HPV تبدیل می‌کند.

واکنش زنجیره ای پلیمراز PCR

PCR یک روش تقویت هدف انتخابی است که قادر به افزایش نمایی و قابل تولید در توالی ویروس HPV موجود در نمونه های بیولوژیکی است.

فرآیند تقویت می‌تواند پس از ۳۰ سیکل تقویت ، یک میلیارد نسخه از یک مولکول DNA دو رشته ای تولید کند.

۴- تست پاپ اسمیر یا نمونه برداری از دهانه رحم

این یک تست غربالگری است ( آزمایش HPV ) که برای اولین بار توسط Papanicolaou و Traut معرفی شده است. جدا از تغییرات بدخیم ، عفونت‌های ویروسی مانند عفونت ویروس HPV و زگیل نیز قابل تشخیص است.

آزمایش مثبت به آزمایش‌های تأییدی بیشتر مانند کولوسکوپی ، بیوپسی دهانه رحم و آزمایش های DNA مانند PCR نیاز دارد.

روش انجام تست پاپ اسمیر:

بیمار در موقعیت پشتی قرار گرفته و دهانه رحم در معرض اسپکولوم کوسکو قرار می‌گیرد و از محل اتصال اسکواموکلومار با کمک Ayre و با چرخاندن دور آن ، خراش می دهد.

خراش‌ها روی لام شیشه‌ای پخش می‌شوند و آن را با ۹۵٪ الکل اتیل و اتر یا اسپری ثابت کننده (سیتوسپری) ثابت می‌کنند.

برای ارزیابی سیتولوژی ، خراش‌ها از قسمت فوقانی دیواره واژن گرفته می شود.

برای انجام  آزمایش HPV میتوانید همین الان با آژمایشگاه ایراژن تماس بگیرید.

توصیه های تجدید نظر شده ACOG در مورد آزمایش پاپ اسمیر بشرح زیر است:

زنان از ۲۱ تا ۳۰ سال هر دو سال ، با استفاده از پاپ استاندارد یا سیتولوژی مبتنی بر مایع ، غربال شوند.

زنان ۳۰ ساله و بالاتر که سه نتیجه آزمایش منفی سیتولوژی دهانه رحم داشته اند ، ممکن است هر سه سال یک بار با آزمایش سیتولوژی پاپ یا مایع بررسی شوند.

زنانی که فاکتورهای خطر خاصی دارند ممکن است نیاز به غربالگری مکرر داشته باشند ، از جمله کسانی که HIV دارند ، سیستم ایمنی آنها ضعیف است ، در بخش رحم در معرض دی اتیل استیلبسترول (DES) قرار گرفته اند و تحت درمان نئوپلازی داخل اپیتلیال گردن رحم (CIN) 2 ، CIN 3 یا سرطان دهانه رحم قرار گرفته اند.

علائم HPV

در بیشتر موارد ، سیستم ایمنی بدن شما قبل از ایجاد زگیل ، عفونت HPV را شکست می دهد. وقتی زگیل ها ظاهر می شوند ، بسته به نوع HPV ، از نظر ظاهری متفاوت هستند :

زگیل های تناسلی. این زگیل ها به شکل زخم های صاف ، برجستگی های کوچک گل کلمی یا برآمدگی های کوچک ساقه مانند ظاهر می شوند. در خانم ها ، زگیل های تناسلی عمدتاً روی فرج مشاهده می شوند اما می توانند در نزدیکی مقعد ، گردن رحم یا واژن نیز ایجاد شوند.

در مردان ، زگیل های تناسلی روی آلت تناسلی مردانه و کیسه بیضه یا اطراف مقعد ظاهر می شوند. زگیل های تناسلی به ندرت باعث ناراحتی یا درد می شوند ، هرچند ممکن است حس خارش یا حساسیت داشته باشند.

علل بروز HPV

عفونت HPV زمانی ایجاد میشود که ویروس معمولاً از طریق بریدگی ، سایش یا پارگی کوچک در پوست شما وارد بدن شما میشود. ویروس در درجه اول از طریق تماس پوست به پوست منتقل می شود. عفونت HPV تناسلی از طریق مقاربت جنسی ، رابطه جنسی مقعدی و سایر تماس های پوست به پوست در ناحیه دستگاه تناسلی ایجاد می شود. برخی از عفونتهای HPV که منجر به زخم های دهان یا قسمت فوقانی دستگاه تنفسی می شوند از طریق رابطه جنسی دهانی ایجاد می شوند. اگر باردار هستید و مبتلا به عفونت HPV همراه با زگیل های تناسلی میباشید ، ممکن است کودک شما به این عفونت مبتلا شود. ندرتا ، عفونت ممکن است باعث رشد توده غیر سرطانی در حنجره کودک شود. زگیل ها واگیر هستند. آنها می توانند از طریق تماس مستقیم با یک زگیل گسترش یابند. زگیل ها میتوانند زمانی که شخصی چیزی را که قبلاً زگیل را لمس کرده است لمس کند نیز گسترش یابند .

 

عوامل خطر HPV

عفونت های HPV شایع هستند. عوامل خطر عفونت HPV شامل موارد زیر هستند :

تعداد شرکای جنسی: هرچه تعداد شریک جنسی شما بیشتر باشد احتمال ابتلا به عفونت HPV دستگاه تناسلی بیشتر میشود. داشتن رابطه جنسی با یک شریک که دارای چندین شریک جنسی میباشد نیز خطر را افزایش می دهد.

سن: زگیل های رایج بیشتر در کودکان رخ می دهند. زگیل های تناسلی بیشتر در نوجوانان و جوانان رخ می دهند.

سیستم ایمنی ضعیف شده: افرادی که سیستم ایمنی بدنشان ضعیف شده است بیشتر در معرض خطر عفونت HPV هستند. سیستم ایمنی می تواند از طریق ایدز /HIV یا داروهای سرکوب کننده سیستم ایمنی بدن که پس از پیوند عضو استفاده می شوند ، تضعیف شود.
پوست آسیب دیده: نواحی از پوست که سوراخ یا باز شده اند بیشتر مستعد ابتلا به زگیل های رایج هستند.

تماس فردی: لمس زگیل های یک شخص یا محافظت نکردن از خود قبل از تماس با سطوحی که در معرض HPV قرار گرفته اند - مانند حمام عمومی یا استخر - ممکن است خطر ابتلا به HPV را افزایش دهند.

عوارض HPV

زخم های دهان و قسمت فوقانی دستگاه تنفسی. برخی از عفونت های HPV باعث ایجاد زخم هایی در زبان ، لوزه ها ، کام نرم یا درون حنجره و بینی شما می شوند.

 

سرطان دهانه رحم

برخی از گونه های HPV می توانند باعث سرطان گردن رحم شوند. این گونه ها ممکن است در ایجاد سرطان دستگاه تناسلی ، مقعد ، دهان و قسمت فوقانی دستگاه تنفسی نیز نقش داشته باشند.

 زگیل های رایج

پیشگیری از عفونت HPV که باعث ایجاد زگیل های رایج می شود ، دشوار است. اگر زگیل رایج دارید ( آزمایش HPV )  ، می توانید با دست نزدن به زگیل و نجویدن ناخن ها ، از پخش شدن عفونت و تشکیل زگیل های جدید جلوگیری کنید.

 زگیل های کف پا

برای کاهش خطر عفونت های HPV که باعث ایجاد زگیل های کف پا می شوند ، در استخرهای عمومی و رختکن ها کفش یا صندل بپوشید.

 زگیل های تناسلی

شما می توانید خطر ابتلا به زگیل تناسلی و سایر ضایعات دستگاه تناسلی مرتبط با HPV را از طریق موارد زیر کاهش دهید :

  • در یک رابطه جنسی متقابلاً تک شریکه باشید.
  • تعداد شرکای جنسی خود را کاهش دهید.
  • از یک کاندوم لاتکس که میتواند خطر انتقال HPV را کاهش دهد ، استفاده کنید.

تست NIPT

یکشنبه, 27 تیر 1400 09:18 نوشته شده توسط

یک آزمایش خون ساده می تواند حاوی حرفهای بسیاری در مورد کودک شما باشد. قطعات کوچک DNA کودک که در خون شما جریان می یابند، امکان غربالگری ژنتیکی قبل از زایمان را فراهم می کنند. تست غربالگری غیر تهاجمی پیش از تولد (NIPT)، به پزشک اجازه می دهد تا در مورد خطرات ابتلا به اختلالات کروموزمی در نوزاد اطمینان یابد. نتایج این تست به جهت آزمایش و نظارت بیشتر، تعیین کننده است.

NIPT چیست؟

NIPT یک آزمایش خون پیش از زایمان است که برای تشخیص اختلالات آنئوپلوئیدی جنین از جمله سندرم داون (تریزومی ۲۱)، سندرم ادواردز (تریزومی ۱۸) و سندرم پاتاو (تریزومی ۱۳) که باعث اختلالات ناتوانی یا نقایص مهم پس از زایمان می شود، انجام می گیرد.

NIPT یک آزمون غربالگری است و نه یک آزمایش تشخیصی که به این معنی است که قطعاً تشخیص داده نمی شود که آیا نوزاد شما اختلال کروموزومی دارد یا خیر. یک نتیجه طبیعی NIPT سلامت یک کودک را تضمین نمی کند و نتیجه غیرطبیعی نیز همیشه به این معنی نیست که کودک شرایط خاص بیماری دارد. در مورد یک نتیجه غیر طبیعی، پزشک پیشنهاد آزمایشهای بیشتر می دهد.

نمونه برداری از پرزهای جفتی (CVS) و آمنیوسنتز، تنها دو آزمایش تشخیصی موجود برای تشخیص سندرم داون و سایر اختلالات کروموزومی هستند.

NIPT در شرایط زیر توصیه می شود:

  • شما ۳۵ سال یا بیشتر دارید
  • شاخص توده بدنی شما ۳۰ یا بیشتر است
  • شما قبلاً نوزاد مبتلا به اختلالات کروموزومی داشته اید
  • سابقه خانوادگی در اختلالات کروموزومی وجود داشته است
  • سونوگرافی یا سایر آزمایشات قبل از زایمان یک مشکل را شناسایی کرده اند
  • اما، این آزمون در شرایط زیر دیگر انتخابی نبوده و اجباری است:
  • وجود ناهنجاری های جنینی در سونوگرافی
  • ناهنجاری های ژنتیکی شناخته شده

همچنین، این آزمون در موارد زیر توصیه نمی شود:

  • شما دوقلو یا چندقلو دارید
  • شما برای بیش از سه ماه، سابقه انتقال خون، پیوند سلول های بنیادی یا ایمنوتراپی داشته اید یا اگر تحت درمان با هپارین قرار دارید
  • شما دارای اختلالات ژنتیکی هستید.

این تست باید قبل از ده هفتگی بارداری، که پیش از موعد هر گونه غربالگری یا آزمایش های تشخیصی قبل از تولد است، انجام شود و نتایج آن را طی یک یا دو هفته دریافت خواهید کرد.

این روش شامل گرفتن خون است که برای تجزیه و تحلیل به آزمایشگاه ارسال می شود. تکنسین آزمایشگاه به DNA بدون سلول (cfDNA)و قطعات DNA کودک موجود در خون مادر، به سبب بررسی علائم غیرطبیعی استناد می کند. پزشک شما نتیجه این تست را با دیگر نتایج حاصل از سونوگرافی و غربالگری سه ماهه اول و همچنین آزمایش درجه شفافیت مایع پشت گردن کنار هم گذاشته و مبنای تصمیم گیریهای بعدی قرار خواهد داد.

بهترین زمان برای انجام تست NIPT

آزمایش سل فری و یا نیفتی یکی از روش های بررسی ژنوم جنین درحال رشد است. در طی دوران بارداری مقداری از DNA و یا ماده ژنتیکی جنین وارد گردش خون مادر می شود. با بررسی آنها می توان به وجود مشکلات ژنتیکی در جنین پی برد. این آزمایش باتوجه به غیر تهاجمی بودن آن امروزه بسیار مورد توجه متخصصین و نیز متقاضیان قرار گرفته است. زمان انجام تست نیفتی یکی از سوالات رایج در زمینه آزمایش سل فری است. اگر قصد دارید بدانید که زمان انجام تست سل فری کدام است؟ تا پایان این مطلب همراه ما باشید.

مناسب ترین زمان برای انجام تست NIPT یا غربالگری چه وقتی است؟ آزمایش NIPT زودتر از تمام آزمایشات دیگر در بارداری قابل انجام است. تست NIPT در هر زمانی بعد از هفته نهم بارداری انجام می شود. در مقابل ، سونوگرافی NT بین هفته یازده و دوازده انجام می شود. نمونه برداری از پرزهای کوریونی (CVS ) بین هفته ده تا پانزده ، تست چهارگانه (quad screening) بین هفته چهاردهم تا بیستم و آمنیوسنتز بین هفته چهاردهم تا بیست و دوم انجام خواهد شد.

چون نمونه برداری از جنین نیازی ندارد و با ردیابی قسمت‌هایی از کروموزم Y جنینی در سرم مادر شکل میگیرد احتمال سقط جنین را به حداقل رسانده و روش های سنتی آزمایش های شما از حالت چند مرحله ایی خارج می شود. مادران با این روش نمونه گیری مانند روش های سنتی مجبور به تحمل درد نبوده و احتمال دچار شدن به عفونت های داخلی رحم کاهش میابد.

باتوجه به این که زمان انجام تست نیفتی با زمان انجام غربالگری مرحله اول فاصله کمی دارد، اگر نتیجه تست غربالگری مرحله اول مشکوک بود، می توانید از این آزمایش برای بررسی وضعیت سلامتی جنین خود کمک بگیرید.
این تست برای بارداری های پر خطر به شرح زیر توصیه میشود:

  • سن بالای سی و پنج سال مادر
  • یافته های غیر طبیعی اولتراسوند (افزایش NT )
  • عدم انجام تست های روتین غربالگری تا بیست و دو هفتگی به هر دلیل و یا وجود یک یافته سونوگرافیک غیرطبیعی از هفته بیست و دو به بعد
  • نتایج غیر طبیعی تست غربالگری سرم
  • وجود سابقه آنوپلوئیدی در خانواده (حاملگی آنوپلوئید در گذشته) و یا والدین حامل ترانسلوکاسیون روبرتسونین‌ (جابجایی بالانس خطر ساز برای تریزومی 13 یا 21)
  • زنانی که ترس زیادی از نمونه گیری تست های تشخیصی مثل آمنیوسنتز و یا CVS دارند.
  • زنانی که زیر بار ریسک سقط تست های تشخیصی نمی روند.
  • زنانی که سابقه سقط مکرر (سه و یا بیشتر از سه سقط زیر بیست هفتگی و یا وزن جنین زیر پانصد گرم) دارند.
  • زنانی که سابقه پارگی کیسه آب دارند
  • زنانی که دارای جنین طلایی (جنینی که بعد از چندین سال ناباروری، والدین با سن بالا و یا حاصل از حاملگی IVF تشکیل شده اند)

لیست کامل آزمایشات آزمایشگاه ایراژن

چهارشنبه, 15 ارديبهشت 1400 16:30 نوشته شده توسط

نام تستدسته بندیزمان پاسختوضیحات (ژن‌های مورد آزمایش)نوع نمونهظرف حمل نمونهدمای انتقالحجم نمونهمتد انجام تست
NAAT Chex TB + NeurocysticercosisCNS infection panels1 working dayNot AvailableWhole CSFPotassium EDTA vacutainer (Kit provided by the company)Room temperature1-2 mlPCR
SES Acute Encephalitic SyndromeCNS infection panels1 working dayHerpes Simplex Virus 1 & 2;Cytomegalovirus;Varicella Zoster Virus; Human Herpes Virus -6;John Cunningham Virus;JEV;Dengue;West Nile;Enteroviruses;Chikungunya;Rabies;Chandipura;Measels;Mumps;Rubella;Nipah;Mycobacterium tuberculosis;Streptococcus pneumoniae;Haemophilus meningitidis;Cryptococcus neoformans;Toxoplasma gondiiWhole CSFPotassium EDTA vacutainer (Kit provided by the company)Room temperature1-2 mlPCR
SES Encephalitis- OutbreakCNS infection panels1 working dayJEV;Dengue;West Nile;Enteroviruses;Chikungunya;Rabies;Chandipura;Measels;Mumps;Rubella;NipahWhole CSFPotassium EDTA vacutainer (Kit provided by the company)Room temperature1-2 mlPCR
SES Encephalitis- SporadicCNS infection panels1 working dayHerpes Simplex Virus 1 & 2;Cytomegalovirus;Varicella Zoster Virus; Human Herpes Virus-6;John Cunningham Virus; M. tuberculosis;Streptococcus pneumoniae;Haemophilus meningitidi;Toxoplasma gondi;Cryptococcus neoformansWhole CSFPotassium EDTA vacutainer (Kit provided by the company)Room temperature1-2 mlPCR
SES MeningitisCNS infection panels1 working dayStreptococcus pneumoniae;Haemophilus meningitidis;Mycobacterium tuberculosis;Staphylococcus aureus;Group B Streptococcus; Enterococcus spp;Klebsiella;E.coli;Enterobacter spp;Pseudomonas aeruginosa; Acinetobacter baumannii;Bacteroides fragilis;Leptospira;Cryptococcus neoformans;Aspergillus spp;Candida spp.Whole CSFPotassium EDTA vacutainer (Kit provided by the company)Room temperature1-2 mlPCR
SES Meningitis + ABRCNS infection panels1 working dayNot AvailableWhole CSFPotassium EDTA vacutainer (Kit provided by the company)Room temperature1-2 mlPCR
SES Pan CNSCNS infection panels1 working dayStreptococcus pneumoniae;Haemophilus meningitidis;Mycobacterium tuberculosis;Staphylococcus aureus;Group B Streptococcus;Enterococci;Klebsiella;E.coli;Enterobacter spp;Pseudomonas aeruginosa; Acinetobacter baumannii;Bacteroides fragilis;Leptospira;Cryptococcus neoformans;Aspergillus spp.;Herpes Simplex Virus 1 & 2;Cytomegalovirus;Varicella Zoster Virus; Human Herpes Virus-6;John Cunningham Virus;Toxoplasma gondiiWhole CSFPotassium EDTA vacutainer (Kit provided by the company)Room temperature1-2 mlPCR
SES Pan CNS + ABRCNS infection panels1 working dayNot AvailableWhole CSFPotassium EDTA vacutainer (Kit provided by the company)Room temperature1-2 mlPCR
SES Fuch'sEye Infection panels1 working dayHerpes Simplex Virus 1&2;Cytomegalovirus;Varicella Zoster Virus;Mycobacterium tuberculosis;Toxoplasma gondiiAqueous Humor/Vitreous aspirate, Vitreous lavage, Any other eye specimenSample collected in 1ml insulin syringe - Potassium EDTA vacutainer (Kit provided by the company)Room temperature100 uLPCR
SES Pan UveitisEye Infection panels1 working dayHerpes Simplex Virus 1&2;Cytomegalovirus;Varicella Zoster Virus;Chikungunya;Rubella;Dengue;Mycobacterium tuberculosis;Mycobacterium chelonae;Mycobacterium fortuitum;Toxoplasma gondiiAqueous Humor/Vitreous aspirate, Vitreous lavage, Any other eye specimenSample collected in 1ml insulin syringe - Potassium EDTA vacutainer (Kit provided by the company)Room temperature100 uLPCR
SES Post Surgical EndophthalmitisEye Infection panels1 working dayStaphylococcus aureus;Group B Streptococcus; Enterococcus Spp;Coagulase Negative Staphylococcus;Propionibacterium acnce;Pseudomonas aeruginosa;Haemophilus influenzae;Escherichia coli;Klebsiella pneumoniae;Enterobacter aerogenes;Aspergillus Spp.;Candida Spp.;Fusarium SppAqueous Humor/Vitreous aspirate, Vitreous lavage, Any other eye specimenSample collected in 1ml insulin syringe - Potassium EDTA vacutainer (Kit provided by the company)Room temperature100 uLPCR
SES Traumatic/ Chronic/ Endogenous EndophthalmitisEye Infection panels1 working dayStaphylococcus aureus;Streptococcus pneumoniae;Group B Streptococcus; Enterococcus Spp;Streptococcus pyogenes;Coagulase Negative Staphylococcus;Propionibacterium acnce;Pseudomonas aeruginosa; Acinetobacter baumanii;Leptospira pathogenic Spp.;Haemophilus meningitidis;Escherichia coli;Klebsiella mirabilis;Salmonella Spp.;Bacteroides fragilis;Aspergillus Spp.;Candida Spp.;Fusarium Spp.Aqueous Humor/Vitreous aspirate, Vitreous lavage, Any other eye specimenSample collected in 1ml insulin syringe - Potassium EDTA vacutainer (Kit provided by the company)Room temperature100 uLPCR
SES Viral RetinitisEye Infection panels1 working dayHerpes Simplex Virus 1&2;Cytomegalovirus;Varicella Zoster VirusAqueous Humor/Vitreous aspirate, Vitreous lavage, Any other eye specimenSample collected in 1ml insulin syringe - Potassium EDTA vacutainer (Kit provided by the company)Room temperature100 uLPCR
BCR-ABL1 MRDHemato-oncology5 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the sample to reach laboratory within 24 hours of collection Mandatory Requirement**: - Previous BCR-ABL1 IS Report(s) - Current treatment details - Date of diagnosis of CML diseasePeripheral blood/bone marrow aspirateEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTARoom temperature (refrigerate overnight if necessary)Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateRT-PCR
Chimerism [post-engraftment monitoring]Immunology5 working days16 STR loci present on different chromosomes are evaluated from patients and donor before transplant and monitor the presence or absence in patient post transplantPre-transplant samples for patient and donor: peripheral blood/purified genomic DNA/buccal swabs PoEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; buccal swabs in a sterile tube w20-25℃Minimum 5ml peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters); miFragment Analysis
Spinocerebellar ataxia 1 (ATXN1) repeat expansion analysisNeurology - Movement Disorders14 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Fragment analysis
Spinocerebellar ataxia 12 (PPP2R2B) repeat expansion analysisNeurology - Movement Disorders14 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Fragment analysis
Spinocerebellar ataxia 2 (ATXN2) repeat expansion analysisNeurology - Movement Disorders14 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Fragment analysis
Spinocerebellar ataxia 3 (ATXN3) repeat expansion analysisNeurology - Movement Disorders14 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Fragment analysis
Spinocerebellar ataxia 6 (CACNA1A) repeat expansion analysisNeurology - Movement Disorders14 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Fragment analysis
Spinocerebellar ataxia 7 (ATXN7) repeat expansion analysisNeurology - Movement Disorders14 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Fragment analysis
Spinocerebellar ataxia repeat expansion analysis: Any two of (SCA1, SCA2, SCA3, SCA6, SCA7, SCA12)Neurology - Movement Disorders14 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Fragment analysis
Spinocerebellar ataxia repeat expansion analysis: SCA1, SCA2, SCA3, SCA6, SCA7,SCA12Neurology - Movement Disorders21 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Fragment analysis
C-MET amplificationOncology7 working daysMET Proto-Oncogene, Receptor Tyrosine Kinase/ HP report should be sent with the sample mandatorily.FFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableFISH
Comprehensive Tumour Panel (CNVs,SNVs,Short Indels(<10bp), Fusions) + Tumour Mutation BurdenOncology21 working days + 14 working daysProvide histopathological report of patient. Tumor content must be specified.FFPE blocksCardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext generation sequencing
Comprehensive Tumour Panel (SNVs, Short Indels(<10bp) ) + Tumour Mutation BurdenOncology21 working days + 14 working daysProvide histopathological report of patient. Tumor content must be specified.FFPE blocksCardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext generation sequencing
Tumour Mutation Burden NGSOncology14 working daysProvide histopathological report of patient. Tumor content must be specified.FFPE blocksCardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext generation sequencing
NIPTPrenatal7 working daysOnly singleton pregnancies will be acceptedMaternal peripheral blood in Streck tubesPeripheral blood in 2 Streck tubes provided in the Lab kit6-30℃20ml of maternal peripheral blood in 2 Streck tubesNext Generation Sequencing
PGD for 2 Embryos [NGS]Prenatal14 working daysPre-PGD passed for 1 variant or multiple Variants in single geneDay-3 (single cell) or day-5 (few cells) embryo biopsy Note: Day-5 biopsy is preferred0.2 ml PCR Tubes from the PGD Kit provided by Lab. Note: Please request for the PGD kit before-20 to -80℃ (dry ice shipment). Please contact with the Lab prior to performing the biopsy.Single cell(day-3) or few cells(day-5) embryo biopsy in 2.5 ul transport medium available in the MedNGS
PGD for 3 Embryos [NGS]Prenatal14 working daysPre-PGD passed for 1 variant or multiple Variants in single geneDay-3 (single cell) or day-5 (few cells) embryo biopsy Note: Day-5 biopsy is preferred0.2 ml PCR Tubes from the PGD Kit provided by Lab. Note: Please request for the PGD kit before-20 to -80℃ (dry ice shipment). Please contact with the Lab prior to performing the biopsy.Single cell(day-3) or few cells(day-5) embryo biopsy in 2.5 ul transport medium available in the MedNGS
PGD for 4 Embryos [NGS]Prenatal14 working daysPre-PGD passed for 1 variant or multiple Variants in single geneDay-3 (single cell) or day-5 (few cells) embryo biopsy Note: Day-5 biopsy is preferred0.2 ml PCR Tubes from the PGD Kit provided by Lab. Note: Please request for the PGD kit before-20 to -80℃ (dry ice shipment). Please contact with the Lab prior to performing the biopsy.Single cell(day-3) or few cells(day-5) embryo biopsy in 2.5 ul transport medium available in the MedNGS
PGD for 5 Embryos [NGS]Prenatal14 working daysPre-PGD passed for 1 variant or multiple Variants in single geneDay-3 (single cell) or day-5 (few cells) embryo biopsy Note: Day-5 biopsy is preferred0.2 ml PCR Tubes from the PGD Kit provided by Lab. Note: Please request for the PGD kit before-20 to -80℃ (dry ice shipment). Please contact with the Lab prior to performing the biopsy.Single cell(day-3) or few cells(day-5) embryo biopsy in 2.5 ul transport medium available in the MedNGS
PGD per Embryo [NGS]Prenatal14 working daysPre-PGD passed for 1 variant or multiple Variants in single geneDay-3 (single cell) or day-5 (few cells) embryo biopsy Note: Day-5 biopsy is preferred0.2 ml PCR Tubes from the PGD Kit provided by Lab. Note: Please request for the PGD kit before-20 to -80℃ (dry ice shipment). Please contact with the Lab prior to performing the biopsy.Single cell(day-3) or few cells(day-5) embryo biopsy in 2.5 ul transport medium available in the MedNGS
Pre-PGD for parents and proband (Max 3 samples) - More than 1 variant or multiple Variants in singlePrenatal21 working daysAll 3 samples(when available) or at least the samples of prospective parents will be processedPeripheral bloodEDTA anticoagulated peripheral blood20-25℃Minimum 3ml of peripheral bloodNGS
NAAT CheX Dengue VirusSystemic Infection Panels1 working dayNot AvailableWhole Blood (Peripheral Blood), Bronchoalveolar Lavage (BAL), Any sterila body fluidPotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
SES Antibiotic Resistance Markers (ABR)Systemic Infection Panels1 working dayESBL – Detects Genes that confer Resistance to 3rd & 4th Generation Cephalosporins; Carbapenem – Detects both Betalactamases & MetalloBetalactamases; NDM-1 – Detects New Delhi Metallo betalactamase; Van A- Detects resistance to Vancomycin & Teicoplanin; Van B- Detects resistance to Vancomycin (Teicoplanin sensitive);Methicillin A– Detects resistance to MethicillinWhole Blood (Peripheral Blood), Bronchoalveolar Lavage (BAL), Tissue, any sterile body fluidPotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
SES Community Acquired Pneumonia (CAP)Systemic Infection Panels1 working dayStaphylococcus aureus;Streptococcus pneumoniae;Klebsiella pneumoniae;Haemophilus influenzae;Pseudomonas aeruginosa; Acinetobacter baumanii;Salmonella spp.;Mycoplasma pneumonia;Chlamydia pneumonia; P. jiroveci;Cytomegalovirus;Adenovirus;Influenza A, B,C; Parainfluenza 1,2,3,4;RSV A and B;Rhinoviruses;Enteroviruses;Coronaviruses OC43, 229E, NL63, HKU1;Human-Metapneumoviruses;Parechoviruses;SARSWhole Blood (Peripheral Blood), Bronchoalveolar Lavage (BAL), Tracheal aspiratePotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
SES MDR TuberculosisSystemic Infection Panels1 working dayRifampicin Resistance; IHN ResistanceWound Swab, Bronchoalveolar Lavage (BAL), Tissue, any sterile body fluidPotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
SES MycobacteriaSystemic Infection Panels1 working dayMycobacterium tuberculosis; Mycobacterium chelonae; Mycobacterium fortuitum; Mycobacterium sppWound Swab, Bronchoalveolar Lavage (BAL), Tissue, any sterile body fluidPotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
SES Post Transplant/ Febrile Neutropenia + ABRSystemic Infection Panels1 working dayNot AvailableWhole Blood (Peripheral Blood), Bronchoalveolar Lavage (BAL), Tissue, any sterile body fluidPotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
SES Post Transplant/ Febrile Neutropenia/ PneumoniaSystemic Infection Panels1 working dayStaphylococcus aureus; Streptococcus B Streptococcus; Enterococcus spp; Mycobacterium tuberculosis; Klebsiella influenzae; Neisseria meningitidis; Pseudomonas aeruginosa; Acinetobacter baumanii; Escherichia coli; Salmonella spp.;Bacteroides fragilis; Leptospira pathogenic spp. Aspergillus spp.; Candida Spp.; Cryptococcus neoformans; Herpes Simplex Virus 1&2;Cytomegalovirus;Varicella Zoster Virus; Human Herpes Virus 6;Adeno Virus; John Cunningham Virus; BK Virus; Epstein Barr VirusWhole Blood (Peripheral Blood), Bronchoalveolar Lavage (BAL), Tissue, any sterile body fluidPotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
SES Respiratory ViralSystemic Infection Panels1 working dayCytomegalovirus; Adenovirus; Influenza A, B,C; Parainfluenza 1,2,3,4;RSV A and B;Rhinoviruses;Enteroviruses;Coronaviruses OC43,229E, NL63, HKU1;Human-Metapneumoviruses;Parechoviruses;SARSNaso Pharengeal wash, Bronchoalveolar Lavage (BAL)/Tracheal aspiratePotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
SES SepsisSystemic Infection Panels1 working dayStaphylococcus aureus; Streptococcus pneumoniae; Streptococcus pyogenes; Group B Streptococcus; Enterococcus spp; Klebsiella pneumoniae; Enterobacter aerogenes; Proteus mirabilis; Haemophilus influenzae; Neisseria meningitidis; Pseudomonas aeruginosa; Acinetobacter baumanii; Escherichia coli; Salmonella spp.;Bacteroides fragilis; Leptospira pathogenic spp.;Aspergillus spp.; Candida spp.Whole Blood (Peripheral Blood), Bronchoalveolar Lavage (BAL), Tissue, any sterile body fluidPotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
SES Sepsis + ABRSystemic Infection Panels1 working dayNot AvailableWhole Blood (Peripheral Blood), Bronchoalveolar Lavage (BAL), Tissue, any sterile body fluidPotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
SES Transplant ViralSystemic Infection Panels1 working dayHerpes Simplex Virus 1&2;Cytomegalovirus;Varicella Zoster Virus; Human Herpes Virus 6;Adeno Virus; John Cunningham Virus; Epstein Barr VirusWhole Blood (Peripheral Blood), Bronchoalveolar Lavage (BAL), Any sterile body fluidPotassium EDTA vacutainer (Kit provided by the company)Room temperature2-3 mlPCR
Prenatal sanger variant analysis [1 variant] (Primers available)Additional options for testing12 working daysDetailed clinical and family history is mandatory for processing this testChorionic villus sample (CVS)/amniotic fluid/fetal DNACVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic;Amniotic fluid in a sterile f20-25℃; CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluency; minimum 1 microgSanger sequencing
Prenatal sanger variant analysis [2 variant] (Primers available)Additional options for testing12 working daysDetailed clinical and family history is mandatory for processing this testChorionic villus sample (CVS)/amniotic fluid/fetal DNACVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic;Amniotic fluid in a sterile f20-25℃; CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluency; minimum 1 microgSanger sequencing
Prenatal sanger variant analysis [3 variants]Additional options for testing28 working daysDetailed clinical and family history is mandatory for processing this testChorionic villus sample (CVS)/amniotic fluid/fetal DNACVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic; Amniotic fluid in a sterile f20-25℃; CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluency; minimum 1 microgramSanger sequencing
Sanger validation [3 variants]Additional options for testing28 working daysDetailed clinical and family history is mandatory for processing this testPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Sanger sequencing
Cardiac channelopathy gene panelCardiology21 working daysABCC9, AKAP9, ALG10, ANK2, CACNA1C, CACNA1D, CACNB2, CALM1, CALM2, CASQ2, CAV3, DPP6, GATA4, GJA5, GNAI2, GPD1L, HCN4, KCNA5, KCND3, KCNE1, KCNE2, KCNE3, KCNH2, KCNJ2, KCNJ5, KCNJ8, KCNQ1, NKX2-5, NPPA, NUP155, RANGRF, RYR2, SCN10A, SCN1B, SCN2B, SCN3B, SCN4B, SCN5A, SNTA1, TRDN, TRPM4Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃; CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Cardiomyopathy gene panelCardiology21 working daysAARS2, ABCC9, ACAD9, ACADVL, ACTA1, ACTC1, ACTN2, AGK, AGL, ALMS1, ANK2, ANKRD1, ANO5, BAG3, BIN1, BRAF, CALR3, CASQ2, CAV3, CFL2, CHKB, CHRM2, COX15, CPT1A, CPT2, CRYAB, CSRP3, CTF1, CTNNA3, DES, DMD, DNAJC19, DNM2, DOLK, DPP6, DSC2, DSG2, DSG3, DSP, DTNA, DYSF, EMD, EYA4, FHL1, FHL2, FHOD3, FKTN, FLNC, FOXRED1, FXN, GAA, GATAD1, GJA1, GJA5, GLA, GLB1, GNE, GUSB, HCN4, HFE, HRAS, ILK, ISCU, JPH2, JUP, KBTBD13, KCNA5, KCND3, KCNJ8, KLHL9, KRAS, LAMA4, LAMP2, LDB3, LMNA, LZTR1, MAP2K1, MAP2K2, MEGF10, MIB1, MSTN, MTM1, MTO1, MYBPC1, MYBPC3, MYF6, MYH2, MYH6, MYH7, MYL2, MYL3, MYLK2, MYOT, MYOZ2, MYPN, NEB, NEBL, NEXN, NF1, NOS1AP, NPPA, NRAS, OBSCN, PABPN1, PDLIM3, PKP2, PLEC, PLN, PRDM16, PRKAG2, PSEN1, PSEN2, PTPN11, PTRF, RAF1, RANGRF, RBM20, RIT1, RYR2, SCN10A, SCN5A, SCNN1B, SCNN1G, SCO2, SDHA, SEPN1, SGCD, SGCG, SHOC2, SLC22A5, SLC25A20, SLC25A4, SOS1, SRL, TAZ, TBX20, TCAP, TGFB3, TMEM43, TMEM70, TMPO, TNNC1, TNNI3, TNNI3K, TNNT2, TPM1, TSFM, TTN, TTR, VCL, VCP, XKPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Cardiomyopathy predisposition - MYBPC3 (25bp deletion) by PCR-gelCardiology7 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)PCR
Clopidogrel dosage CYP2C19*2 & CYP2C19*3Cardiology3 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)RT-PCR
Statin induced myopathy predisposition SLCO1B1 p.(Val174Ala) by RT-PCRCardiology7 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)RT-PCR
Warfarin dosage-VKORC1 (c.-1639 G>A), CYP2C9*2,CYP2C9*3,CYP2C9*13 by RT-PCRCardiology7 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)RT-PCR
Connective tissue disorder gene panelConnective Tissue Disorders21 working daysABCC6, ACTA2, ACVR1, ADAMTS10, ADAMTS2, ADAMTSL2, AGPS, ALDH18A1, ALPL, ARSE, ATP6V0A2, ATP7A, B3GALT6, B4GALT7, BMP1, CA2, CANT1, CBS, CHST14, CLCN7, COL10A1, COL11A1, COL11A2, COL1A1, COL1A2, COL2A1, COL3A1, COL4A3, COL4A4, COL4A5, COL5A1, COL5A2, COL9A1, COL9A2, COL9A3, COMP, CRTAP, DDR2, DSE, DYNC2H1, EBP, EFEMP2, ELN, EVC, EVC2, FBLN5, FBN1, FBN2, FGFR1, FGFR3, FKBP10, FKBP14, FLCN, FLNA, FLNB, GDF5, GNPAT, HSPG2, IFITM5, IFT122, IFT43, IFT80, IHH, LBR, LIFR, LRP5, LTBP2, LTBP4, MYH11, MYLK, NEK1, NOTCH1, NPR2, NSDHL, OCRL, OSTM1, P3H1, PAPSS2, PEX7, PIEZO2, PKD2, PLEKHM1, PLOD1, PLOD2, PLOD3, PPIB, PRDM5, PTH1R, PYCR1, RIN2, RMRP, RUNX2, SERPINF1, SERPINH1, SKI, SLC26A2, SLC2A10, SLC35D1, SLC39A13, SMAD3, SMAD4, SMARCAL1, SNX10, SOX9, SP7, SPARC, TCIRG1, TGFB1, TGFB2, TGFB3, TGFBR1, TGFBR2, TMEM38B, TNFRSF11A, TNFSF11, TNXB, TRAPPC2, TRIP11, TRPS1, TRPV4, TTC21B, WDR35, WISP3, WNT1, ZNF469Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Cutis-laxa gene panelConnective Tissue Disorders21 working daysALDH18A1, ATP6VA2, ATP6V1A, ATP6V1E1, ATP7A, EFEMP2, ELN, FBLN5, LTBP4, PYCR1, RIN2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Ehler Danlos syndrome gene panelConnective Tissue Disorders21 working daysADAMTS2, ATP7A, B3GALT6, B4GALT7, C1R, CHST14, COL1A1, COL1A2, COL3A1, COL5A1, COL5A2, DSE, FKBP14, FLNA, PLOD1, SLC39A13, TNXB, ZNF469Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Ehlers-Danlos syndrome type VI (PLOD1) deletion/duplication analysisConnective Tissue Disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Marfan syndrome (FBN1) gene analysisConnective Tissue Disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Acute intermittent porphyria - HMBS gene analysisDermatology21 working daysHMBSPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Ectodermal dysplasia gene panelDermatology21 working daysCDH3, DLX3, EDA, EDAR, EDARADD, EVC, EVC2, GJB6, GRHL2, HOXC13, KDF1, KREMEN1, KRT74, KRT85, MBTPS2, MSX1, NFKBIA, NLRP1, ORAI1, PKP1, PVRL1, PVRL4, TP63, TWIST2, WNT1APeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Epidermolysis bullosa gene panelDermatology21 working daysCD151, COL17A1, COL7A1, DSP, DST, EXPH5, FERMT1, ITGA3, ITGA6, ITGB4, KRT14, KRT5, LAMA3, LAMB3, LAMC2, MMP1, PKP1, PLEC, TGM5Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Harlequin ichthyosis (ABCA12) gene analysisDermatology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Icthyosis gene panelDermatology21 working daysABCA12, ABHD5, ALDH3A2, ALOX12B, ALOXE3, AP1S1, CASP14, CDSN, CERS3, CLDN1, CSTA, CYP4F22, DSG1, DSP, EBP, FLG, GJB2, GJB3, GJB4, KRT1, KRT1, KRT2, LIPN, LOR, NIPAL4, PHGDH, PHYH, PNPLA1, POMP, PSAT1, SLC27A4, SLURP1, SNAP29, SPINK5, ST14, STS, TGM1, TGM5Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Oculocutaneous albinism gene panelDermatology21 working daysC10orf11, MC1R, OCA2, SLC24A5, SLC45A2, TYR, TYRP1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Sjogren-Larsson syndrome (ALDH3A2) gene analysisDermatology21 working daysProvide details of immunological involvement and clinical history especially pertaining to skin, joints, bones and eyePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Xeroderma pigmentosum gene panelDermatology21 working daysDDB2, ERCC2, ERCC3, ERCC4, ERCC5, POLH, XPA, XPCPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Androgen receptor (AR) deletion/duplication analysisEndocrinology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Androgen receptor (AR) gene analysisEndocrinology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Congenital adrenal hyperplasia CYP21A2 (21-0H) deletion/duplication analysisEndocrinology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Congenital adrenal hyperplasia CYP21A2 (21-0H) gene analysisEndocrinology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Congenital adrenal hyperplasia due to 3-beta-hydroxysteroid dehydrogenase 2 deficiency (HSD3B2) geneEndocrinology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Congenital adrenal hyperplasia due to 3-beta-hydroxysteroid dehydrogenase 2 deficiency (HSD3B2) geneEndocrinology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Congenital hypopituitarism gene panelEndocrinology21 working daysGLI2, GLI3, HESX1, LHX3, LHX4, OTX2, POU1F1, PROP1, SOX3Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hereditary pancreatitis gene panelEndocrinology21 working daysCFTR, CTRC, PRSS1, SPINK1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hypercholesterolemia gene panelEndocrinology21 working daysABCA1, ABCG5, ABCG8, APOA1, APOA2, APOA5, APOB, APOC2, APOC3, APOE, CETP, EPHX2, GHR, GPIHBP1, ITIH4, LDLR, LDLRAP1, LIPC, LPL, PCSK9, PPP1R17, SLCO1B1, SREBF2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Kallmann syndrome gene panelEndocrinology21 working daysFGFR1, KAL1, PROK2, PROKR2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Leptin deficiency (LEP) gene analysisEndocrinology21 working daysLEPPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Maturity-onset diabetes of the young (MODY) & neonatal diabetes gene panelEndocrinology21 working daysABCC8, AKT2, APPL1, BLK, CEL, CISD2, EIF2AK3, FOXP3, GCK, GLIS3, GLUD1, HADH, HNF1A, HNF1B, HNF4A, IER3IP1, INS, INSR, KCNJ11, KLF11, MNX1, NEUROD1, NKX2-2, NKX6- 1, PAX4, PDX1, PTF1A, RFX6, SLC2A2, WFS1, ZFP57Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Monogenic and syndromic obesity gene panelEndocrinology21 working daysALMS1, ARL6, BBS1, BBS10, BBS12, BBS2, BBS4, BBS5, BBS7, BBS9, CEP290, CREBBP, CUL4B, DYRK1B, EP300, GNAS, INPP5E, KSR2, LEP, LEPR, MAGEL2, MC3R, MC4R, MEGF8, MKKS, MKS1, NR0B2, NTRK2, PCNT, PCSK1, PHF6, POMC, PPARG, PYY, RAB23, RPS6KA3, SDCCAG8, SIM1, TBX3, TMEM67, TRIM32, TTC8, VPS13B, WDPCPPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Deafness gene panelENT21 working daysACTB, ACTG1, ADCY1, ADGRV1, AIFM1, ATP6V1B1, BCS1L, BDP1, BSND, BTD, CABP2, CACNA1D, CCDC50, CD164, CDC14A, CDH23, CEACAM16, CIB2, CISD2, CLDN14, CLIC5, CLPP, CLRN1, COCH, COL11A1, COL11A2, COL2A1, COL4A3, COL4A4, COL4A5, COL4A6, COL9A1, COL9A2, COL9A3, CRYM, DCDC2, DFNA5, DFNB31, DFNB59, DIABLO, DIAPH1, DIAPH3, DMXL2, DNMT1, DSPP, EDN3, EDNRB, ELMOD3, EPS8, EPS8L2, ESPN, ESRRB, EYA1, EYA4, FAM189A2, FAM65B, FGF3, FOXI1, GATA3, GIPC3, GJB1, GJB2, GJB3, GJB4, GJB6, GPSM2, GRHL2, GRXCR1, GRXCR2, HARS, HARS2, HGF, HOMER2, HSD17B4, ILDR1, JAG1, KARS, KCNE1, KCNJ10, KCNQ1, KCNQ4, LARS2, LHFPL5, LHX3, LOXHD1, LRTOMT, MARVELD2, MCM2, MET, MIR96, MITF, MSRB3, MYH14, MYH9, MYO15A, MYO1A, MYO1C, MYO1F, MYO3A, MYO6, MYO7A, NARS2, NF2, OSBPL2, OTOA, OTOF, OTOG, OTOGL, P2RX2, PAX3, PCDH15, PDZD7, PEX7, PHYH, PNPT1, POU3F4, POU4F3, PRPS1, PTPRQ, RDX, S1PR2, SERPINB6, SIX5, SLC17A8, SLC22A4, SLC26A4, SLC26A5, SLITRK6, SMPX, SNAI2, SOX10, SOX2, STRC, SYNE4, TBC1D24, TECTA, TIMM8A, TJP2, TMC1, TMEM132E, TMIE, TMPRSS3, TMPRSS5, TNC, TPRN, TRIOBP, TSPEAR, USH1C, USH1G, USH2A, WBP2, WFS1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Mondini defect (SLC26A4) gene analysisENT21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Waardenburg syndrome gene panelENT21 working daysEDN3, EDNRB, MITF, PAX3, SNAI2, SOX10, TYRPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Alagille syndrome gene panelGastroenterology21 working daysJAG1, NOTCH2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Congenital hepatic fibrosis gene panelGastroenterology21 working daysAHI1, ANKS6, ARL13B, ARL6, B9D1, B9D2, BBS1, BBS10, BBS12, BBS2, BBS4, BBS5, BBS7, BBS9, C5orf42, CC2D2A, CEP164, CEP290, CEP41, EVC, EVC2, GLIS2, IFT122, IFT80, INPP5E, INVS, IQCB1, KIF7, MKKS, MKS1, NEK8, NPHP1, NPHP3, NPHP4, OFD1, PKD1, PKD2, PKHD1, RPGRIP1L, TCTN1, TCTN2, TCTN3, TMEM138, TMEM216, TMEM231, TMEM237, TMEM67, TRIM32, TTC21B, TTC8, WDR19, ZNF423Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Gilbert syndrome (UGT1A1) gene analysis (only point mutation analysis)Gastroenterology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hemochromatosis gene panelGastroenterology21 working daysBMP2, FTH1, HAMP, HFE, HFE2, SLC40A1, TFR2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Polycystic liver disease gene panelGastroenterology21 working daysALG8, GANAB, LRP5, PKHD1, PRKCSH, SEC63Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Progressive familial intrahepatic cholestasis gene panelGastroenterology21 working daysABCB11, ABCB4, AKR1D1, ATP8B1, JAG1, NOTCH2, NR1H4, SLC25A13, TJP2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Progressive familial intrahepatic cholestasis-3 (ABCB4) deletion/duplication analysisGastroenterology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Tyrosinemia gene analysisGastroenterology21 working daysFAH, HPD, TATPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
UGT1A1 repeat analysisGastroenterology14 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Fragment analysis
Wilson disease (ATP7B) deletion/duplication analysisGastroenterology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Wilson disease (ATP7B) gene analysisGastroenterology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Alpha thalassemia (HBA1 & HBA2) deletion/duplication analysisHematology14 working daysNot AvailablePeripheral blood/purified genomic DNA (RNAse treated)/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Alpha thalassemia gene analysis (HBA1 & HBA2)Hematology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Sanger sequencing
Aplastic anemia gene panelHematology21 working daysACD, BRCA1, BRCA2, BRIP1, DKC1, ERCC4, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, GATA1, NBN, NHP2, NOP10, PALB2, PARN, PRF1, RAD51C, RPL11, RPL15, RPL26, RPL35A, RPL5, RPS10, RPS19, RPS24, RPS26, RPS28, RPS29, RPS7, RTEL1, SBDS, SLX4, TERT, TINF2, TSR2, UBE2T, WRAP53Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Beta thalassemia (HBB) deletion/duplication analysisHematology14 working daysNot AvailablePeripheral blood/purified genomic DNA (RNAse treated)/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Beta thalassemia [HBB] gene analysisHematology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Bone marrow failure syndrome gene panelHematology21 working daysAK2, ANKRD26, ATR, BRCA1, BRCA2, BRIP1, CEBPA, CECR1, CSF3R, CTC1, DDX41, DKC1, DNAJC21, ELANE, ERCC4, ETV6, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, G6PC3, GATA1, GATA2, GFI1, GFI1B, HAX1, JAGN1, LIG4, MPL, NBN, NHP2, NOP10, PALB2, PARN, PAX5, RAB27A, RAD51, RAD51C, RMRP, RPL11, RPL15, RPL19, RPL23, RPL26, RPL27, RPL31, RPL35A, RPS10, RPS15, RPS19, RPS24, RPS26, RPS27, RPS27A, RPS28, RPS29, RPS7, RTEL1, RUNX1, SAMD9, SAMD9L, SBDS, SLX4, SRP72, TAZ, TCIRG1, TERC, TERT, TINF2, TP53, TSR2, UBE2T, USB1, VPS13B, VPS45, WAS, WRAP53Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
CD34+ Stem cell Enumeration (CD45, CD34, 7AAD)Hematology4 hoursProvide detailed clinical history along with CBC reportsBone marrow/ Peripheral blood in EDTA /Harvest SampleEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon2-8℃2 mLFlowcytometry
Congenital afibrinogenemia gene panelHematology21 working daysFGA, FGB, FGGPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Congenital dyserythropoietic anemia gene panelHematology21 working daysC15orf41, CDAN1, COX4I2, GATA1, KIF23, KLF1, SEC23BPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Diamond blackfan anemia gene panelHematology21 working daysGATA1, RPL11, RPL15, RPL26, RPL27, RPL35A, RPL5, RPS10, RPS19, RPS24, RPS26, RPS27, RPS28, RPS29, RPS7, TSR2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Dyskeratosis congenita gene panelHematology21 working daysACD, CTC1, DKC1, NHP2, NOP10, PARN, RTEL1, TERT, TINF2, WRAP53Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Factor V Leiden (F5) mutation analysis (exon 10)Hematology7 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Sanger sequencing
Factor VII deficiency (F7) gene analysisHematology21 working daysAK2, ANKRD26, ATR, BRCA1, BRCA2, BRIP1, CEBPA, CECR1, CSF3R, CTC1, DDX41, DKC1, DNAJC21, ELANE, ERCC4, ETV6, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, G6PC3, GATA1, GATA2, GFI1, GFI1B, HAX1, JAGN1, LIG4, MPL, NBN, NHP2, NOP10, PALB2, PARN, PAX5, RAB27A, RAD51, RAD51C, RMRP, RPL11, RPL15, RPL19, RPL23, RPL26, RPL27, RPL31, RPL35A, RPS10, RPS15, RPS19, RPS24, RPS26, RPS27, RPS27A, RPS28, RPS29, RPS7, RTEL1, RUNX1, SAMD9, SAMD9L, SBDS, SLX4, SRP72, TAZ, TCIRG1, TERC, TERT, TINF2, TP53, TSR2, UBE2T, USB1, VPS13B, VPS45, WAS, WRAP53Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Fanconi anemia gene panelHematology21 working daysBRCA1, BRCA2, BRIP1, ERCC4, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, MAD2L2, PALB2, RAD51, RAD51C, SLX4, UBE2T, XRCC2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Fanconi anemia of complementation group A (FANCA) deletion/duplication analysisHematology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Fanconi's AnemiaHematology15 working daysNot AvailablePeripheral BloodSodium heparin-Green top20-25℃Minimum 4 ml peripheral bloodCytogenetics/Karyotyping
G6PD gene sequencingHematology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Haemophilia (F8 & F9) gene panelHematology21 working daysF8, F9Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Haemophilia A (F8) gene analysis (analysis of the F8 inversion is not included)Hematology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Haemophilia A (F8) intron 22 inversionHematology10 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)PCR
Hemophagocytic lymphohistiocytosis (HLH) gene panelHematology21 working daysAP3B1, BLOC1S6, CD27, ITK, LYST, PRF1, RAB27A, SH2D1A, SLC7A7, STX11, STXBP2, UNC13D, XIAPPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hemophagocytic lymphohistiocytosis deletion/duplication analysisHematology14 working daysPRF1, STK11, UNC13DPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Hereditary elliptocytosis gene panelHematology21 working daysEPB41, SLC4A1, SPTA1, SPTBPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hereditary Hemolytic Anemia Panel (For RBC membrane disorders and Enzymopathies)Hematology21 working daysABCG5, ABCG8, AK1, ALDOA, ANK1, C15orf41, CDAN1, EPB41, EPB42, G6PD, GATA1, GCLC, GPI, GPX1, GSR, GSS, HK1, KIF23, KLF1, NT5C3A, PFKM, PGK1, PIEZO1, PKLR, RHAG, SEC23B, SLC2A1, SLC4A1, SPTA1, SPTB, TPI1, XKPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hereditary spherocytosis gene panelHematology21 working daysANK1, EPB42, SLC4A1, SPTA1, SPTBPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Iron-refractory iron deficiency anemia (TMPRSS6) gene analysisHematology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Methemoglobinemia (CYB5R3) gene analysisHematology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
MTHFR gene analysis - 2 exons (5 & 8)Hematology10 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Sanger sequencing
Protein S deficiency (PROS1 gene deletion/duplication analysis )Hematology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Sickle cell anemia (HBB) gene analysis (exon 1)Hematology10 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Sanger Sequencing
Sideroblastic anaemia gene panelHematology21 working daysABCB7, ALAS2, GLRX5, PUS1, SLC25A38, TRNT1, YARS2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Von Willebrand disease (VWF) gene analysisHematology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Wiskott Aldrich syndrome (WAS) gene analysisHematology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Myeloproliferative neoplasm (MPN) reflex panel NGSHemato-oncology8 working daysJAK2 Sanger sequencing for exons 12 & 14 if negative MPL Sanger sequencing for exon 10 if negative CALR Fragment analysis of exon 9Peripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext generation Sequencing
Acute Leukemia Classifier Panel - FlowcytometryHemato-oncology2 working daysAppropriately labelled air-dried and unstained Bone marrow aspirate smears and Peripheral blood smears must accompany every specimen.Peripheral blood along with bone marrow aspirate in EDTA, Peripheral blood can be accepted if blasts/Bone marrow smears on slides; bone marrow aspirate in EDTA; EDTA anticoagulated peripheral blood2-8℃Minimum of 2 bone marrow smears; minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFlowcytometry
Acute Leukemia Screen Panel - FlowcytometryHemato-oncology2 working daysAppropriately labelled air-dried and unstained Bone marrow aspirate smears and Peripheral blood smears must accompany every specimen.Peripheral blood along with bone marrow aspirate in EDTA. Peripheral blood can be accepted if blasts/aBone marrow smears on slides; bone marrow aspirate in EDTA; EDTA anticoagulated peripheral blood2-8℃Minimum of 2 bone marrow smears; minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFlowcytometry
ALL risk stratification gene panel - B-ALLHemato-oncology14 working daysABL1, CDKN2A, CREBBP, ETV6, FLT3, IKZF1, JAK2, KDM6A, KRAS, MLL2, NRAS, PTEN, TP53 Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
ALL risk stratification gene panel - T-ALLHemato-oncology14 working daysDNMT3A, HRAS, KRAS, NOTCH1, NRAS, PHF6, PTEN, RUNX1 Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
AML risk stratification gene panelHemato-oncology14 working daysASXL1, BRAF, CEBPA, CUX1, DNMT3A, ETV6/TEL, EZH2, FLT3, GATA1, GATA2, HRAS, IDH1, IDH2, JAK2, KIT (c-KIT), KRAS, MLL, NPM1, NRAS, PDGFRA, PHF6, PTPN11, RUNX1, SETBP1, STAG2, TET2, TP53, WT1, ZRSR2 Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
BCR-ABL qualitative gene fusion analysis (Major,Minor & Micro)Hemato-oncology4 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the sample to reach laboratory within 24 hours of collectionPeripheral blood/bone marrow aspirateEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTARoom temperature (refrigerate overnight if necessary)Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateRT-PCR
BCR-ABL quantitative (International Scale) gene fusion analysisHemato-oncology5 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the sample to reach laboratory within 24 hours of collectionPeripheral blood/bone marrow aspirateEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTARoom temperature (refrigerate overnight if necessary)Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateRT-PCR
BCR-ABL quantitative gene fusion analysis (Major,Minor & Micro)Hemato-oncology4 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the sample to reach laboratory within 24 hours of collectionPeripheral blood/bone marrow aspirateEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTARoom temperature (refrigerate overnight if necessary)Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateRT-PCR
CEL/diagnostic and prognostic gene panelHemato-oncology14 working daysPDGFRA and KIT mutations Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
Chronic Lymphoid Leukemia Panel - FlowcytometryHemato-oncology2 working daysAppropriately labelled air-dried and unstained Bone marrow aspirate smears and Peripheral blood smears must accompany every specimen.Peripheral blood along with bone marrow aspirate in EDTA. Peripheral blood can be accepted if blasts/Bone marrow smears on slides; bone marrow aspirate in EDTA; EDTA anticoagulated peripheral blood2-8℃Minimum of 2 bone marrow smears; minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFlowcytometry
Chronic myeloproliferative disorder gene panel (CMPD)Hemato-oncology14 working daysABL1, CALR, CBL, CBLB, CBLC, CSF3R, JAK2, KIT, MPL, PDGFRA Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
CLL prognostication/Risk stratification gene panelHemato-oncology14 working daysMYD88, NOTCH1, SF3B1, TP53 Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
CML/CNL(atypical) prognostication gene panelHemato-oncology14 working daysASXL1, CBL, CBLB, CBLC, CSF3R, DNMT3A, JAK2, SETBP1, NRAS, KRAS Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
CMML risk stratification gene panelHemato-oncology14 working daysASXL1, CBLC, SETBP1, TET2, EZH2, SF3B1, ZRSR2, RUNX1, TP53 Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
Comprehensive ALL Panel (FISH,Karyotyping,MLPA,NGS,RT-PCR)Hemato-oncology21 working daysMGM576-Karyotyping- bone marrowMGM174-BCR-ABL quantitative (International Scale) gene fusion analysis (RT-PCR);MGM1060-Multiplex RT-PCR panel for Leukemia(RT-PCR);MGM461-AML/MDS FISH for C-MYC amplifications/trisomy8(FISH);MGM499-Comprehensive leukemia panel - 57 genes(NGS);MGM1139-iAMP21 by FISH(FISH);MGM1144-TCR-alpha and TCR-delta(FISH)Bone marrow/ Peripheral blood in EDTA, Bone marrow/ Peripheral blood in heparinEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA, Bone marrow/ Peripheral blood in20-25℃Minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFISH,Karyotyping,MLPA,Next Generation Sequencing,RT-PCR
Comprehensive leukemia panel - 57 genesHemato-oncology14 working daysABL1, ASXL1, ATM, ATRX, BCOR, BRAF, CALR, CBL, CBLB, CBLC, CDKN2A, CEBPA, CREBBP, CSF3R, CUX1, DNMT3A, ETV6, EZH2, FLT3, GATA1, GATA2, GNAS, HRAS, IDH1, IDH2, IKZF1, JAK2, JAK3, KDM6A, KIT, KMT2A, KMT2D, KRAS, MPL, MYD88, NOTCH1, NPM1, NRAS, PDGFRA, PHF6, PTEN, PTPN11, RAD21, RUNX1, SETBP1, SF3B1, SMC1A, SMC3, STAG2, TET2, TP53, WT1, ZRSR2 Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
FISH for chromosome 4/10/17, ALLHemato-oncology5 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also. Clinical indication and BMA diagnosis is must**Bone marrow aspirate?Sodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirateFISH
FISH for JAK2 (9p24) gene rearrangement, MPNHemato-oncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFISH
FISH for FGFR1(8p11.2) gene rearrangement, MPNHemato-oncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFISH
FISH for t(14;20), IGH/MAFB,MMHemato-oncology7 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also. Clinical indication and BMA diagnosis is must**Bone marrow aspirate?Sodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirateFISH
FISH for t(6;9)(p22;q34), DEK/NUP, AMLHemato-oncology5 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also. Clinical indication and BMA diagnosis is must**Bone marrow aspirate?Sodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirateFISH
FLT3-ITD mutant allele burden analysisHemato-oncology4 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone aspirate in EDTA; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coFragment analysis
JAK2 gene analysis - 2 exons (12, 14) by NGSHemato-oncology7 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
JAK2 gene analysis - Exon 14Hemato-oncology7 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coSanger sequencing
JMML risk stratification gene panelHemato-oncology14 working daysCBLC, KRAS, NRAS, HRAS, PTPN11, SETBP1, JAK3, CBL, ASXL1, RUNX1, TET2, JAK2, EZH2 Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
Leukemia/Lymphoma Panel- FlowcytometryHemato-oncology2 working daysAppropriately labelled air-dried and unstained Bone marrow aspirate smears and Peripheral blood smears must accompany every specimen.Peripheral blood alongwith bone marrow aspirate in EDTABone marrow smears on slides; bone marrow aspirate in EDTA; EDTA anticoagulated peripheral blood2-8℃Minimum of 2 bone marrow smears; minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral blooFlowcytometry
MDS prognostication and risk stratification gene panelHemato-oncology14 working daysATRX, ASXL1, BCOR, CALR, CUX1, ETV6/TEL, EZH2, DNMT3A, GATA1, TET2, IDH1, TP53, NRAS/KRAS, RUNX1, SF3B1, ZRSR2, STAG2, SETBP1, IDH2 Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
MDS-AML Familial gene panelHemato-oncology14 working daysCEBPA,GATA2,RUNX Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
MPN - CALR (exon 9) gene analysisHemato-oncology7 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/purified genomic DNA/bone marrow aspirateEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; bone Marrow in EDTA20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Fragment analysis
MPN prognostication and risk stratification panelHemato-oncology14 working daysASXL1, CALR, JAK2, MPL, DNMT3A, TET2 Bone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirate/purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
Myelodysplasia Panel - FlowcytometryHemato-oncology2 working daysProvide detailed clinical history along with CBC reports[Note : Peripheral blood is not acceptable for this panel]Peripheral blood along with bone marrow aspirate in EDTABone marrow aspirate in EDTA2-8℃Minimum 1ml of bone marrow aspirateFlowcytometry
Myeloproliferative Neoplasms panel(MPN), 4 markers- PDGFRA gene rearrangement, PDGFRB gene rearrangement, JAK2 gene rearrangement, FGFR1 gene rearrangement. FISHHemato-oncology6 working daysIncludes PDGFRA , PDGFRB, FGFR1, JAK2 gene rearrangementBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFISH
NPM1 gene analysis (Hot Spot - exon 12)Hemato-oncology14 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/purified genomic DNA/bone marrow aspirateEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; bone marrow in EDTA20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Fragment analysis
PML-RARA gene fusion analysis (Qualitative)Hemato-oncology2 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood/bone marrow aspirateEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTARoom temperature (refrigerate overnight if necessary)Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateRT-PCR
Agammaglobulinemia (BTK) gene analysisImmunology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Chimerism testingImmunology5 working days16 STR loci present on different chromosomes are evaluated from patients and donor before transplant and monitor the presence or absence in patient post transplantPre-transplant samples for patient and donor: peripheral blood/purified genomic DNA/buccal swabs PoEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; buccal swabs in a sterile tube w20-25℃Minimum 5ml peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters); miFragment Analysis
Congenital neutropenia gene panelImmunology21 working daysCLPB, CSF3R, ELANE, G6PC3, GATA1, GFI1, HAX1, JAGN1, USB1, VPS45, WASPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
CYP3A5 testing for Tacrolimus dosingImmunology7 working daysNot AvailablePeripheral blood in EDTAEDTA anticoagulated peripheral blood20-25℃Minimum 3ml of peripheral bloodSanger sequencing
HLA B27 testingImmunology7 working daysLabel each tube clearly with name/Age/SexPeripheral blood; purified genomic DNA; buccal swabs (4) for patients on chemotherapy or anemic patientEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; buccal swabs in a sterile container20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
HLA B51 testingImmunology7 working daysLabel each tube clearly with name/Age/SexPeripheral blood; purified genomic DNA; buccal swabs (4) for patients on chemotherapy or anemic patiEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; buccal swabs in a sterile contai20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
HLA Typing confirmation (High resolution)Immunology5 working daysLabel each tube clearly with name/Age/SexPeripheral blood; purified genomic DNA; buccal swabs (4) for patients on chemotherapy or anemic patiEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; buccal swabs in a sterile contai20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
HLA Typing High resolution (HLA A, B, C, DRB1, DQB1)Immunology10 working daysLabel each tube clearly with name/Age/SexPeripheral blood; purified genomic DNA; buccal swabs (4) for patients on chemotherapy or anemic patientEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; buccal swabs in a sterile container20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
HLA Typing High resolution (HLA A, B, C, DRB1, DQB1) - Expedited TATImmunology7 working daysLabel each tube clearly with name/Age/SexPeripheral blood; purified genomic DNA; buccal swabs (4) for patients on chemotherapy or anemic patientEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; buccal swabs in a sterile container20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
HLA typing low resolution (HLA A, B, DRB1)Immunology10 working daysLabel each tube clearly with name/Age/SexPeripheral blood; purified genomic DNA; buccal swabs (4) for patients on chemotherapy or anemic patientEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; buccal swabs in a sterile container20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
HLA-B* 1502 for carbamazepine toxicityImmunology10 working daysHLA-B* locus is evaluated to identify the HLA-B 1502 variation which is linked to Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) complications in patients receiving CarbamazepinePeripheral blood; purified genomic DNA; buccal swabs (4) for patients on chemotherapy or anemic patientEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; buccal swabs in a sterile container20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hyper-immunoglobulin E syndrome (DOCK8) gene sequencingImmunology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
IKBKG deletion/duplication analysisImmunology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Lymphoproliferative Disorder Classifier Panel - FlowcytometryImmunology2 working daysAppropriately labelled air-dried and unstained Bone marrow aspirate smears and Peripheral blood smears must accompany every specimen.Peripheral blood along with bone marrow aspirate in EDTA. Peripheral blood can be accepted if blasts/Bone marrow smears on slides; bone marrow aspirate in EDTA; EDTA anticoagulated peripheral blood2-8℃Minimum of 2 bone marrow smears; minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFlowcytometry
Primary immunodeficiency gene panelImmunology21 working daysACP5, ACTB, ADA, AGA, AICDA, AIRE, AK2, ALG13, AP3B1, AP4E1, APOL1, ATM, B2M, BLM, BLNK, BLOC1S3, BLOC1S6, BTK, C1QA, C1QB, C1QC, C1R, C1S, C2, C3, C4A, C4B, C5, C6, C7, C8A, C8B, C9, CARD11, CARD9, CASP10, CASP8, CD19, CD247, CD27, CD3D, CD3E, CD3G, CD40, CD40LG, CD46, CD55, CD59, CD79A, CD79B, CD81, CD8A, CEBPE, CFB, CFD, CFH, CFHR1, CFHR3, CFHR5, CFI, CFP, CHD7, CIITA, CLEC7A, COLEC11, CORO1A, CR2, CREBBP, CSF2RA, CSF3R, CTSC, CXCR4, CYBA, CYBB, DCLRE1C, DHFR, DKC1, DNMT3B, DOCK8, DTNBP1, ELANE, EPG5, ERCC2, ERCC3, F12, FADD, FAS, FASLG, FCGR1A, FCGR3A, FCN3, FERMT3, FOXN1, FOXP3, G6PC, G6PC3, G6PD, GATA2, GFI1, GJC2, GTF2H5, HAX1, HPS1, HPS3, HPS4, HPS5, HPS6, ICOS, IFNGR1, IFNGR2, IGHG2, IGHM, IGKC, IGLL1, IKZF1, IL10, IL10RA, IL10RB, IL12B, IL12RB1, IL17F, IL17RA, IL1RN, IL2, IL21, IL21R, IL2RA, IL2RG, IL36RN, IL7R, INSR, IRAK4, IRF8, ITCH, ITGB2, ITK, JAK2, JAK3, KMT2D, KRAS, LAMTOR2, LCK, LIG1, LIG4, LPIN2, LRBA, LRRC8A, LYST, MAGT1, MALT1, MAN2B1, MANBA, MASP1, MASP2, MBL2, MC2R, MCM4, MEFV, MLPH, MPO, MRE11A, MS4A1, MSH6, MTHFD1, MVK, MYD88, MYO5A, NBN, NCF1, NCF2, NCF4, NCSTN, NFKB1, NFKB2, NFKBIA, NHEJ1, NHP2, NKX2- 5, NLRP12, NLRP3, NOD2, NOP10, NRAS, ORAI1, PCCA, PCCB, PEPD, PGM3, PIGA, PIK3CD, PIK3R1, PLCG2, PLG, PMM2, PMS2, PNP, PRF1, PRKCD, PRKDC, PRPS1, PSENEN, PSMB8, PSTPIP1, PTPN11, PTPRC, PTRF, RAB27A, RAC2, RAG1, RAG2, RASGRP2, RBCK1, RECQL4, RFX5, RFXANK, RFXAP, RNASEH2A, RNASEH2B, RNASEH2C, RNF168, RORC, RPSA, RTEL1, SAMHD1, SBDS, SERAC1, SERPING1, SH2D1A, SKIV2L, SLC35A1, SLC35C1, SLC37A4, SLC39A4, SLC46A1, SMARCAL1, SP110, SPINK5, STAT1, STAT2, STAT3, STAT4, STAT5B, STIM1, STK4, STX11, STXBP2, TAP1, TAP2, TAPBP, TAZ, TBX1, TCIRG1, TCN2, TERT, TFRC, THBD, TICAM1, TINF2, TLR3, TMC6, TMC8, TNFRSF11A, TNFRSF13B, TNFRSF13C, TNFRSF1A, TNFRSF4, TRAC, TRAF3, TREX1, TTC37, TYK2, UNC119, UNC13D, UNC93B1, UNG, USB1, VPS13B, VPS45, WAS, WIPF1, WRAP53, XIAP, ZAP70, ZBTB24Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Severe combined immunodeficiency (SCID) gene panelImmunology21 working daysADA, AK2, CD3D, CD3E, CIITA, DCLRE1C, IL2, IL21R, IL2RG, IL7R, JAK3, NHEJ1, PNP, PTPRC, RAG1, RAG2, RFX5, RFXANK, RFXAP, TAP1, TAPBPPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Thrombotic Thrombocytopenic Purpura (ADAMTS13) gene analysisImmunology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
TPMT and NUDT15 gene analysisImmunology10 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Sanger Sequencing
Alpha-mannosidosis (MAN2B1) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Biotinidase deficiency (BTD) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Citrullinemia gene panelMetabolic disorders21 working daysASS1, SLC25A13, SLC25A15Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Fabry disease (GLA) deletion/duplication analysisMetabolic disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Fabry disease (GLA) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Fanconi bickel syndrome (SLC2A2) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Farber lipogranulomatosis (ASAH1) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Fatty acid oxidation disorders gene panelMetabolic disorders21 working daysACAD9, ACADL, ACADM, ACADS, ACADSB, ACADVL, CPT1A, CPT1B, CPT2, ETFA, ETFB, ETFDH, GLUD1, HADH, HADHA, HADHB, HMGCL, HMGCS2, HSD17B10, LPIN1, MLYCD, SLC22A5, SLC25A20, TAZPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Fucosidosis (FUCA1) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Galactosemia (GALT) gene analysisMetabolic Disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Galactosialidosis (CTSA) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
GBA gene sequencingMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
GLUT1 deficiency (SLC2A1) deletion/duplication analysisMetabolic disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
GLUT1 deficiency (SLC2A1) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Glycine encephalopathy (GLDC) deletion/duplication analysisMetabolic disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Glycine encephalopathy gene panelMetabolic disorders21 working daysAMT, GCSH, GLDCPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Glycogen storage disorder gene panelMetabolic disorders21 working daysAGL, ALDOA, ENO3, G6PC, GAA, GBE1, GYG1, GYS1, GYS2, LAMP2, LDHA, PFKM, PGAM2, PGM1, PHKA1, PHKA2, PHKB, PHKG2, PRKAG2, PYGL, PYGM, SLC2A2, SLC37A4Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Glycosylation (CDG) disorders gene panelMetabolic disorders21 working daysALG1, ALG11, ALG12, ALG13, ALG14, ALG2, ALG3, ALG6, ALG8, ALG9, ATP6V0A2, B3GLCT, B3GAT3, B4GALT1, B4GALT7, CAD, CCDC115, CHST14, CHST3, CHST6, CHSY1, COG1, COG4, COG5, COG6, COG7, COG8, DDOST, DHDDS, DOLK, DPAGT1, DPM1, DPM2, DPM3, EXT1, EXT2, FKRP, FKTN, GALNT3, GFPT1, GNE, LARGE, LFNG, MAN1B1, MGAT2, MOGS, MPDU1, MPI, NGLY1, PGM1, PIGA, PIGL, PIGM, PIGO, PIGV, PMM2, POMGNT1, POMT1, POMT2, RFT1, SEC23B, SLC35A1, SLC35A2, SLC35C1, SLC35D1, SRD5A3, SSR4, ST3GAL3, ST3GAL5, STT3A, STT3B, TMEM165, TUSC3Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
GM1 gangliosidosis/mucopolysaccharidosis type IVB (GLB1) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hereditary fructose intolerance (ALDOB) gene sequencingMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Homocystinuria gene panelMetabolic disorders21 working daysABCD4, CBS, HCFC1, LMBRD1, MMACHC, MMADHC, MTHFR, MTR, MTRRPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hyperargininemia (ARG1) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Leigh syndrome & mitochondrial encephalopathy gene panelMetabolic disorders21 working daysAARS, AARS2, ABCB11, ABCB4, ABCB7, ABCD4, ACAD9, ACADM, ACADVL, ACO2, ACSF3, ADCK3, ADCK4, AFG3L2, AGK, AGL, AIFM1, ALAS2, ALDOA, ALDOB, ALG1, ALG11, ALG13, ALG2, ALG3, ALG6, ALG9, AMACR, APOPT1, APTX, ARG1, ASL, ASS1, ATP5A1, ATP5E, ATP7B, ATP8B1, ATPAF2, AUH, B4GALT1, BCKDHA, BCKDHB, BCS1L, BOLA3, C10ORF2, C12ORF65, C19ORF12, CA5A, CARS2, CHKB, CISD2, CLPB, COA5, COA6, COASY, COG4, COG5, COG6, COG7, COG8, COQ2, COQ4, COQ6, COQ9, COX10, COX14, COX15, COX20, COX4I2, COX6A1, COX6B1, COX7B, CPS1, CPT1A, CPT2, CYC1, DARS, DARS2, DBT, DDHD1, DDHD2, DDOST, DGUOK, DLAT, DLD, DMGDH, DNA2, DNAJC19, DNM1L, DNM2, DOLK, DPAGT1, DPM1, DPM3, EARS2, ECHS1, ELAC2, ENO3, ETFA, ETFB, ETFDH, ETHE1, FAH, FARS2, FASTKD2, FBP1, FBXL4, FDX1L, FH, FLAD1, FOXRED1, G6PC, GAA, GAMT, GARS, GATM, GBE1, GCDH, GFER, GFM1, GFM2, GLRX5, GMPPA, GSS, GTPBP3, GYG1, GYG2, GYS1, GYS2, HADHA, HADHB, HARS2, HCFC1, HIBCH, HLCS, HMGCL, HMGCS2, HSD17B10, HSPD1, IARS2, IBA57, ISCA2, ISCU, IVD, LAMP2, LARS, LARS2, LDHA, LIAS, LIPT1, LMBRD1, LRPPRC, LYRM4, LYRM7, MARS, MARS2, MCCC1, MCCC2, MCEE, MFF, MFN2, MGAT2, MGME1, MICU1, MLYCD, MMAA, MMAB, MMACHC, MMADHC, MOGS, MPC1, MPDU1, MPI, MPV17, MRPL12, MRPL3, MRPL44, MRPS16, MRPS22, MRPS7, MTFMT, MTO1, MTPAP, MTR, MTRR, MUT, NADK2, NAGS, NARS2, NDUFA1, NDUFA10, NDUFA11, NDUFA12, NDUFA13, NDUFA2, NDUFA4, NDUFA9, NDUFAF1, NDUFAF2, NDUFAF3, NDUFAF4, NDUFAF5, NDUFAF6, NDUFAF7, NDUFB3, NDUFB9, NDUFS1, NDUFS2, NDUFS3, NDUFS4, NDUFS6, NDUFS7, NDUFS8, NDUFV1, NDUFV2, NFS1, NFU1, NGLY1, NR2F1, NUBPL, OPA1, OPA3, OTC, PARS2, PC, PCCA, PCCB, PDHA1, PDHB, PDHX, PDP1, PDSS1, PDSS2, PET100, PFKM, PGAM2, PGM1, PHKA1, PHKA2, PHKB, PHKG2, PMM2, PNPT1, POLG, POLG2, PRKAG2, PRPS1, PTRH2, PUS1, PYGM, QARS, RANBP2, RARS, RARS2, REEP1, RFT1, RMND1, RRM2B, SARS2, SCO1, SCO2, SDHA, SDHAF1, SERAC1, SFXN4, SLC19A2, SLC19A3, SLC22A5, SLC25A1, SLC25A13, SLC25A15, SLC25A19, SLC25A20, SLC25A22, SLC25A3, SLC25A38, SLC25A4, SLC2A2, SLC35A1, SLC35A2, SLC35C1, SLC37A4, SLC6A8, SLC7A7, SPAST, SPG7Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Lysosomal acid lipase deficiency (LIPA) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Maple syrup urine disease gene panelMetabolic disorders21 working daysBCKDHA, BCKDHB, DBT, DLD, PPM1KPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
McArdle disease (PYGM) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Menkes disease (ATP7A) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Methylmalonic aciduria gene panelMetabolic disorders21 working daysABCD4, ACSF3, CD320, HCFC1, LMBRD1, MCEE, MMAA, MMAB, MMACHC, MMADHC, MUT, SUCLA2, SUCLG1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Mucopolysaccharidosis gene panelMetabolic disorders21 working daysARSB, GALNS, GLB1, GNS, GUSB, HGSNAT, HYAL1, IDS, IDUA, NAGLU, SGSH, SUMF1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Niemann-Pick disease gene panelMetabolic disorders21 working daysNPC1, NPC2, SMPD1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Organic acidemia gene panelMetabolic disorders21 working daysABCD4, ACAT1, ACAT2, ACSF3, ALDH5A1, ASL, ASPA, AUH, BCKDHA, BCKDHB, BTD, CblC, CD320, CLPB, D2HGDH, DBT, DHTKD1, DLD, DLST, DNAJC19, ETFA, ETFB, ETFDH, ETHE1, FH, GCDH, GLYCTK, HCFC1, HLCS, HMGCL, HMGCS2, HSD17B10, IDH2, IVD, L2HGDH, LMBRD1, MCCC1, MCCC2, MCEE, MLYCD, MMAA, MMAB, MMACHC, MMADHC, MUT, MVK, OGDH, OPA3, OXCT1, PCCA, PCCB, SERAC1, SLC25A1, SUCLA2, SUCLG1, SUGCT, TAZ, UMPSPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Ornithine transcarbamylase deficiency (OTC) deletion/duplication analysisMetabolic disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Phenylketonuria (PAH) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Pompe disease (GAA) deletion/duplication analysisMetabolic disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Pompe disease (GAA) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Sialidosis (NEU1) gene analysisMetabolic disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Urea cycle defects gene panelMetabolic disorders21 working daysARG1, ASL, ASS1, CPS1, NAGS, OTC, SLC25A13, SLC25A15Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Alport syndrome gene panelNephrology21 working daysCOL4A3,COL4A4,COL4A5Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hemolytic uremic syndrome (CFH, CFHR1 & CFHR3) deletion duplication analysisNephrology14 working daysProvide detailed clinical history along with Renal biopsy reportPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Meckel Gruber syndrome gene panelNephrology21 working daysB9D1, B9D2, CC2D2A, CEP290, KIF14, MKS1, NPHP3, RPGRIP1L, TCTN2, TMEM216, TMEM231, TMEM67Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Nephrotic syndrome gene panelNephrology21 working daysACTN4, ADCK4, ALG1, ALMS1, ANLN, APOL1, ARHGAP24, ARHGDIA, CD151, CD2AP, CFH, COL4A3, COL4A4, COL4A5, COQ2, COQ6, COQ7, COQ9, CRB2, CUBN, DGKE, EMP2, EXT1, FAT1, GATA3, INF2, ITGA3, ITGB4, KANK1, KANK2, KANK4, KIAA2022, LAMB2, LMNA, LMX1B, MAFB, MAGI2, MEFV, MYH9, MYO1E, NEIL1, NEU1, NPHS1, NPHS2, NUP107, NUP205, NUP93, NXF5, PAX2, PDSS2, PLCE1, PMM2, PTPRO, SCARB2, SMARCAL1, TRPC6, TTC21B, WDR73, WT1, XPO5, ZMPSTE24Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Polycystic kidney disease gene panelNephrology21 working daysGANAB, MUC1, PKD1, PKD2, PKHD1, UMODPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Primary hyperoxaluria gene panelNephrology21 working daysAGXT, GRHPR, HOGA1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Xanthinuria gene panelNephrology21 working daysMOCOS, XDHPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Ataxia Telengiectasia(chromosome instability syndrome)Neurology15 working daysNot AvailablePeripheral BloodSodium heparin-Green top20-25℃Minimum 4 ml peripheral bloodCytogenetics/Karyotyping
ATRX gene analysisNeurology21 working daysFor genetic analysis of Alpha thalassemia X-linked intellectual disability syndrome &/or alpha thalassemia myelodysplastic syndrome (ATMDS). [Note : Thalassemia screening/MDS flow cytometry report should be attached ]Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Brown Vialetto-Van Laere syndrome gene panelNeurology21 working days?SLC52A2 & SLC52A3Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Comprehensive neurology panelNeurology21 working daysComprehensive Neurology Panel Genes (1475 genes) are listed in the APPENDIXPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
DCX & PAFAH1B1 deletion/duplication analysisNeurology14 working daysDCX & PAFAH1B1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Familial hemiplegic migraine gene panelNeurology21 working daysATP1A2, CACNA1A, PRRT2, SCN1APeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Fragile X SyndromeNeurology15 working daysNot AvailablePeripheral BloodSodium heparin-Green top20-25℃Minimum 4 ml peripheral bloodCytogenetics/Karyotyping
Lissencephaly gene panelNeurology21 working daysACTB, ACTG1, ADGRG1, ARX, ATP6V0A2, B3GALNT2, B4GAT1, CDK5, DCX, DYNC1H1, FKRP, FKTN, FTO, ISPD, KATNB1, KIAA1279, KIF2A, KIF5C, LAMA2, LAMB1, LAMC3, LARGE, NDE1, OCLN, PAFAH1B1, PHGDH, POMGNT1, POMGNT2, POMK, POMT1, POMT2, RAB18, RAB3GAP1, RAB3GAP2, RELN, RTTN, SNAP29, SRD5A3, TBC1D20, TMEM5, TMTC3, TUBA1A, TUBA8, TUBB, TUBB2A, TUBB2B, TUBB3, TUBB4A, TUBG1, VIPAS39, VLDLR, VPS33B, WDR62Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
MECP2 gene sequencingNeurology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Microcephaly gene panelNeurology21 working daysANKLE2, ARFGEF2, ASPM, ASXL3, ATR, ATRX, CASC5, CASK, CDC6, CDK5RAP2, CDK6, CDKL5, CDT1, CENPE, CENPJ, CEP135, CEP152, CEP63, CIT, CRIPT, DIAPH1, DYRK1A, FOXG1, IER3IP1, KATNB1, KIF11, LIG4, MCPH1, MECP2, MED17, MFSD2A, MSMO1, NBN, NDE1, NHEJ1, NIN, ORC1, ORC4, ORC6, PCNT, PHC1, PLK4, PNKP, PPP1R15B, QARS, RAB18, RAB3GAP1, RAB3GAP2, RAD50, RBBP8, RTTN, SASS6, SLC25A19, SLC2A1, SLC9A6, STAMBP, STIL, TBC1D20, TCF4, TRAPPC9, TRMT10A, TSEN2, TSEN34, TSEN54, TUBGCP4, TUBGCP6, UBE3A, WDFY3, WDR62, XRCC4, ZEB2, ZNF335Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Neuronal migration disorder gene panelNeurology21 working daysACTB, ACTG1, ADGRG1, AKT3, ARFGEF2, ARX, B3GALNT2, B4GAT1, CCND2, CDK5, COL4A1, COL4A2, DCX, DEPDC5, DYNC1H1, EMX2, ERMARD, FAT4, FIG4, FKRP, FKTN, FLNA, GMPPB, ISPD, KATNB1, KIAA1279, KIF2A, KIF5C, L1CAM, LAMB1, LARGE, MCPH1, NDE1, NEDD4L, OCLN, PAFAH1B1, PI4KA, PIK3CA, PIK3R2, POMGNT1, POMGNT2, POMK, POMT1, POMT2, RELN, RTTN, SHH, SIX3, SRPX2, TMEM5, TUBA1A, TUBA8, TUBB, TUBB2A, TUBB2B, TUBB3, TUBG1, WDR62Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Pontocerebellar hypoplasia gene panelNeurology21 working daysAMPD2, CASK, CHMP1A, CLP1, EXOSC3, EXOSC8, PCLO, RARS2, SEPSECS, TBC1D23, TOE1, TSEN15, TSEN2, TSEN34, TSEN54, VPS53, VRK1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Rett Syndrome (MECP2) deletion/duplication analysisNeurology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Rett Syndrome gene panelNeurology21 working daysCDKL5, FOXG1, MECP2, MEF2CPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Aicardi-Goutieres syndrome gene panelNeurology - Epilepsy21 working daysADAR, IFIH1, RNASEH2A, RNASEH2B, RNASEH2C, SAMHD1, TREX1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Benign infantile epilepsy gene panelNeurology - Epilepsy21 working daysKCNQ2, KCNQ3, PRRT2, SCN2A, SCN8APeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Dravet syndrome (SCN1A) deletion/duplication analysisNeurology - Epilepsy14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Dravet syndrome (SCN1A) gene analysisNeurology - Epilepsy21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Early infantile epileptic encephalopathy-4 (STXBP1) deletion/duplication analysisNeurology - Epilepsy14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Epileptic encephalopathy gene panelNeurology - Epilepsy21 working daysAARS, ABAT, ABCC8, ALDH7A1, ALG13, AMT, AP3B2, ARHGEF9, ARV1, ARX, ATP13A2, ATP7A, CACNA1A, CACNA1H, CACNB4, CAD, CDKL5, CHD2, CHRNA2, CHRNA4, CHRNB2, CLCN2, CLN3, CLN5, CLN6, CLN8, CLTC, CTSD, CTSF, D2HGDH, DENND5A, DHDDS, DNAJC5, DNM1, DOCK7, EEF1A2, FGF12, FOXG1, FRRS1L, GABBR2, GABRA1, GABRB2, GABRB3, GABRD, GABRG2, GAMT, GLDC, GNAO1, GRIN2B, GRIN2D, GRN, GUF1, HCN1, HNRNPU, HSD17B4, IDH2, ITPA, KCNA2, KCNB1, KCNJ11, KCNQ2, KCNQ3, KCNT1, KCTD7, MBD5, MDH2, MECP2, MFSD8, NECAP1, NTRK2, NUS1, PC, PCDH19, PEX1, PEX10, PEX12, PEX26, PEX6, PIGA, PLCB1, PNKP, PNPO, PPT1, SCN1A, SCN1B, SCN2A, SCN8A, SCN9A, SIK1, SLC12A5, SLC13A5, SLC1A2, SLC25A22, SLC2A1, SLC35A2, SNAP25, SPTAN1, ST3GAL3, STXBP1, SUOX, SYNJ1, SZT2, TBC1D24, TCF4, TPP1, TSC1, TSC2, UBA5, UBE3A, WWOX, ZEB2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Familial female mental retardation/epilepsy gene panelNeurology - Epilepsy21 working daysALDH7A1, ARX, ATRX, CASK, CDKL5, CUL4B, FOLR1, GRIA3, HSD17B10, IQSEC2, KCNQ2, KCNQ3, KDM5C, MECP2, MED12, MEF2C, OPHN1, PCDH19, PGK1, PHF6, PNPO, POLG, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, SPTAN1, STXBP1, UBE2APeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Progressive myoclonic epilepsy gene panelNeurology - Epilepsy21 working daysADRA2B, ASAH1, ATP13A2, CERS1, CLN3, CLN5, CLN6, CLN8, CSTB, CTSD, CTSF, DNAJC5, EPM2A, FOLR1, GOSR2, GRN, KCNC1, KCTD7, LMNB2, MFSD8, NEU1, NHLRC1, PPT1, PRDM8, PRICKLE1, PRICKLE2, SCARB2, TPP1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
TBC1D24 gene analysisNeurology - Epilepsy21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Ataxia-telangiectasia (ATM) deletion/duplication analysisNeurology - Movement Disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Ataxia-telangiectasia (ATM) gene analysisNeurology - Movement Disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Dystonia gene panelNeurology - Movement Disorders21 working daysACTB, AFG3L2, ANO3, ARSA, ATM, ATP1A3, ATP6AP2, ATP7B, AUH, BCAP31, C19orf12, CACNA1A, CACNA1B, CACNA1G, CCDC88C, CIZ1, COASY, COL6A3, DDC, DNAJC13, DNAJC6, DRD2, EEF2, ELOVL4, ELOVL5, FBXO7, FGF14, FTL, GBA, GCDH, GCH1, GNAL, HEXA, HPCA, HTRA2, ITPR1, KCNC3, KCND3, KCNMA1, KCTD17, KMT2B, LRRK2, MAPT, MECP2, MR1, NKX2-1, NPC1, NPC2, PANK2, PARK2, PARK7, PDYN, PINK1, PLA2G6, PNKD, PPP2R2B, PRKAG2, PRKCG, PRKRA, PRRT2, SGCE, SLC2A1, SLC30A10, SLC6A3, SMPD1, SNCA, SPR, SPTBN2, SYNJ1, TAF1, TGM6, TH, THAP1, TIMM8A, TMEM240, TOR1A, TRPC3, TTBK2, TUBB4A, UCHL1, VPS13A, VPS35, WDR45Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Early-onset juvenile parkinsonism gene panelNeurology - Movement Disorders21 working daysATP13A2, DNAJC6, FBXO7, LRRK2, PARK2, PARK7, PINK1, PLA2G6, RAB39B, SLC6A3, SNCA, SYNJ1, VPS13CPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Episodic ataxia gene panelNeurology - Movement Disorders21 working daysCACNA1A, CACNB4, KCNA1, SLC1A3Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hyperekplexia gene panelNeurology - Movement Disorders21 working daysARHGEF9, GLRA1, GLRB, SLC6A5Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Neurotransmitter disorders gene panelNeurology - Movement Disorders21 working daysABAT, ALDH5A1, ALDH7A1, AMT, ARHGEF9, ATP13A2, C19orf12, CACNA1A, CACNA1S, CACNB2, CACNB4, COASY, DBH, DDC, DNAJC6, FBXO7, FTL, GAD1, GCH1, GCSH, GLDC, GLRA1, GLRB, GPHN, KCNA1, LRRK2, MAOA, MAOB, PANK2, PARK2, PARK7, PCBD1, PHGDH, PINK1, PLA2G6, PNPO, PSAT1, PSPH, PTS, QDPR, RAB39B, SCN4A, SLC18A2, SLC1A3, SLC25A22, SLC6A3, SLC6A5, SNCA, SPR, SYNJ1, TH, VPS13C, WDR45Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
X-linked spastic paraplegia-2 (PLP1) deletion/duplication analysisNeurology - Movement Disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Neurofibromatosis (NF1 and NF2) gene analysisNeurology - neurocutaneous21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Neurofibromatosis type 1 (NF1) deletion/duplication analysisNeurology - neurocutaneous14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Neurofibromatosis type 2 (NF2) deletion/duplication analysisNeurology - neurocutaneous14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Neurofibromatosis type 2 (NF2) gene analysisNeurology - neurocutaneous21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
TSC1 & TSC2 gene analysisNeurology - neurocutaneous21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
TSC1 deletion/duplication analysisNeurology - neurocutaneous14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
TSC2 deletion/duplication analysisNeurology - neurocutaneous14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
4H syndrome gene panelNeurology - neurodegenerative21 working daysPOLR3A, POLR3BPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Adrenoleukodystrophy (ABCD1) gene analysisNeurology - neurodegenerative21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Alkaptonuria (HGD) gene analysisNeurology - neurodegenerative21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Canavan disease (ASPA) gene analysisNeurology - neurodegenerative21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Cystic megalencephaly (MLC1) deletion/duplication analysisNeurology - neurodegenerative14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Cystic megalencephaly (MLC1) gene analysisNeurology - neurodegenerative21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Giant axonal neuropathy-1 (GAN) gene analysisNeurology - neurodegenerative21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hypomyelination syndrome gene panelNeurology - neurodegenerative21 working daysAIMP1, BCAP31, C11ORF73, DARS, EGR2, EIF2B1, EIF2B2, EIF2B3, EIF2B4, EIF2B5, ERCC4, ERCC5, ERCC6, ERCC8, EXOSC8, FAM126A, GJC2, HSPD1, MLC1, MPZ, PLP1, POLR1C, POLR3A, POLR3B, PYCR2, RARS, SLC25A12, SLC33A1, SPTAN1, STXBP1, TBCD, TUBB4A, VPS11Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Joubert syndrome gene panelNeurology - neurodegenerative21 working daysAHI1, ARL13B, B9D1, C2CD3, C5orf42, CC2D2A, CEP104, CEP290, CEP41, CSPP1, DDX59, INPP5E, KIAA0556, KIAA0586, KIAA0753, KIF7, LAMA1, MKS1, NPHP1, OFD1, PDE6D, RPGRIP1L, TCTN1, TCTN2, TCTN3, TMEM138, TMEM216, TMEM231, TMEM237, TMEM67, TTC21B, ZNF423Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Krabbe disease (GALC) deletion/duplication analysisNeurology - neurodegenerative14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Krabbe disease (GALC) gene analysisNeurology - neurodegenerative21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Leukodystrophy gene panelNeurology - neurodegenerative21 working daysAARS, AARS2, ABCD1, ABCD4, ACAD9, AARS, AARS2, ABCD1, ABCD4, ACAD9, ACOX1, ACP5, ACSF3, ADAR, ADGRG1, ADSL, AGA, AGK, AIMP1, ALDH3A2, ALDH5A1, ALG1, ALG11, ALG12, ALG13, ALG2, ALG3, ALG6, ALG8, ALG9, AMT, ANO5, AP3B1, ARSA, ARSB, ASPA, ATP13A2, ATP6V0A2, ATP7A, B3GALNT2, B4GALT1, B4GAT1, BCAP31, BCKDHA, BCKDHB, BLOC1S6, BTD, C10orf2, CAD, CAPN3, CARS2, CAV3, CBS, CD27, CD320, CHKB, CLCN2, CLN3, CLN5, CLN6, CLN8, COG1, COG4, COG5, COG6, COG7, COG8, COL12A1, COL4A1, COL4A2, COL6A1, COL6A2, COL6A3, CSF1R, CTC1, CTSD, CTSF, CYP27A1, D2HGDH, DAG1, DARS, DARS2, DBT, DCAF17, DCAF8, DDC, DDOST, DES, DGUOK, DLAT, DLD, DMD, DNAJB6, DNAJC5, DOLK, DPAGT1, DPM1, DPM2, DPM3, DYSF, EARS2, EIF2B1, EIF2B2, EIF2B3, EIF2B4, EIF2B5, EMD, ERCC2, ERCC3, ERCC4, ERCC5, ERCC6, ERCC8, ETFA, ETFB, ETFDH, FA2H, FAM126A, FARS2, FBXL4, FH, FHL1, FKRP, FKTN, FOLR1, FOXRED1, FUCA1, GALC, GALNS, GALT, GAN, GARS, GBE1, GCDH, GCSH, GFAP, GJA1, GJB1, GJC2, GLA, GLB1, GLDC, GM2A, GMPPB, GNPTAB, GNPTG, GNS, GPHN, GRN, GTF2H5, GUSB, HARS, HARS2, HCFC1, HEPACAM, HEXA, HGSNAT, HLCS, HMGCL, HNRNPDL, HSD17B4, HSPD1, HTRA1, HYAL1, IARS2, IDH2, IDS, IDUA, IFIH1, ISPD, ITGA7, ITK, IVD, JAM3, KARS, KCTD7, L2HGDH, LAMA2, LARGE, LARS, LARS2, LIAS, LMBRD1, LMNA, LMNB1, LYST, MAN2B1, MANBA, MARS, MARS2, MCCC1, MCCC2, MCEE, MCOLN1, MFSD8, MGAT2, MGME1, MLC1, MLYCD, MMAA, MMAB, MMACHC, MMADHC, MOCS1, MOCS2, MOGS, MPDU1, MPI, MPLKIP, MPV17, MTHFR, MTR, MTRR, MUT, MYOT, NAGLU, NARS2, NDUFA1, NDUFA11, NDUFA12, NDUFA2, NDUFA9, NDUFAF1, NDUFAF2, NDUFAF3, NDUFAF4, NDUFAF5, NDUFAF6, NDUFB3, NDUFB9, NDUFS1, NDUFS2, NDUFS3, NDUFS4, NDUFS6, NDUFS8, NDUFV1, NDUFV2, NEU1, NOTCH3, NPC1, NPC2, NUBPL, OCLN, OCRL, OPA1, PABPN1, PAH, PC, PCCA, PCCB, PDHA1, PDHB, PDHX, PDK3, PDP1, PDX1, PEX1, PEX10, PEX11B, PEX12, PEX13, PEX14, PEX16, PEX19, PEX2, PEX26, PEX3, PEX5, PEX6, PEX7, PGM1, PHGDH, PHYH, PLEC, PLP1, PMM2, POLG, POLR1C, POLR3A, POLR3B, POMGNT1, POMGNT2, POMK, POMT1, POMT2, PPT1, PRF1, PRPS1, PSAP, PYCR2, QARS, QDPR, RAB27A, RARPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Metachromatic leukodystrophy gene panelNeurology - neurodegenerative21 working daysARSA, PSAPPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Neurodegeneration with brain iron accumulation 2B (PLA2G6) deletion/duplication analysisNeurology - neurodegenerative14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Neurodegeneration with brain iron accumulation gene panelNeurology - neurodegenerative21 working daysATP13A2, COASY, C19orf12, CP, DCAF17, FA2H, FTL, PANK2, PLA2G6, WDR45Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Neuronal ceroid lipofuscinosis gene panelNeurology - neurodegenerative21 working daysATP13A2, CLN3, CLN5, CLN6, CLN8, CTSD, CTSF, DNAJC5, GRN, KCTD7, MFSD8, PPT1, TPP1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
NOTCH3 (CADASIL) gene analysisNeurology - neurodegenerative21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Pantothenate kinase-associated neurodegeneration (PANK2) deletion/duplication analysisNeurology - neurodegenerative14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Tay-Sachs disease (HEXA) deletion/duplication analysisNeurology - neurodegenerative14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Tay-Sachs disease (HEXA) gene analysisNeurology - neurodegenerative21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
X-linked adrenoleukodystrophy (ABCD1) deletion/duplication analysisNeurology - neurodegenerative14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Arthrogryposis & congenital myasthenic syndrome gene panelNeurology - neuromuscular21 working daysADCY6, ADGRG6, AGRN, ALG14, ALG2, CHAT, CHRNA1, CHRNB1, CHRND, CHRNE, CHRNG, CHST14, CNTNAP1, COL13A1, COLQ, DNM2, DOK7, DPAGT1, ECEL1, ERBB3, FBN2, GFPT1, GLE1, LAMB2, LRP4, MUSK, MYBPC1, MYH3, MYH8, NALCN, PI4KA, PIEZO2, PIP5K1C, RAPSN, SCN4A, SLC18A3, SLC35A3, SNAP25, SYT2, TNNI2, TNNT3, TPM2, UBA1, VIPAS39, VPS33B, ZBTB42Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Calpainopathy/LGMD2A (CAPN3) deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Charcot-Marie-Tooth 1A/HNPP (PMP22, COX10, TEKT3) deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Charcot-Marie-Tooth and sensory neuropathies gene panelNeurology - neuromuscular21 working daysAARS, AIFM1, ATL1, ATL3, CCT5, COX6A1, CTDP1, DHTKD1, DNAJB2, DNM2, DNMT1, DST, DYNC1H1, EGR2, FAM134B, FGD4, FIG4, GAN, GARS, GDAP1, GJB1, GNB4, HARS, HINT1, HK1, HOXD10, HSPB1, HSPB8, IGHMBP2, INF2, JPH1, KARS, KIF1A, KIF1B, KIF5A, LITAF, LMNA, LRSAM1, MARS, MED25, MFN2, MME, MORC2, MPZ, MTMR2, NAGLU, NDRG1, NEFH, NEFL, NGF, NTRK1, PDK3, PLEKHG5, PMP22, PRDM12, PRPS1, PRX, RAB7A, SBF1, SBF2, SCN11A, SCN9A, SH3TC2, SLC12A6, SLC25A46, SOX10, SPG11, SPTLC1, SPTLC2, SURF1, TFG, TRIM2, TRPV4, VCP, WNK1, YARSPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Charcot-Marie-Tooth type 4 (EGR2, GDAP1, NEFL, PRX) deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Congenital Muscular Dystrophy (LAMA2) deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Duchenne Muscular Dystrophy (DMD) deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Duchenne Muscular Dystrophy (DMD) gene sequencingNeurology - neuromuscular21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Dysferlinopathy/LGMD2B (DYSF) deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Fukuyama Congenital Muscular Dystrophy (FKTN) gene sequencing (does not include repeat expansions)Neurology - neuromuscular21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Fukuyama Congenital Muscular Dystrophy (FKTN) gene sequencing (does not include repeat expansions)[ENeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Limb-girdle muscular dystrophy (SGCA, SGCB,SGCD, SGCG & FKRP) deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Muscular dystrophy & congenital myopathy gene panelNeurology - neuromuscular21 working daysACTA1, ANO5, B3GALNT2, B4GAT1, BAG3, BIN1, BVES, CAPN3, CAV3, CCDC78, CFL2, CHKB, CNTN1, COL12A1, COL6A1, COL6A2, COL6A3, CRYAB, DAG1, DES, DMD, DNAJB6, DNM2, DYSF, EMD, FHL1, FKRP, FKTN, FLNC, GMPPB, GNE, HNRNPA2B1, HNRNPDL, ISCU, ISPD, ITGA7, KBTBD13, KLHL40, KLHL41, LAMA2, LAMP2, LARGE, LDB3, LIMS2, LMNA, LMOD3, MEGF10, MTM1, MYF6, MYH2, MYH7, MYOT, NEB, PABPN1, PLEC, POGLUT1, POMGNT1, POMGNT2, POMK, POMT1, POMT2, RYR1, SEPN1, SGCA, SGCB, SGCD, SGCG, SMCHD1, SPEG, SYNE1, SYNE2, TCAP, TMEM43, TMEM5, TNNT1, TNPO3, TOR1AIP1, TPM2, TPM3, TRAPPC11, TRIM32, TTN, VCPPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Myotonia congenita (CLCN1) deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
PMP22 deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
PMP22 gene analysis (inflammatory demyelinating polyneuropathy screen)Neurology - neuromuscular21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
POMT1 deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Spinal Muscular Atrophy (SMN1) gene analysisNeurology - neuromuscular21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Sanger sequencing
Spinal Muscular Atrophy (SMN1/SMN2) deletion/duplication analysisNeurology - neuromuscular14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Spinal Muscular Atrophy gene PanelNeurology - neuromuscular21 working daysASAH1, ASCC1, ATP7A, BICD2, BSCL2, CHCHD10, DNAJB2, DYNC1H1, FBXO38, GARS, HSPB8, IGHMBP2, LAS1L, PLEKHG5, SIGMAR1, SLC5A7, TRPV4, TRIP4, UBA1, VAPBPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Lung combo panel - IHC (ALK D5F3, ROS1) & RTPCR (BRAF V600E, EGFR[Hot Spot] exons 18, 19, 20, 21)Oncology7 working daysProvide histopathological report of patient. Tumor content must be specified.FFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC & RT-PCR
Acute Lymphoild Leukemia(ALL), 6 Markers, FISHOncology6 working daysBone Marrow morphology report & Complete blood count report if available should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
Adenomatous polyposis coli (APC) gene analysisOncology21 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Next Generation Sequencing
AML Advance panel [(PML/Rara, bcr/abl, AML/ETO,Inv16) by RT-PCR (FLT3, NPM1, C-kit) by NGS]Oncology14 working daysNot AvailablePeripheral blood / bone marrow aspirateEDTA anticoagulated peripheral blood / Bone marrow Aspirate in EDTA2-8℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateRT-PCR
AML Advance panel [(PML/Rara, bcr/abl, AML/ ETO,Inv16) by RT-PCR (FLT3, NPM1, C-kit) by NGS & Karyotyping]Oncology14 working daysNot AvailablePeripheral blood / bone marrow aspirateEDTA anticoagulated peripheral blood???& Blood in Sodium Heparin Green Top(for FISH)/ Bone marrow As2-8℃ / 20-25℃ for KaryotypingMinimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateRT-PCR & Karyotyping
AML Basic panel [(PML/Rara, bcr/abl, AML/ETO, Inv16) by RT-PCR, (FLT3, NPM1) by NGS]Oncology14 working daysNot AvailablePeripheral blood / bone marrow aspirateEDTA anticoagulated peripheral blood / Bone marrow Aspirate in EDTA2-8℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateRT-PCR
AML Comprehensive Panel [(PML/Rara, bcr/abl, AML/ETO, inv16 by RT-PCR) , (FLT3, NPM1, CEBPA & C-Kit by NGS)]Oncology14 working daysNot AvailablePeripheral blood / bone marrow aspirateEDTA anticoagulated peripheral blood / Bone marrow Aspirate in EDTA2-8℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateNext generation Sequencing & RT-PCR
AML Comprehensive panel [(PML/Rara, bcr/abl, AML/ETO, inv16 by RT-PCR) , (FLT3, NPM1, CEBPA & C-Kit by NGS)] & KaryotypingOncology14 working daysNot AvailablePeripheral blood / bone marrow aspirateEDTA anticoagulated peripheral blood???& Blood in Sodium Heparin Green Top(for FISH)/ Bone marrow As2-8℃ / 20-25℃ for KaryotypingMinimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateNext generation Sequencing, Rt-PCR & Karyotyping
B MRDOncology2 working daysProvide detailed clinical history along with previous Flow ReportBone marrow in EDTAK2/K3 - EDTA Lavender top2-8℃2.5-3ml of bone marrow in EDTAFlowcytometry
BRAF V600 mutation analysisOncology7 working daysProvide histopathological report of patient. Tumor content must be specified.FFPE blocks/slides/curlsFFPE blocks/slides in a cardboard box, FFPE curls in 1.5ml sterile tube20-25℃Minimum of 2 FFPE slides. Minimum of 2 FFPE curls each of 20 microns. Minimum of 10% (as assessed byRT-PCR
BRCA1 & BRCA2 deletion/duplication analysisOncology14 working daysProvide histopathological report of patient (in primary cases) and relevant family history in case of first line relative screeningPeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃EDTA anticoagulated peripheral blood; DNA (RNAse treated) in sealed Eppendorf tubeMLPA
BRCA1 & BRCA2 gene analysisOncology21 working daysProvide histopathological report of patient (in primary cases) and relevant family history in case of first line relative screeningPeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Next Generation Sequencing
BRCA1 & BRCA2 somatic mutation testingOncology28 working daysClinical diagnosis, Histopathology report is a mandatory requirementFFPE blocksCardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing
Carney complex (PRKAR1A) gene analysisOncology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Chromosomal breaksOncology15 working daysNot AvailablePeripheral BloodSodium heparin-Green top20-25℃Minimum 4 ml peripheral bloodCytogenetics/Karyotyping
Chronic Lymphoid Leukemia panel (4 markers-Del 17p,Trisomy 11, trisomy 12 and del 13q), FISHOncology6 working days17p deletion,trisomy11,trisomy 12,13q deletion Bone Marrow morphology report &Complete blood count report should accompany the sample(If available)Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
Chronic Lymphoid Leukemia Panel (5 markers-Del 6q, del 11q -ATM deletion, Trisomy 12,del 13q,del 17qOncology6 working daysDeletion 6q;Trisomy 11;Trisomy 12;Deletion 13;Deletion 17Bone Marrow morphology report &Complete blood count report if available should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
Chronic Myeloid Leukemia(CML), (4 markers- BCR-ABL,Iso 17q,del 7 and trisomy 8)FISHOncology6 working daysThe markers include BCR-ABL Translocation, iso 17q, Deletion 7and Trisomy 8Provide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
Colorectal Basic Panel by NGS & IHC [KRAS, NRAS, BRAF by NGS and MMR by IHC]Oncology14 working daysNot AvailablePeripheral blood / bone marrow aspirateEDTA anticoagulated peripheral blood / Bone marrow Aspirate in EDTA20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateNext Generation Sequencing & IHC
Colorectal cancer - Theranostic Panel (Hot Spot)Oncology28 working daysKRAS, NRAS, HRAS, BRAF, PIK3CA, AKT1, PTEN & SMAD4Histopathology report must accompany the specimen Histopathology report must accompany the specimenFFPE blocksCardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing
Comprehensive molecular work-up for CLL Prognostication [NGS,Sanger,FISH]Oncology21 working daysInclusive tests are: MGM499-Comprehensive Leukemia Panel-57 geneMGM497-FISH for Deletion 17p(TP53), CLLMGM1342-IGHV gene mutation analysisPeripheral blood / bone marrow aspirateEDTA anticoagulated peripheral blood???& Blood in Sodium Heparin Green Top(for FISH);?20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirateNext Generation Sequencing,FISH,Sanger Sequencing
Comprehensive tumor panel (170 genes)Oncology21 working daysCovers the HOTSPOT & point mutations as well as CNVs, indels and known gene fusions in the key oncogenes/tumor suppressor genes indicated in different tumor types. Please refer to the comprehensive tumor panel (170 genes) brochure and the liquid biopsy sample collection instructions for more details. Confirmatory clinical diagnosis of malignancy is a mandatory requirement. Additionally, we require histopathology report for solid tumors, bone marrow aspiration/blood smear report for hematological malignancies, treatment history and latest PET-CT report for liquid biopsyFFPE BlockFFPE block in cardboard box20-25℃FFPE block with a minimum of 10% (as assessed by the pathologist) of tumor cells should be presentNext Generation Sequencing
DPYD IVS14+1G>A mutation analysisOncology7 working daysDihydropyrimidine dehydrogenase deficiency evaluation in patients with 5-fluorouracil (5FU) or capecitabine toxicityPeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Sanger sequencing
EGFR (T790M, L858R, exon 19 deletion) screening by ddPCROncology5 working daysT790M, L858R, exon 19 deletionFFPE Block/peripheral blood in Streck tubes (for liquid biopsy)FFPE block in cardboard box; peripheral blood in 2 Streck tubes20-25℃FFPE block with a minimum of 5% (as assessed by the pathologist) of tumor cells should be present; 2Droplet Digital PCR
EGFR gene analysis (Hot Spot) - 4 exons (18, 19, 20, 21)Oncology4 working daysProvide histopathological report of patient (in primary cases) Includes T790MFFPE blocks/slides/curlsFFPE blocks/slides in a cardboard box, FFPE curls in 1.5ml sterile tube20-25℃Minimum of 2 FFPE slides. Minimum of 2 FFPE curls each of 20 microns. Minimum of 10% (as assessed byRT-PCR
EGFR T790M mutation screening by ddPCROncology5 working daysT790MFFPE Block/peripheral blood in Streck tubes (for liquid biopsy)FFPE block in cardboard box; peripheral blood in 2 Streck tubes20-25℃FFPE block with a minimum of 5% (as assessed by the pathologist) of tumor cells should be present; 2Droplet Digital PCR
FIP1L1-PDGFRA gene re-arrangementOncology5 working daysNot AvailablePeripheral blood/bone marrow aspirateEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTARoom temperature (refrigerate overnight if necessary)Minimum 4ml of peripheral blood; minimum 1ml of bone marrow aspirateRT-PCR
FISH for Deletion 5/5q (5q31,5q33), MDS/AMLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for Inv(3) (MECOM, 3q26) gene rearrangement, MDS/AMLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for PML-RARA t(15;17)(q24,q21), AMLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for 1p19q co-deletion,1p3619q13Oncology7 working daysProvide detailed clinical history on the Lab test request form and histopathology reports along with slides.FFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableFISH
FISH for 6q deletion, CLLOncology6 working daysBone Marrow morphology report & Complete blood count report if available should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for ALK and ROS-1 gene rearrangement , Lung cancerOncology6 working daysProvide detailed clinical history on the Lab request form and histopathology reports along with slidesFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableFISH
FISH for ALk(2p23) gene rearrangement, NSCLCOncology7 working daysProvide detailed clinical history on the Lab test request form and histopathology reports along with slidesFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableFISH
FISH for ALL Panel (4 markers-E2A Breakapart, t(12;21), BCR-ABL, MLL)Oncology6 working daysIncludes E2A Break apart, t(12;21), BCR-ABL, MLL;Bone Marrow morphology report & Complete blood count report should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for ALL PanelOncology8 working daysMLL, iAMP21/ETV6-RUNX1, TCRA/D,BCR-ABL,C-Myc, IGHBA, E2A BreakapartBone Marrow morphology report & Complete blood count report should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
SH for AML panelOncology6 working daysIncludes t(8;21)(q22;q22), t(15;17)(q24;21), inv(16) or t(16;16), inv3, Del 5q, Del 7q, MLL amplification, BCR/ABL t(9;22) fusion. Provide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheralblood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for AML panel (All markers(8))Oncology7 working daysIncludes t(8;21)(q22;q22), t(15;17)(q24;21), inv(16) or t(16;16), inv 3, Del 5q, Del 7q, MLL amplification, BCR/ABL t(9;22) fusion. Provide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for BCR-ABL t(9;22)(q34;q11.2), AML/CML/MPNOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for CLL Panel (All markers- Del6q, Del 17p, Del13q,ATM deletion/trisomy 11, Trisomy 12, IGH reaOncology7 working daysDel6q, Del 17p, Del13q,ATM deletion/trisomy 11, Trisomy 12, IGH rearrangement Bone Marrow morphology report & Complete blood count report should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for C-MYC (8q24) Translocation, ALLOncology6 working daysBone Marrow morphology report & Complete blood count report if available should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for C-MYC (8q24) Translocation, Multiple Myeloma [With Plasma cell Enrichment]Oncology6 working daysProvide detailed clinical history along with bone marrow findings(mandatory). All samples for FISHBone marrow aspirateSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFISH
FISH for del20q , MDS/AMLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for deletion 13q(13q14.2, 13q34), CLLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for deletion 13q(13q14.2, 13q34), MM [With Plasma cell Enrichment]Oncology6 working daysProvide detailed clinical history along with bone marrow findings(mandatory). All samples for FISHBone marrow aspirateSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFISH
FISH for Deletion 17p(TP53), CLLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for Deletion 17p(TP53), Multiple Myeloma [With Plasma cell Enrichment]Oncology6 working daysProvide detailed clinical history along with bone marrow findings(mandatory). All samples for FISHBone marrow aspirateSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFISH
FISH for E2A (19p13.3) Translocation, ALLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for ERBB2(HER2) gene amplification, Breast cancerOncology7 working daysHer2-neu fixation timings and type of fixative has to be recorded. Histopath report, IHC report and IHC slide (if IHC testing is done) should be sent along with the Test Request FormFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableFISH
FISH for ETV6-RUNX1 t(12;21)(p13;q22), ALLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for iAMP21,ALLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for IGH (14q32) Gene rearrangement, CLLOncology6 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should acBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for IGH (14q32) Gene rearrangement, Multiple Myeloma [With Plasma cell Enrichment]Oncology6 working daysProvide detailed clinical history along with bone marrow findings(mandatory). All samples for FISHBone marrow aspirateSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 3ml of peripheral bloodFISH
FISH for IGH /MAF t(14;16)(q32;q23), Multiple Myeloma [With Plasma cell Enrichment]Oncology6 working daysProvide detailed clinical history along with bone marrow findings(mandatory). BMA morphology is mandatory. All samples for FISH to reach the lab with in 24 hours of collection for best results.Bone marrow aspirateSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for IGH/CCND1 t(11;14)(q13;q32), Multiple Myeloma [With Plasma cell Enrichment]Oncology6 working daysProvide detailed clinical history along with bone marrow findings(mandatory). BMA morphology is mandatory. All samples for FISH to reach the lab with in 24 hours of collection for best results.Bone marrow aspirateSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for IGH/FGFR3 t(4;14)(p16;q32), Multiple Myeloma [With Plasma cell Enrichment]Oncology6 working daysProvide detailed clinical history along with bone marrow findings(mandatory). BMA morphology is mandatory. All samples for FISH to reach the lab with in 24 hours of collection for best results.Bone marrow aspirateSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for inv(16)/t(16;16)(p13.1;q22), AMLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for iso 17q, CMLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for MDS ( 4 markers )Oncology6 working daysIncludes Del 5q, Del 7q, Del 20q, Trisomy 8Provide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for MDS (All markers (8))Oncology7 working daysIncludes Deletion 5q, Deletion 7q, Deletion 20q, C-mycamplifications/trisomy 8, Inv 3, MLL Amplification, 17p deletion,13q deletion Provide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also. Provide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for MDS/AML (6 markers- Del 5/5q, Del 7/7q, Trisomy 8, RUNX-RUNX1 t(8;21), PML-RARA t(15;17), IOncology7 working daysIncludes Del 5/5q, Del 7/7q, Trisomy 8, RUNX-RUNX1 t(8;21),PML-RARA t(15;17), Inv(16);Bone Marrow morphology report & Complete blood count report should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for MLL(11q23) amplification, AML/MLL/MDSOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for MPN panel (3 markers- BCR/ABL, PDGFRA, PDGFRB)Oncology6 working daysBCR/ABL, PDGFRA, PDGFRBBone Marrow morphology report & Complete blood count report should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for MPN panel (5 markers- BCR/ABL, PDGFRA, PDGFRB, JAK2 and FGFR1 gene rearrangements)Oncology7 working daysIncludes BCR/ABL, PDGFRA, PDGFRB, JAK2 and FGFR1 gene rearrangements. Bone Marrow morphology report & Complete blood count report should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for Multiple Myeloma (5 markers)oncology6 working daysInclusive tests:t(11;14) - IGH/CCND1;FISH for t(4;14)/FGFR3/IGH;FISH for t(14;16)/IGH/MAF;FISH for 13q deletion; FISH for 17p deletion Provide detailed clinical history along with bone marrow findings(mandatory). BMA morphology is mandatory. All samples for FISH to reach the lab with in 24 hours of collection for best results.Bone marrow aspirateSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for PDGFRA(4q12) gene rearrangement, MPNOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for PDGFRB (5q32-33) gene rearrangement, MPNOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for ROS-1 (6q22.1) rearrangement, NSCLCOncology7 working daysProvide detailed clinical history on the Lab test request form and histopathology reports along with slidesFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableFISH
FISH for RUNX-RUNX1 t(8;21)(q22;q22), AMLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for TCRA/D (14q11.2) gene rearrangement, ALLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for Trisomy 11, CLLOncology6 working daysBone Marrow morphology report & Complete blood count report if available should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for Trisomy 12, CLLOncology6 working daysBone Marrow morphology report & Complete blood count report if available should accompany the sampleBone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for Trisomy 8 /c-myc amplification, MDS/AML/ALLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
GIST (Gastrointestinal Stromal Tumor) - Theranostic Panel (Hot Spot)Oncology21 working daysBRAF, KIT & PDGFRA Histopathology report must accompany the specimenFFPE blocksCardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing
Hereditary cancer gene panel - focussedOncology21 working daysAIP, ALK, APC, AR, ATM, BAP1, BARD1, BLM, BMPR1A, BRCA1, BRCA2, BRIP1, BUB1B, CD82, CDC73, CDH1, CDK4, CDKN1C, CDKN2A, CEBPA, CEP57, CHEK2, CYLD, DDB2, DICER1, DIS3L2, EGFR, ELAC2, ENG, EPCAM, ERCC2, ERCC3, ERCC4, ERCC5, EXT1, EXT2, EZH2, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, FH, FLCN, GATA2, GPC3, HRAS, KIT, MAX, MEN1, MET, MLH1, MLH3, MRE11A, MSH2, MSH3, MSH6, MSR1, MUTYH, MXI1, NBN, NF1, NF2, NSD1, PALB2, PHOX2B, PMS1, PMS2, PRF1, PRKAR1A, PTCH1, PTEN, RAD50, RAD51C, RAD51D, RB1, RECQL4, RET, RHBDF2, RNASEL, RUNX1, SBDS, SDHAF2, SDHB, SDHC, SDHD, SLX4, SMAD4, SMARCB1, STK11, SUFU, TGFBR2, TMEM127, TP53, TSC1, TSC2, VHL, WRN, WT1, XPA, XPCPeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Next Generation Sequencing
IGHV gene mutation analysisOncology14 working daysBone Marrow morphology report, Complete blood count report and/or FISH report if available should accompany the samplePeripheral blood / bone marrow aspirate / Purified genomic DNAEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed eppendorf tube?20-25℃Minimum 3ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coSanger Sequencing
Imatinib resistance (ABL kinase) gene analysis - IRMAOncology10 working daysABL1Peripheral blood/RNAEDTA tube anticoagulated peripheral blood; RNA in sealed Eppendorf tubeRoom temperature (refrigerate overnight if necessary)4ml of Peripheral blood; 1?g of RNANext Generation Sequencing
KIT gene analysis - 4 exons (9, 11, 13, 17)Oncology10 working daysProvide histopathological report of patientFFPE blocks/slides/curlsFFPE blocks/slides in a cardboard box, FFPE curls in 1.5ml sterile tube20-25℃Minimum of 2 FFPE slides. Minimum of 2 FFPE curls each of 20 microns. Minimum of 30% (as assessed byNext generation Sequencing
KRAS gene analysis (Hot Spot)Oncology5 working daysProvide histopathological report of patientFFPE blocks/slides/curlsFFPE blocks/slides in a cardboard box, FFPE curls in 1.5ml sterile tube20-25℃Minimum of 2 FFPE slides. Minimum of 2 FFPE curls each of 20 microns. Minimum of 10% (as assessed byRT-PCR
Lung Advanced Panel by NGS & IHC [EGFR, ALK, ROS1, BRAF, MET (SNVs, Indels, Skipping mutations), RET, Her2 by NGS & PDL1 by IHC]Oncology14 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing & IHC
Lung Advanced Panel by NGS [EGFR, ALK, ROS1, BRAF,MET (SNVs,Indels,Skipping mutations), RET, Her2]Oncology14 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing
Lung Basic Panel by NGS & IHC [EGFR, ALK, ROS1, BRAF,MET (SNVs & Indels) by NGS & PDL1 by IHC]Oncology14 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing & IHC
Lung Basic Panel by NGS [EGFR, ALK, ROS1, BRAF,MET (SNVs & Indels)]Oncology14 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing
Lung Comprehensive Panel [EGFR, ALK, ROS1, BRAF, MET (SNVs, Indels, Skipping mutations), RET, Her2 by NGS, PDL1 by IHC & MSI by Fragment Analysis]Oncology14 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing , IHC & Fragment Analysis
Lynch syndrome (HNPCC) - (MLH1, MSH2, EPCAM) deletion/duplication analysisOncology14 working daysProvide histopathological report of patientPeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)MLPA
Lynch Syndrome/HNPCC gene panelOncology21 working daysMLH1, MSH2, MSH6, PMS1, EPCAM, MSH3, MLH3, PMS2Peripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Next Generation Sequencing
MGMT gene methylation analysis (Temozolomide Resistance)Oncology14 working daysProvide histopathological report of patient (in primary cases)FFPE blocks/slides/curlsFFPE blocks/slides in a cardboard box, FFPE curls in 1.5ml sterile tube20-25℃Minimum of 2 FFPE slides. Minimum of 2 FFPE curls each of 20 microns. Minimum of 10% (as assessed byRT-PCR
MSI by fragment analysisOncology7 working daysNCI Bathesda MSI Markers (BAT25, BAT26, D2123, D5346, D17S250)Peripheral blood, FFPE blocksEDTA anticoagulated peripheral blood; FFPE blocks in a cardboard box20-25℃Minimum 4ml of peripheral blood; Minimum 30% (as assessed by the pathologist) of tumor tissue shouldFragment analysis
Multiplex RT-PCR panel for Leukemia(28 translocations)Oncology5 working daysProvide clinical diagnosis; Includes following translocations:del1(p32), t(1;11)(MLL-EPS15), t(1;11)(MLL-MLLT11), t(1;19),t(3;5), t(3;21), t(4;11), t(5;12), t(5;17), t(6;9), t(6;11), t(8;21), t(9;9),t(9;11), t(9;12), t(9,22), t(10;11), t(11;17)(MLL-MLLT6), t(11;17)(ZBTB16-RARA), t(11;19)(MLL-ELL), t(11;19)(MLL-MLLT1),t(12;21), t(12;22), t(15;17), inv(16), t(16;21), t(17;19), t(X;11),Peripheral blood/bone marrow aspirateEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTARoom temperature (refrigerate overnight if necessary)Minimum 4ml of peripheral blood; minimum 1ml of bone marrow aspirateRT-PCR
Myeloma Panel - Flowcytometry (CD45, CD38, CD19, CD56, CD138, kappa, lambda)Oncology2 working daysAppropriately labelled air-dried and unstained Bone marrow aspirate smears and Peripheral blood smears must accompany every specimen.Peripheral blood along with bone marrow aspirate in EDTABone marrow smears on slides; bone marrow aspirate in EDTA2-8℃Minimum of 2 bone marrow smears; minimum 1ml of bone marrow aspirateFlowcytometry
Myeloma Panel (4 markers),FISHOncology6 working daysIncludes C-myc(8q24.21) rearrangement, Del 13q,IGH(14q32) translocation, Del 17pProvide detailed clinical history along with bone marrow findings(mandatory). BMA morphology is mandatory. All samples for FISH to reach the lab with in 24 hours of collection for best results. Inclusive tests are IGH translocation;13q deletion;17p deletion, Cmyc re-arrangementBone marrow aspirateSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
Non Small cell Lung Cancer (NSCLC) NGS Panel (Hot Spot)Oncology21 working daysALK, BRAF, EGFR, ERBB2, MET, PIK3CA, RET, KRAS, NRAS,PTEN, AKT1, DDR2, HRAS, and MAP2K1Histopathology report must accompany the specimenFFPE blocksCardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing
NRAS gene analysis (Hot Spot)Oncology5 working daysProvide histopathological report of patient (in primary cases)FFPE blocks/slides/curlsFFPE blocks/slides in a cardboard box, FFPE curls in 1.5ml sterile tube20-25℃Minimum of 2 FFPE slides. Minimum of 2 FFPE curls each of 20 microns. Minimum of 10% (as assessed byRT-PCR
OncoFocus - ct DNA for EGFROncology12 working daysincludes HOTSPOT mutations in EGFR (Exons 18, 19, 20, 21; includes T790M)Peripheral bloodPeripheral blood in 2 Streck tubes provided by Lab20-25℃10ml in each tube (strictly)Next Generation Sequencing
OncoFocus Express - ct DNA for EGFROncology7 working daysincludes HOTSPOT mutations in EGFR (Exons 18, 19, 20, 21; includes T790M)Peripheral bloodPeripheral blood in 2 Streck tubes provided by Lab20-25℃10ml in each tube (strictly)Next Generation Sequencing
OncoSelect ctDNA for EGFR T790M and C797SOncology12 working daysHOTSPOT mutations in EGFR (T790M - indicating resistance to first & second gen TKI and C797S indicating resistance to third gen TKIs) Primary use in Adenocarcinoma - LungPeripheral bloodPeripheral blood in 2 Streck tubes provided by Lab20-25℃10ml in each tube (strictly)Next Generation Sequencing
OncoTrack - ct DNA for Hot Spot mutations in 4 genes (EGFR, KRAS, NRAS, BRAF)Oncology12 working daysHOTSPOT mutations in EGFR (Exons 18, 19, 20, 21; includes T790M), KRAS (Exons 2, 3, 4), NRAS (Exons 2, 3, 4),BRAF (V600E)Peripheral bloodPeripheral blood in 2 Streck tubes provided by Lab20-25℃10ml in each tube (strictly)Next Generation Sequencing
PDGFRA gene analysis - 3 exons (12, 14, 18)Oncology10 working daysProvide histopathological report of patient (in primary cases)Peripheral blood/bone marrow aspirate/purified genomic DNA/FFPE blocks/slides/curlsEDTA anticoagulated peripheral blood; bone marrow aspirate in EDTA; DNA in sealed Eppendorf tube; FF20-25℃Minimum 4ml of peripheral blood; minimum 1ml of bone marrow aspirate; minimum 1 microgram of DNA (coNext Generation Sequencing
PNH by FLAER- High SensitivityOncology2 working daysProvide detailed clinical history along with CBC reportsPeripheral blood in EDTATwo K2/K3 - EDTA Lavender top2-8℃2.7 mL EachFlowcytometry
RB1 gene analysis (germline)Oncology21 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
RB1 gene deletion/duplication analysisOncology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Retinoblastoma gene 13q14 region by FISHOncology7 working daysNot AvailableBone marrow aspirateSodium heparin-Green top20-25℃Minimum 2 ml of bone marrow aspirateFISH
Somatic Cancer Mutation Panel / Hot Spot tumor panelOncology21 working daysProvide histopathological report of patient. Inclusive genes:ABL1, AKT1, ALK, APC, ATM, BRAF (inclusive of v600E), CDH1, CDKN2A, CSF1R, CTNNB1, DDR2, DNMT3A, EGFR, ERBB2, ERBB4, EZH2, FBXW7, FGFR1, FGFR2, FGFR3, FLT3, FOXL2, GNA11, GNAQ, GNAS, HNF1A, HRAS, IDH1, IDH2, JAK2, JAK3, KDR, KIT, KRAS, MAP2K1/MEK1, MET, MLH1, MPL, MSH6, NOTCH1, NPM1, NRAS, PDGFRA, PIK3CA, PTEN, PTPN11, RB1, RET, SMAD4, SMARCB1, SMO, SRC, STK11, TP53, TSC1,VHLExcept for TP53 only specific hotspots are covered in the aforementioned genes, that is, those which are therapeutically relevant. Specific exonic coverage will be provided on individual reportsFFPE blocksCardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing
T- MRDOncology2 working daysProvide detailed clinical history along with previous Flow Report (Mandatory-Sample will not be accepted without previous Flowcytometry report)Bone marrow in EDTAK2/K3 - EDTA Lavender top2-8℃6mL (2 tubes atleast 3ml each)Flowcytometry
TP53 gene deletion/duplication analysisOncology14 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)MLPA
Von Hippel-Lindau syndrome (VHL) gene analysisOncology21 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 4ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Next Generation Sequencing
Oncotrack - Ultima [Liquid biopsy for 56 theranostic genes]Oncology21 working daysProvide histopathological report of patient. Inclusive genes:ABL1, AKT1, ALK, APC, ATM, BRAF (inclusive of v600E), CDH1,CDKN2A, CSF1R, CTNNB1, DDR2, DNMT3A, EGFR, ERBB2,ERBB4, EZH2, FBXW7, FGFR1, FGFR2, FGFR3, FLT3, FOXL2,GNA11, GNAQ, GNAS, HNF1A, HRAS, IDH1, IDH2, JAK2, JAK3,KDR, KIT, KRAS, MAP2K1/MEK1, MET, MLH1, MPL, MSH6,NOTCH1, NPM1, NRAS, PDGFRA, PIK3CA, PTEN, PTPN11,RB1, RET, SMAD4, SMARCB1, SMO, SRC, STK11, TP53, TSC1,VHLExcept for TP53 only specific hotspots are covered in the aforementioned genes, that is, those which are therapeutically relevent. Specific exonic coverage will be provided on individual reportsPeripheral bloodPeripheral blood in 2 Streck tubes provided by Lab20-25℃10ml in each tube (strictly)Next Generation Sequencing
ALK D5F3 analysisOncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
Breast Prognostic/predictive IHC2 panel (ER, PR)Oncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
Breast Prognostic/predictive IHC3 panel (ER, PR, Her2/neu)Oncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
c-MET IHC analysisOncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
ER IHC AnalysisOncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
Her 2 Gastric tissueOncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
Her2/neu IHC AnalysisOncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
Lung tumor panel I (ALK D5F3, ROS1, c-MET)Oncology IHC6 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
Lung tumor panel II (ANY TWO OF - ALK D5F3, ROS1, c-MET)Oncology IHC6 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
Lynch Syndrome Mismatch Repair (MMR) 4 gene (MLH1, MSH2, MSH6 & PMS2) panel - IHC[Microsatellite instability MSI]Oncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
MIB-1/Ki67 IHC AnalysisOncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
PDL1 IHC analysisOncology IHC7 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
PR IHC AnalysisOncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
Prognostic/predictive IHC4 panel (ER, PR, Her2/neu,MIB-1/Ki67)Oncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
ROS1 IHC analysisOncology IHC4 working daysProvide histopathological report of patientFFPE blockscardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableIHC
IDH1 & IDH2 gene analysisOncology/ Hemato-Oncoogy12 working daysProvide histopathological report for solid tumors; Bone Marrow morphology report, Complete blood count report and/or FISH report for leukemiaFFPE block for Solid tumors;Peripheral Blood/Purified Genomic DNA for Leukemia?FFPE block in cardboard box; EDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃FFPE block with a minimum of 10% (as assessed by the pathologist) of tumor cells should be present;Next Generation Sequencing
C8orf37 gene sequencingOphthalmology21 working daysC8orf37 Associated with autosomal recessive cone-rod dystrophy (arCRD) and retinitis pigmentosa (arRP)Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Choroideremia (CHM) deletion/duplication analysisOphthalmology14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Congenital cataract gene panelOphthalmology21 working daysAGK, BFSP1, BFSP2, CHMP4B, CRYAA, CRYAB, CRYBA1, CRYBA2, CRYBA4, CRYBB1, CRYBB2, CRYBB3, CRYGB, CRYGC, CRYGD, CRYGS, CTDP1, EPHA2, FAM126A, FOXE3, FTL, FYCO1, GALK1, GCNT2, GFER, GJA3, GJA8, HSF4, LEMD2, LIM2, LSS, MAF, MIP, MSMO1, NHS, P3H2, PITX3, RDH11, SLC16A12, SLC33A1, TDRD7, UNC45B, VIM, WFS1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Congenital stationary night blindness gene panelOphthalmology21 working daysCACNA1F, GNAT1, GNB3, GPR179, GRK1, GRM6, LRIT3, NYX, PDE6B, RDH5, RHO, RPE65, SAG, SLC24A1, TRPM1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Corneal dystrophy gene panelOphthalmology21 working daysAGBL1, APOA1, CHST6, COL8A2, DCN, KERA, KRT12, KRT3, OVOL2, PAX6, PIKFYVE, PITX2, PRDM5, PXDN, SLC4A11, TACSTD2, TCF4, TGFBI, UBIAD1, ZEB1, ZNF469Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Leber congenital amaurosis gene panelOphthalmology21 working daysAIPL1, CEP290, CRB1, CRX, GDF6, GUCY2D, IMPDH1, IQCB1, KCNJ13, LCA5, LRAT, NMNAT1, PRPH2, RD3, RDH12, ROM1, RPE65, RPGRIP1, SPATA7, TULP1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Optic atrophy gene panelOphthalmology21 working daysACO2, OPA1, OPA3, RTN4IP1, TMEM126A, YME1L1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Retinal degeneration gene panelOphthalmology21 working daysABCA4, ABHD12, ACBD5, ACO2, ADAM9, ADAMTS18, AHI1, AIPL1, ALMS1, ARL2BP, ARL6, ATF6, ATOH7, BBIP1, BBS1, BBS1, BBS12, BBS2, BBS4, BBS5, BBS7, BBS9, BEST1, C1QTNF5, C2ORF197, C21orf2, C2orf71, C8orf37, CA4, CABP4, CACNA1F, CACNA2D4, CAPN5, CC2D2A, CCDC28B, CDH23, CDH3, CDHR1, CEP164, CEP25, CEP29, CERKL, CFH, CHM, CIB2, CLN3, CLRN1, CNGA1, CNGA3, CNGB1, CNGB3, CNNM4, COG4, COG6, COL11A1, COL2A1, COL9A1, CRB1, CRX, CSPP1, CYP4V2, DFNB31, DHDDS, DHX38, DRAM2, DTHD1, EFEMP1, ELOVL4, EMC1, EYS, FAM161A, FBLN5, FLVCR1, FSCN2, FZD4, GDF6, GNAT1, GNAT2, GNPTG, ADGRA3, GPR179, ADGRV1, GRK1, GRM6, GUCA1A, GUCA1B, GUCY2D, HARS, HGSNAT, HK1, HMCN1, IDH3B, IFT14, IFT172, IFT27, IMPDH1, IMPG1, IMPG2, INPP5E, IQCB1, ITM2B, JAG1, KCNJ13, KCNV2, KIAA1549, KIF11, KLHL7, LAMA1, LCA5, P3H2, LRAT, LRIT3, LRP5, LZTFL1, MAK, MERTK, MFRP, MKKS, MKS1, MVK, MYO7A, NDP, NEK2, NEUROD1, NMNAT1, NPHP1, NPHP4, NR2E3, NR2F1, NRL, NYX, OAT, OFD1, OPA1, OPA3, OTX2, PANK2, PAX2, PAX6, PCDH15, PCYT1A, PDE6A, PDE6B, PDE6C, PDE6G, PDE6H, PDZD7, PGK1, PITPNM3, PLA2G5, PLK4, PNPLA6, POC1B, PRCD, PROM1, PRPF3, PRPF31, PRPF4, PRPF6, PRPF8, PRPH2, PRPS1, RAB28, RAX2, RB1, RBP3, RBP4, RCBTB1, RD3, RDH11, RDH12, RDH5, RGR, RGS9, RGS9BP, RHO, RIMS1, RLBP1, ROM1, RP1, RP1L1, RP2, RP9, RPE65, RPGR, RPGRIP1, RPGRIP1L, RS1, SAG, SDCCAG8, SEMA4A, SLC24A1, SLC38A8, SLC7A14, SNRNP2, SPATA7, SPP2, TEAD1, TIMP3, TMEM126A, TMEM216, TMEM67, TOPORS, TREX1, TRIM32, TRNT1, TRPM1, TSPAN12, TTC8, TTLL5, TTPA, TUB, TUBGCP4, TUBGCP6, TULP1, UNC119, USH1C, USH1G, USH2A, VCAN, WDPCP, WDR19, ZNF48, ZNF513Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Usher syndrome gene panelOphthalmology21 working daysCDH23, CIB2, CLRN1, DFNB31, ADGRV1, HARS, MYO7A, PCDH15, PDZD7, USH1C, USH1G, USH2APeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Amniotic Fluid karyotyping + FISH (5 probes - 13,18,21, sex chromosome)Prenatal15 working daysNot AvailableAmniotic FluidAmniotic fluid in 2 sterile falcon tubes20-25℃2 tubes with 10ml in each sterile tubeCytogenetics/Karyotyping + FISH
Amniotic Fluid karyotyping + FISH(2 probes)(either 13/21 or 18/X/Y]Prenatal15 working daysNot AvailableAmniotic FluidAmniotic fluid in 2 sterile falcon tubes20-25℃2 tubes with 10ml in each sterile tubeCytogenetics/Karyotyping + FISH
Carrier screening - Gold [500 genes NGS & MLPA (SMA, DMD, CYP21A2)]Prenatal21 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Next Generation Sequencing & MLPA
Carrier screening - Platinum [~2000 recessive genes included in clinical exome & MLPA (SMA, DMD, CYPPrenatal14 working daysCarrier test Platinum involves next generation sequencing of clinically relevant genes, reported inPeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Next Generation Sequencing & MLPA
Carrier screening - Platinum [2000 recessive genes included in clinical exome & MLPA (SMA, DMD, CYP21A2) ]Prenatal21 working daysCarrier test Platinum involves next generation sequencing of clinically relevant genes, reported in either OMIM or HGMD to be associated with a Mendelian disorder. The custom design provides greater than or equal to 98% coverage of around 2000 recessive genes, with a mean on target read depth of 80-100x.Peripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Next Generation Sequencing & MLPA
Carrier screening - Silver [100 genes NGS & MLPA (SMA, DMD, CYP21A2)]Prenatal21 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Next Generation Sequencing & MLPA
Cord blood karyotyping + FISH (2 probes)(either 13/21 or 18/X/Y)Prenatal8 working daysNot AvailableCord BloodSodium heparin-Green top20-25℃1.5 to 2 mlCytogenetics/Karyotyping + FISH
Cord Blood karyotyping + FISH (5 probes - 13, 18, 21, sex chromosomes)Prenatal8 working daysNot AvailableCord BloodSodium heparin-Green top20-25℃1.5 to 2 mlCytogenetics/Karyotyping + FISH
Cord Blood karyotyping onlyPrenatal8 working daysNot AvailableCord BloodSodium heparin-Green top20-25℃1.5 to 2 mlCytogenetics/Karyotyping
Cord Blood Procedure + KaryotypingPrenatal8 working daysNot AvailableCord BloodSodium heparin-Green top20-25℃1.5 to 2 mlCytogenetics/Karyotyping
Cord Blood Procedure + Karyotyping + FISH (5 probes - 13, 18, 21, sex chromosomes)Prenatal8 working daysNot AvailableCord BloodSodium heparin-Green top20-25℃1.5 to 2 mlCytogenetics/Karyotyping + FISH
Cord Blood Procedure + Karyotyping+ FISH (2 probes)(either 13/21 or 18/X/Y)Prenatal8 working daysNot AvailableCord BloodSodium heparin-Green top20-25℃1.5 to 2 mlCytogenetics/Karyotyping + FISH
CVS karyotyping + FISH (2 probes) (either 13/21 or 18/X/Y)Prenatal10 working daysNot AvailableChorionic Villus Sample(CVS)CVS In a sterile 15ml falcon tube in provided medium20-25℃CVS 20 - 30mgCytogenetics/Karyotyping + FISH
CVS karyotyping + FISH (5 probes - 13,18,21, sex chromosomes)Prenatal10 working daysNot AvailableChorionic Villus Sample(CVS)CVS In a sterile 15ml falcon tube in provided medium20-25℃CVS 20 - 30mgCytogenetics/Karyotyping + FISH
CVS karyotyping onlyPrenatal10 working daysNot AvailableChorionic Villus Sample(CVS)CVS In a sterile 15ml falcon tube in provided medium20-25℃CVS 20 - 30mgCytogenetics/Karyotyping
Di George / VCF syndromePrenatal9 working daysNot AvailableOn all type of samples1. Peripheral blood2. POC - tissue3. Prenatal - Cord blood/Amniotic fluid/Blood/Cord blood- Sodium heparinPOC - Tissue in sterile containerAmniotic fluid - In 2 sterile fal20-25℃Blood/Cord blood- 2 mlAmniotic fluid - 5 ml in each tubeCVS - 20-30mg in provided mediumFISH
FISH (2 probes) (either 13/21 or18/X/Y)Prenatal4 working daysNot AvailableOn all type of samples1. Peripheral blood2. POC - tissue3. Prenatal - Cord blood/Amniotic fluid/Blood/Cord blood- Sodium heparinPOC - Tissue in sterile containerAmniotic fluid - In 2 sterile fal20-25℃Blood/Cord blood- 2 mlAmniotic fluid - 5 ml in each tubeCVS - 20-30mg in provided mediumFISH
FISH (7 probes - 13,16,18,21,22, sex chromosome)Prenatal4 working daysNot AvailableOn all type of samples1. Peripheral blood2. POC - tissue3. Prenatal - Cord blood/Amniotic fluid/Blood/Cord blood- Sodium heparinPOC - Tissue in sterile containerAmniotic fluid - In 2 sterile fal20-25℃Blood/Cord blood- 2 mlAmniotic fluid - 5 ml in each tubeCVS - 20-30mg in provided mediumFISH
FISH(5 probes-13,18,21,sex chromosomes)Prenatal4 working daysNot AvailableOn all type of samples1. Peripheral blood2. POC - tissue3. Prenatal - Cord blood/Amniotic fluid/Blood/Cord blood- Sodium heparinPOC - Tissue in sterile containerAmniotic fluid - In 2 sterile fal20-25℃Blood/Cord blood- 2 mlAmniotic fluid - 5 ml in each tubeCVS - 20-30mg in provided mediumFISH
PGD by Sanger/PCR (1 variant) - per embryoPrenatal14 working daysPre-PGD passed for one variantDay-3 (single cell) or day-5 (few cells) embryo biopsy Note: Day-5 biopsy is preferred0.2 ml PCR Tubes from the PGD Kit provided by Lab. Note: Please request for the PGD kit before-20 to -80℃ (dry ice shipment). Please contact with the Lab prior to performing the biopsy.Single cell(day-3) or few cells(day-5) embryo biopsy in 2.5 ul transport medium available in the MedSanger sequencing
PGD by Sanger/PCR (2 variants) - per embryoPrenatal14 working daysNot AvailableDay-3 (single cell) or day-5 (few cells) embryo biopsy Note: Day-5 biopsy is preferred0.2 ml PCR Tubes from the PGD Kit provided by Lab. Note: Please request for the PGD kit before-20 to -80℃ (dry ice shipment). Please contact with the Lab prior to performing the biopsy.Single cell(day-3) or few cells(day-5) embryo biopsy in 2.5 ul transport medium available in the MedSanger Sequencing
PGD by Sanger/PCR (3 variants) - per embryoPrenatal14 working daysNot AvailableDay-3 (single cell) or day-5 (few cells) embryo biopsy0.2 ml PCR Tubes from the PGD Kit provided by Lab. Note: Please request for the PGD kit before-20 to -80℃ (dry ice shipment). Please contact with the Lab prior to performing the biopsy.Single cell(day-3) or few cells(day-5) embryo biopsy in 2.5 ul transport medium available in the MedSanger Sequencing
PGD by Sanger/PCR (4 variants) - per embryoPrenatal14 working daysNot AvailableDay-3 (single cell) or day-5 (few cells) embryo biopsyNote: Day-5 biopsy??is preferred0.2 ml PCR Tubes from the PGD Kit provided by Lab. Note: Please request for the PGD kit before-20 to -80℃ (dry ice shipment). Please contact with the Lab prior to performing the biopsy.℃Single cell(day-3) or few cells(day-5) embryo biopsy in 2.5 ul transport medium available in the MedSanger Sequencing
POC all trimester+ FISH (7 probes)Prenatal15 working daysNot AvailableProduct of Conception(POC)Tissue in sterile container in saline or Cardiac/Cord blood in sodium heparin vacutainer. Please add20-25℃,do not freeze the sample10 to 30 mg of clean tissue in sterile container in salineCardiac/Cord blood-2ml in sodium heparinCytogenetics/Karyotyping + FISH
POC-1st trimesterPrenatal15 working daysNot AvailableProduct of Conception(POC)Tissue in sterile container in saline. Please add antibiotics (1-2 drops after collection)20-25℃,do not freeze the sample10 to 30 mg of clean tissue in sterile container in salineCytogenetics/Karyotyping
POC-2nd and 3rd trimester cord / cardiac bloodPrenatal15 working daysNot AvailableProduct of Conception(POC)Tissue in sterile container in saline or Cardiac/Cord blood in sodium heparin vacutainer. Please add20-25℃,do not freeze the sample10 to 30 mg of clean tissue in sterile container in salineCardiac/Cord blood-2ml in sodium heparinCytogenetics/Karyotyping
POC-2nd trimesterPrenatal15 working daysNot AvailableProduct of Conception(POC)Tissue in sterile container in saline or Cardiac/Cord blood in sodium heparin vacutainer. Please add20-25℃,do not freeze the sample10 to 30 mg of clean tissue in sterile container in salineCardiac/Cord blood-2ml in sodium heparinCytogenetics/Karyotyping
Pre-Implantation Genetic Screening(PGS)Prenatal7 working daysScreens for aneuploidies of all 24 chromosome types including the two sex chromosomes(X and Y) and the 22 other non-sex chromosomesDay-3 (single cell) or day-5 (few cells) embryo biopsy Note: Day-5 biopsy is preferred0.2 ml PCR Tubes from the PGS Kit provided by Lab. Note: Please request for the PGS kit before-20 to -80℃ (dry ice shipment). Please contact with the Lab prior to performing the biopsy.Single cell(day-3) or few cells(day-5) embryo biopsy in 2.5 ul transport medium available in the MedNext Generation Sequencing
Pre-PGD by Sanger/PCR (1 variant) - Prospective parents and one affected kid of the couple (if available)Prenatal21 working daysAll 3 samples(when available) or at least the samples of prospective parents will be processed for pre PGD workupPeripheral bloodEDTA anticoagulated peripheral blood20-25℃Minimum 3ml of peripheral bloodSanger sequencing
Pre-PGD by Sanger/PCR (2 variant) - Prospective parents and one affected kid of the couple (if available)Prenatal21 working daysAll 3 samples(when available) or at least the samples of prospective parents will be processed for pre PGD workupPeripheral bloodEDTA anticoagulated peripheral blood20-25℃Minimum 3ml of peripheral bloodSanger Sequencing
Pre-PGD by Sanger/PCR (3 variants) - Prospective parents and one affected kid of the couple (if available)Prenatal21 working daysAll 3 samples(when available) or at least the samples of prospective parents will be processed for pre PGD workupPeripheral bloodEDTA anticoagulated peripheral blood20-25 ℃Minimum 3ml of peripheral bloodSanger Sequencing
Pre-PGD by Sanger/PCR (4 variants) - Prospective parents and one affected kid of the couple(if available)Prenatal21 working daysAll 3 samples(when available) or at least the samples of prospective parents will be processed for pre PGD workupPeripheral bloodEDTA anticoagulated peripheral blood20-25 ℃Minimum 3ml of peripheral bloodSanger Sequencing
FISH for Williams syndromePrenatal/Postnatal9 working daysNot AvailablePeripheral BloodSodium heparin-Green top20-25℃Minimum 4 ml peripheral bloodFISH
High Resolution Banding [HRB]Prenatal/Postnatal15 working daysNot AvailablePeripheral BloodSodium heparin-Green top20-25℃Minimum 4 ml peripheral bloodCytogenetics/Karyotyping
Prader-Willi/ Angelman syndrome by FISHPrenatal/Postnatal9 working daysNot AvailablePeripheral BloodSodium heparin-Green top20-25℃Minimum 4 ml peripheral bloodFISH
Newborn screening gene panelRare inherited diseases21 working daysABCD1, ABCD4, ACAD8, ACADM, ACADS, ACADSB, ACADVL,ACAT1, ACSF3, ADA, AHCY, AK2, ARG1, ASL, ASS1, AUH, BCKDHA, BCKDHB, BTD, CBS, CD320, CD3D, CD3E, CFTR, CIITA, CPS1, CPT1A, CPT2, CYP11B1, CYP17A1, CYP21A2, DBT, DCLRE1C, DLD, DNAJC19, DUOX2, ETFA, ETFB, ETFDH, FAH, G6PD, GAA, GALC, GALE, GALK1, GALT, GBA, GCDH, GCH1, GJB2, GJB3, GJB6, GLA, GNMT, GSS, HADH, HADHA, HADHB, HBA1, HBB, HCFC1, HLCS, HMGCL, HPD, HSD17B10, HSD3B2, IDUA, IL2, IL21R, IL2RG, IL7R, IVD, JAK3, LMBRD1, MAT1A, MCCC1, MCCC2, MCEE, MLYCD, MMAA, MMAB,MMACHC, MMADHC, MTHFR, MTR, MTRR, MUT, NADK2,NGLY1, NHEJ1, NKX2, NPC1, NPC2, OAT, OPA3, OTC, PAH, PAX8, PCBD1, PCCA, PCCB, PNP, PSAP, PTPRC, PTS, QDPR, RAG1, RAG2, RFX5, RFXANK, RFXAP, SLC22A5, SLC25A13, SLC25A15, SLC25A20, SLC5A5, SMPD1, STAR, SUCLA2, SUCLG1, TAP1, TAPBP, TAT, TG, THRA, TPO, TSHB, TSHRPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Aneuploidy MLPARare inherited disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Bardet-Biedl syndrome gene panelRare inherited disorders21 working daysARL6, BBIP1, BBS1, BBS10, BBS12, BBS2, BBS4, BBS5, BBS7, BBS9, CCDC28B, CEP290, IFT27, IFT74, LZTFL1, MKKS, MKS1, SDCCAG8, TMEM67, TRIM32, TTC8, WDPCPPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Beckwith-Wiedemann syndrome deletion/duplication analysisRare inherited disorders14 working daysNot AvailablePeripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)MLPA
Blooms syndromeRare Inherited Disorders15 working daysNot AvailablePeripheral BloodSodium heparin-Green top20-25℃Minimum 4 ml peripheral bloodCytogenetics/Karyotyping
Ciliopathy gene panelRare inherited disorders21 working daysAHI1, ALMS1, ANKS6, ARL13B, ARL6, ARMC4, B9D1, B9D2, BBIP1, BBS1, BBS10, BBS12, BBS2, BBS4, BBS5, BBS7, BBS9, C21ORF59, C2CD3, C5orf42, CC2D2A, CCDC103, CCDC114, CCDC151, CCDC28B, CCDC39, CCDC40, CCDC65, CCNO, CEP120, CEP164, CEP290, CEP41, CEP83, CSPP1, DCDC2, DDX59, DNAAF1, DNAAF2, DNAAF3, DNAAF5, DNAH11, DNAH5, DNAI1, DNAI2, DNAL1, DRC1, DYNC2H1, DYX1C1, EVC, EVC2, GLIS2, HYDIN, IFT122, IFT140, IFT172, IFT27, IFT43, IFT80, INPP5E, INVS, IQCB1, KIAA0586, KIAA0753, KIF14, KIF7, LAMA1, LRRC6, LZTFL1, MKKS, MKS1, NEK1, NEK8, NME8, NPHP1, NPHP3, NPHP4, OFD1, PDE6D, PIEZO2, PKD1, PKD2, PKHD1, RPGRIP1L, RSPH1, RSPH3, RSPH4A, RSPH9, SDCCAG8, SPAG1, TCTN1, TCTN2, TCTN3, TMEM138, TMEM216, TMEM231, TMEM237, TMEM67, TRIM32, TTC21B, TTC8, WDPCP, WDR19, WDR34, WDR35, WDR60, XPNPEP3, ZMYND10, ZNF423Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Cockayne syndrome gene panelRare inherited disorders21 working daysERCC3, ERCC4, ERCC5, ERCC6, ERCC8Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Cohen's syndrome (VPS13B) gene analysisRare inherited disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Cornelia de Lange syndrome gene panelRare inherited disorders21 working daysHDAC8, NIPBL, RAD21, SMC1A, SMC3Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Craniosynostosis gene panelRare inherited disorders21 working daysALX4, CD96, CYP26B1, ERF, FGFR1, FGFR2, FGFR3, IL11RA, MEGF8, MSX2, P4HB, RAB23, RECQL4, SEC24D, SKI, SMAD3, SMAD6, TCF12, TGFB2, TGFB3, TGFBR1, TGFBR2, TWIST1, ZIC1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Cystic fibrosis (CFTR) del508 mutation analysisRare inherited disorders7 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Sanger sequencing
Cystic fibrosis (CFTR) gene analysisRare inherited disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Cystic fibrosis (CFTR) gene panel deletion/duplication analysisRare inherited disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Fraser syndrome gene panelRare inherited disorders21 working daysFRAS1, FREM2, GRIP1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Johanson-Blizzard syndrome (UBR1) gene analysisRare inherited disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Klippel-Feil syndrome gene panelRare inherited disorders21 working daysGDF3, GDF6, MEDX1, MYO18BPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
MLPA for common microdeletion syndromesRare inherited disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Non-immune hydrops gene panelRare inherited disorders21 working daysALG1, ASAH1, CANT1, DHCR7, FOXC2, GALNS, GBA, GBE1, GLA, GLB1, GM2A, GNPTAB, GUSB, IDUA, LBR, LIPA, NEU1, NPC1, NPC2, PEX1, PEX10, PEX12, PEX13, PEX14, PEX16, PEX19, PEX26, PEX3, PEX5, PEX6, PMM2, PSAP, SLC17A5, SMPD1, SUMF1, UROSPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Noonan syndrome gene panelRare inherited disorders21 working daysBRAF, CBL, KRAS, LZTR1, NF1, NRAS, PTPN11, RAF1, RIT1, SHOC2, SOS1, SOS2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
PDGFRB gene sequencingRare inherited disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
POLG gene sequencingRare inherited disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Prader-Willi/Angelman syndrome deletion/duplication analysisRare inherited disorders14 working dayssemi-quantitative detection of CNV and aberrant methylation in the 15q11 region.Peripheral blood/purified genomic DNAEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube;20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)MLPA
Pulmonary alveolar microlithiasis (SLC34A2) gene analysisRare inherited disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Pulmonary surfactant metabolism dysfunction gene panelRare inherited disorders21 working daysABCA3, CSF2RA, CSF2RB, SFTPB, SFTPCPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Rasopathy gene panelRare inherited disorders21 working daysA2ML1, BRAF, CABIN1, CBL, HRAS, KAT6B, KRAS, LZTR1, MAP2K1, MAP2K2, NF1, NF2, NRAS, NSUN2, PTPN11, RAF1, RASA2, RIT1, RRAS, SHOC2, SOS1, SOS2, SPRED1 Note: Due to the presence of pseudogenes in many of these genes, Sanger validation of variants is highly recommended.Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Seckel syndrome gene panelRare inherited disorders21 working daysATR, CENPJ, CEP152, CEP63, DNA2, NIN, NSMCE2, RBBP8Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Smith-Lemli-Opitz syndrome (DHCR7) gene analysisRare inherited disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Sotos syndrome (NSD1) deletion/duplication analysisRare inherited disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Sotos syndrome gene panelRare inherited disorders21 working daysAPC2, NFIX, NSD1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Subtelomere deletion/duplication analysisRare inherited disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
TTN gene sequencingRare inherited disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
WAGR syndrome (PAX6) deletion/duplication analysisRare inherited disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Achondroplasia (FGFR3) gene analysisSkeletal dysplasia21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hereditary multiple exostoses gene panelSkeletal dysplasia21 working daysEXT1 and EXT2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Osteogenesis imperfecta gene panelSkeletal dysplasia21 working daysALPL, BMP1, COL1A1, COL1A2, CRTAP, FKBP10, IFITM5, LRP5, P3H1, PLOD2, PPIB, SERPINF1, SERPINH1, SP7, SPARC, TMEM38B, WNT1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Osteopetrosis gene panelSkeletal dysplasia21 working daysCA2, CLCN7, CTSK, LRP5, OSTM1, PLEKHM1, SNX10, TCIRG1, TNFRSF11A, TNFSF11Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Pachydermoperiostosis & primary hypertrophic osteoarthropathy gene panelSkeletal dysplasia21 working daysHPGD, SLCO2A1Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Skeletal dysplasia gene panelSkeletal dysplasia21 working daysACAN, ACP5, ACVR1, ADAMTS1, ADAMTSL2, AGPS, ALPL, ALX3, ALX4, AMER1, ANKH, ANO5, AP2S1, ARHGAP31, ARSE, ATP6VA2, ATR, B3GALT6, B4GALT7, BHLHA9, BMP1, BMP2, BMPER, BMPR1B, CA2, CANT1, CASR, CC2D2A, CCDC8, CDC6, CDH3, CDKN1C, CDT1, CENPJ, CEP152, CEP29, CEP63, CHST14, CHST3, CHSY1, CLCN5, CLCN7, COL1A1, COL11A1, COL11A2, COL1A1, COL1A2, COL2A1, COL9A1, COL9A2, COL9A3, COMP, CREBBP, CRTAP, CTSK, CUL7, CYP27B1, CYP2R1, DDR2, DHCR24, DHCR7, DLL3, DLX3, DMP1, DNA2, DVL1, DVL3, DYM, DYNC2H1, EBP, EFNB1, EIF2AK3, ENPP1, EP3, ERF, ESCO2, EVC, EVC2, EXT1, EXT2, EZH2, FAM111A, FAM2C, FAM58A, FBLN1, FBN1, FERMT3, FGF1, FGF16, FGF23, FGF9, FGFR1, FGFR2, FGFR3, FKBP1, FLNA, FLNB, FREM1, GALNT3, GDF3, GDF5, GDF6, GJA1, GLI3, GNA11, GNAS, GNPAT, GORAB, GPC6, GSC, HDAC4, HES7, HOXA11, HOXD13, HPGD, HSPG2, IARS2, ICK, IFITM5, IFT122, IFT14, IFT172, IFT43, IFT8, IHH, IL11RA, IMPAD1, INPPL1, KIF22, KIF7, LARP7, LBR, LEMD3, P3H1, LFNG, LIFR, LMBR1, LMNA, LMX1B, LRP4, LRP5, MAFB, MATN3, MEGF8, MEOX1, MESP2, MGP, MKS1, MMP13, MMP2, MMP9, MSX2, MTAP, MYCN, NEK1, NFIX, NIN, NIPBL, NKX3-2, NOG, NOTCH2, NPR2, NSDHL, OBSL1, OFD1, ORC1, ORC4, ORC6, OSTM1, PAPSS2, PCNT, PCYT1A, PDE4D, PEX7, PHEX, PIGV, PITX1, PLEKHM1, PLOD2, PLS3, POC1A, POR, PPIB, PRKAR1A, PTDSS1, PTH1R, PTHLH, PTPN11, PYCR1, RAB23, RAB33B, RASGRP2, RBBP8, RECQL4, RMRP, RNU4ATAC, ROR2, RPGRIP1L, RUNX2, SALL1, SALL4, SBDS, SERPINF1, SERPINH1, SF3B4, SH3PXD2B, SHH, SHOX, SKI, SLC25A12, SLC26A2, SLC34A1, SLC34A3, SLC35D1, SLC39A13, SLC9A3R1, SLCO2A1, SMARCAL1, SNX1, SOST, SOX9, SP7, SPARC, TBCE, TBX15, TBX3, TBX4, TBX5, TBX6, TBXAS1, TCF12, TCIRG1, TCTN3, TGFB1, THPO, TMEM216, TMEM38B, TMEM67, TNFRSF11A, TNFRSF11B, TNFSF11, TP63, TRAPPC2, TREM2, TRIP11, TRPS1, TRPV4, TTC21B, TWIST1, TYROBP, VDR, WDR19, WDR34, WDR35, WDR6, WISP3, WNT1, WNT1B, WNT3, WNT5A, WNT7A, XYLT1, ZMPSTE24, ZSWIM6Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Aneuploidy by QF PCR [with MCC]Additional options for testing4 working daysNot AvailableEither amniotic fluid/chorionic villus sample (CVS) /Product of conception or the purified genomic DAmniotic fluid in a sterile falcon tube/cultured cells CVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic Tissue in sterile container in saline or Cardiac/Cord blood in sodium heparin vacutainer. Please add antibiotic(1-2 drops after collection)/DNA in sealed Eppendorf tube20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters)Fragment analysis
Chromosomal Microarray - Affymetrix Cytoscan 750K genechipAdditional options for testing12 working days750000 CNV/200000 genotypable probes. The array contains 550,000 unique non-polymorphic probes and approximately 200,000 genotype-able SNPs Primary indications: 1) Unexplained developmental delay (DD) 2) Intellectual disability(ID)or mental impairment 3) Autism spectrum disorders (ASD) 4) Multiple congenital anomalies (MCA)Peripheral blood/Purified genomic DNA/Chorionic villus sample (CVS)/Amniotic fluid (AF)/Product of ConceptionPeripheral Blood : EDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; Purified genomic DNAPeripheral Blood : 20-25℃; Purified genomic DNA : 2-8℃; Chorionic villus sample (CVS) : 2-8℃; Amniotic fluid: 20-25℃; POC: 20-25℃Peripheral Blood : Minimum 3ml of peripheral blood. Purified genomic DNA : minimum 1 microgram of DNAMicroarray
Chromosomal Microarray - Affymetrix Cytoscan HD genechipAdditional options for testing12 working daysHD Array includes 2.67 million markers for copy number (CN) analysis, including 750,000 biallelic SNPeripheral blood/Purified genomic DNA/Chorionic villus sample (CVS)/Amniotic fluid (AF)/Product of ConceptionPeripheral Blood : EDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; Purified genomic DNAPeripheral Blood : 20-25℃; Purified genomic DNA : 2-8℃; Chorionic villus sample (CVS) : 2-8℃; Amniotic fluid: 20-25℃; POC: 20-25℃Peripheral Blood : Minimum 3ml of peripheral bloodPurified genomic DNA : minimum 1 microgram of DNAMicroarray
Chromosomal Microarray - Affymetrix Cytoscan Optima low resolution genechipAdditional options for testing12 working days8,018 CNV probes and 148,450 SNP markers**uniformly spaced over the genome with enhanced interrogation of 396 regions of prenatal interest1. A minimum resolution of 1 MB for losses,2 MB for gains, and 5 MB for LOH/AOH2. Increased coverage density(25 markers/100 kb) in 396 empirically selected regions relevant for prenatal researchPeripheral blood/Purified genomic DNA/Chorionic villus sample (CVS)/Amniotic fluid (AF)/Product of ConceptionPeripheral Blood : EDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; Purified genomic DNAPeripheral Blood : 20-25℃; Purified genomic DNA : 2-8℃; Chorionic villus sample (CVS) : 2-8℃; Amniotic fluid: 20-25℃; POC: 20-25℃Peripheral Blood : Minimum 3ml of peripheral blood; Purified genomic DNA : minimum 1 microgram of DNAMicroarray
Clinical exome - 26MB(80-100x)Additional options for testing21 working days8332 genes. Coverage list may be provided separatelyPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Clinical exome - 26MB(80-100x) - [ONLY RAW DATA, NO CLINICAL REPORT]Additional options for testing21 working days8332 genes.Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Clinical Exome with reflex Sanger for investigational - 26MB (80-100x)Additional options for testing28 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing & Sanger
CMA XON ArrayAdditional Options for Testing14 working daysCytoScan XON Array consists of approximately 6.85M probes of which 6.55M are non-polymorphic copy number probes and approximately 300,000 are SNP markers. It is designed to cover the whole genome, with an increased focus on 7,000 clinically relevant genes at exon level.Peripheral blood/Purified genomic DNA/Chorionic villus sample (CVS)/Amniotic fluid (AF)/Product of CPeripheral Blood : EDTA anticoagulated peripheral blood; DNA in sealed eppendorf tubePurified genomPeripheral Blood : 20-25℃Chorionic villus sample (CVS) : 2-8℃Amniotic flPeripheral Blood : Minimum 3ml of peripheral bloodPurified genomic DNA : minimum 1 microgram of DNAMicroarray
DNA Extraction and StorageAdditional Options for Testing4 working daysThe time period for the storage of DNA is 6 monthsPeripheral blood/Direct DNAEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube20-25℃Minimum 3ml of peripheral blood/Minimum 1 ?g of DNA suspended in TE bufferDNA Extraction
FISH for SRYAdditional Options for Testing7 working daysNot AvailablePeripheral BloodSodium heparin-Green top20-25℃Minimum 3 ml peripheral bloodFISH
Karyotyping (Non-Leukemia)Additional Options for Testing15 working daysNot AvailablePeripheral BloodSodium heparin-Green top20-25℃Minimum 4 ml peripheral bloodCytogenetics/Karyotyping
Maternal Cell Contamination (MCC) check in prenatal DNAAdditional options for testing7 working daysNot AvailableEither amniotic fluid/chorionic villus sample (CVS) /Product of conception or the purified genomic DAmniotic fluid in a sterile falcon tube/cultured cells CVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic Tissue in sterile container in saline or Cardiac/Cord blood in sodium heparin vacutainer. Please add antibiotic(1-2 drops after collection)/DNA in sealed Eppendorf tube20-25℃ CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluencyFragment analysis
MLPA for mitochondrial DNAAdditional options for testing14 working daysNot AvailablePeripheral blood/purified genomic DNA (RNAse treated)/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Prenatal sanger variant analysis [1 variant]Additional Options for Testing28 working daysDetailed clinical and family history is mandatory for processing this testChorionic villus sample (CVS)/amniotic fluid/fetal DNACVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic;Amniotic fluid in a sterile f20-25℃CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluency; minimum 1 microgSanger sequencing
Prenatal sanger variant analysis [2 variants]Additional Options for Testing28 working daysDetailed clinical and family history is mandatory for processing this testChorionic villus sample (CVS)/amniotic fluid/fetal DNACVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic;Amniotic fluid in a sterile f20-25℃CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluency; minimum 1 microgSanger sequencing
Sanger validation [1 variant]Additional options for testing28 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Sanger sequencing
Sanger validation [2 variants]Additional options for testing28 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Sanger sequencing
Sperm FISH (5 Probes - 13,18,21,X,Y)Additional Options for Testing4 working daysNot AvailableSemen4 semen slides (Air dried packed face to face) or 1ml semen sample20-25℃,do not freeze the sample4 semen slides (Air dried packed face to face) or 1ml semen sampleFISH
TRIO - Whole exome sequencing SureSelectV5 50MB (80-100x)Additional options for testing28 working daysAll 3 samples will be processed for whole exome sequencing simultaneouslyPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
TRIO Clinical Exome sequencing - 26MB (80-100x)Additional options for testing21 working daysAll 3 samples will be processed for clinical exome sequencing simultaneously. Clinical exome consists of 8332 genes. Coverage list may be provided separatelyPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Whole exome sequencing SureSelectV5 - 50MB (80-100x)Additional options for testing21 working daysDetailed clinical and family history is mandatory for processing this testPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Whole genome sequencing (mean 10x)Additional options for testing56 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Whole genome sequencing (mean 30x)Additional options for testing56 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Whole mitochondrial genome sequencingAdditional options for testing14 working daysDetailed clinical and family history is mandatory for processing this test. Genes : ATP6, ATP8, COX1, COX2, COX3, CYTB, ND1, ND2, ND3, ND4, ND4L, ND5, ND6, RNR1, RNR2, TRNA, TRNC, TRND, TRNE, TRNF, TRNG, TRNH, TRNI, TRNK, TRNL1, TRNL2, TRNM, TRNN, TRNP, TRNQ, TRNR, TRNS1, TRNS2, TRNT, TRNV, TRNW, TRNYPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Amniocentesis / CVS Culturing + DNA Extraction & StorageAdditional Options for Testing16 working daysNot AvailableAmniotic Fluid/ Chorionic Villus Sample (CVS)Amniotic fluid in 2 sterile falcon tubes/ CVS In a sterile 15ml falcon tube in provided medium20-25℃2 tubes with 10ml in each sterile tube/ CVS 20 - 30mgCytogenetics/Karyotyping
AFB DIRECT SMEAR/CONC METHODInfectious Disease1 working dayNot AvailableSputum/Extra Pulmonary (EP) samplesSterile Container2-8℃1- 2 mlOthers
Atypical identification testInfectious Disease4 working daysIf Sputum or other specimens are received then Additional Test (MGM1634) will be performed with the charges applicableCultureCulture in Media2-8℃NAOthers
Sensitivity for Atypical mycobacteriumInfectious Disease28 working daysOn RequestCultureCulture in Media2-8℃NAOthers
XPERT MTB-RIF Assay (for Sputum)Infectious Disease1 working dayBlood not acceptableSputum/Extra Pulmonary (EP) samplesSterile Container2-8℃1- 2 mlOthers
XPERT MTB-RIF Assay (for Tissue)Infectious Disease1 working dayBlood not acceptableSputum/EP SamplesSterile Container2-8℃1- 2 mlOthers
LINE PROBE ASSAY 1ST LINE DrugsInfectious Disease4 working daysNot AvailableCulture Isolates/Sputum/Extra Pulmonary (EP) samplesSterile Container2-8℃1- 2 mlOthers
LINE PROBE ASSAY 2nd LINE DrugsInfectious Disease4 working daysNot AvailableCulture Isolates/Sputum/Extra Pulmonary (EP) samplesSterile Container2-8℃1- 2 mlOthers
COVID-19 (SARS-CoV2) RT-PCR testInfectious Disease2 working daysBoth Nasopharyngeal and Oropharyngeal Swab of the same patient has to be collected in the same VTM tubeNasopharyngeal and Oropharyngeal Swab/Bronchoalveolar Lavage (BAL) / Endotracheal Aspirate/SputumSwabs collected in Viral Transport Medium (VTM)2-8℃NART-PCR
Bartter syndrome gene panelNephrology21 working daysBSND, CASR, CLCNKA, CLCNKB, KCNJ1, MAGED2, SLC12A1, SLC12A3Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; Amniotic fluid in a sterile falcon tube/cultured cells20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
RAS Extended profiling analysis by NGSOncology12 working daysHOTSPOT Mutations in: Exon 2, 3 & 4 of KRAS gene ; Exon 2, 3 & 4 of NRAS gene ; Exon 15 of BRAF gene For theranostic monitoring of colorectal cancersFFPE blocksCardboard box20-25℃Minimum 10% (as assessed by the pathologist) of tumor tissue should be availableNext Generation Sequencing
AF Cell Culture (Amniotic fluid only) with Clinical Exome - 26MB (80-100x)Prenatal33 working daysNot AvailableAmniotic FluidAmniotic fluid in 2 sterile falcon tubes20-25℃2 tubes with 10ml in each sterile tubeCytogenetics/Karyotyping
AF Cell Culture (Amniotic fluid only)Prenatal12 working daysNot AvailableAmniotic FluidAmniotic fluid in 2 sterile falcon tubes20-25℃2 tubes with 10ml in each sterile tubeCytogenetics/Karyotyping
AF Cell Culture (Amniotic fluid only) with Chromosomal Microarray - Affymetrix Cytoscan 750K GenechipPrenatal24 working daysNot AvailableAmniotic FluidAmniotic fluid in 2 sterile falcon tubes20-25℃2 tubes with 10ml in each sterile tubeCytogenetics/Karyotyping
AF Cell Culture (Amniotic fluid only) with Chromosomal Microarray - Affymetrix Cytoscan Optima low resolution GenechipPrenatal24 working daysNot AvailableAmniotic FluidAmniotic fluid in 2 sterile falcon tubes20-25℃2 tubes with 10ml in each sterile tubeCytogenetics/Karyotyping
AF Cell Culture (Amniotic fluid only) with Sanger variant analysis [1 variant]Prenatal40 working daysNot AvailableAmniotic FluidAmniotic fluid in 2 sterile falcon tubes20-25℃2 tubes with 10ml in each sterile tubeCytogenetics/Karyotyping
AF Cell Culture (Amniotic fluid only) with Sanger variant analysis [primers available] - 1 variantPrenatal24 working daysNot AvailableAmniotic FluidAmniotic fluid in 2 sterile falcon tubes20-25℃2 tubes with 10ml in each sterile tubeCytogenetics/Karyotyping
MCC [REFLEX] with Clinical Exome - 26MB (80-100x)Prenatal28 working daysNot AvailableEither amniotic fluid/chorionic villus sample (CVS) /Product of conception or the purified genomic DNA extracted from either of theseAmniotic fluid in a sterile falcon tube/cultured cells CVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic Tissue in sterile container in saline or Cardiac/Cord blood in sodium heparin vacutainer. Please add antibiotic(1-2 drops after collection)/DNA in sealed Eppendorf tube20-25℃ CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluencyFragment analysis
MCC [REFLEX] with Chromosomal Microarray - Affymetrix Cytoscan 750K GenechipPrenatal14 working daysNot AvailableEither amniotic fluid/chorionic villus sample (CVS) /Product of conception or the purified genomic DNA extracted from either of theseAmniotic fluid in a sterile falcon tube/cultured cells CVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic Tissue in sterile container in saline or Cardiac/Cord blood in sodium heparin vacutainer. Please add antibiotic(1-2 drops after collection)/DNA in sealed Eppendorf tube20-25℃ CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluencyFragment analysis
MCC [REFLEX] with Chromosomal Microarray - Affymetrix Cytoscan Optima low resolution GenechipPrenatal19 working daysNot AvailableEither amniotic fluid/chorionic villus sample (CVS) /Product of conception or the purified genomic DNA extracted from either of theseAmniotic fluid in a sterile falcon tube/cultured cells CVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic Tissue in sterile container in saline or Cardiac/Cord blood in sodium heparin vacutainer. Please add antibiotic(1-2 drops after collection)/DNA in sealed Eppendorf tubeAF at 20-25℃; CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluencyFragment analysis
MCC [REFLEX] with Prenatal sanger variant analysis [1 variant]Prenatal35 working daysNot AvailableEither amniotic fluid/chorionic villus sample (CVS) /Product of conception or the purified genomic DNA extracted from either of theseAmniotic fluid in a sterile falcon tube/cultured cells CVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic Tissue in sterile container in saline or Cardiac/Cord blood in sodium heparin vacutainer. Please add antibiotic(1-2 drops after collection)/DNA in sealed Eppendorf tubeAF at 20-25℃; CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluencyFragment analysis
MCC [REFLEX] Prenatal sanger variant analysis [Primers available] - 1 variantPrenatal19 working daysNot AvailableEither amniotic fluid/chorionic villus sample (CVS) /Product of conception or the purified genomic DNA extracted from either of theseAmniotic fluid in a sterile falcon tube/cultured cells CVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic Tissue in sterile container in saline or Cardiac/Cord blood in sodium heparin vacutainer. Please add antibiotic(1-2 drops after collection)/DNA in sealed Eppendorf tubeAF at 20-25℃; CVS at 2-8℃300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluencyFragment analysis
Cantu syndrome (ABCC9) gene sequencingRare inherited disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluid/ Dried Blood Spots (FTA Cards)/ Product of Conception (POC)EDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon tube/cultured cells; CVS in a sterile 15ml falcon tube with RPMI1640+10% FBS+ 1% antibiotic ; For Product of conception(POC) - Wide mouth screw capped containers with plain RPMI, or sterile saline may be used for transportation of the specimenAF at 20-25℃; CVS at 2-8℃; POC at 20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters); 300-500mg of CVS; Amniotic fluid of 15-20ml/T25 culture flask with 100% confluency For Dried Blood Spots (FTA Cards) - Maximum 125 µl of the sample to be spotted per area of the card. Five full blood spots (circles) are required in order to run the test For Product of Conception (POC) - Fresh placental or fetal tissue(Min: 5 mg) submerged in stable transport media or sterile saline 1.In case of autopsy- skin or tissue from internal organs (if fresh) or placenta from fetal side. 2.If no autopsy is performed: Placenta from fetal side is preferred (e.g. villi) 3.n case of Placenta, maternal cell contamination to be ruled out. Maternal blood sample to be sent along for MCC testing Should NOT FREEZE. Should NOT be placed in formalinNext Generation Sequencing
Kardiogen Test (CAD -PRS)Cardiology12 working days6.6 Million genomic Markers responsible for CAD developmentBloodEDTA vacutainer2-8℃minimum of 3 ml whole bloodDNA genotyping Array
SES UveitisEye Infection panels1 working dayMycobacterium tuberculosis; Mycobacterium chelonae; Mycobacterium fortuitum; Toxoplasma gondiiAqueous Humor/Vitreous aspirate, Vitreous lavage, Any other eye specimenSample collected in 1ml insulin syringe - Potassium EDTA vacutainer (Kit provided by the company)Room temperature100 uLPCR
Congenital amegakaryocytic thrombocytopenia (MPL) gene analysisHematology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Karyotyping (Leukemia)Hemato-Oncology10 working daysNot AvailableBone marrow aspirateSodium heparin-Green top20-25℃Minimum 2 ml of bone marrow aspirateCytogenetics/Karyotyping
Chediak-Higashi syndrome (LYST) gene analysisImmunology21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
HLA TYPING-HR (HLA A*,B*,C*,DRB1*,DQB1* and DPB1*)Immunology10 working daysLabel each tube clearly with name/Age/SexPeripheral blood; purified genomic DNA; buccal swabs (4) for patients on chemotherapy or anemic patiEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; buccal swabs in a sterile contai20-25℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Peroxisomal disorder gene panel (includes adrenoleukodystrophy)Metabolic disorders21 working daysABCD1, ACOX1, AMACR, HSD17B4, PEX1, PEX10, PEX11B, PEX12, PEX13, PEX14, PEX16, PEX19, PEX2, PEX26, PEX3, PEX5, PEX6, PEX7, PHYHPeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Hereditary spastic paraplegia gene panelNeurology - Movement Disorders21 working daysABCD1, ALDH18A1, ALS2, AMPD2, AP4B1, AP4E1, AP4M1, AP4S1, AP5Z1, ARL6IP1, ATL1, ATP13A2, B4GALNT1, BICD2, BSCL2, C12orf65, C19orf12, CAPN1, CCT5, CPT1C, CYP2U1, CYP7B1, DDHD1, DDHD2, ENTPD1, ERLIN1, ERLIN2, EXOSC3, FA2H, FARS2, FLRT1, GAD1, GBA, GBA2, GJC2, HSPD1, IBA57, KIAA0196, KIDINS220, KIF1A, KIF1C, KIF5A, KLC2, L1CAM, LYST, MAG, NIPA1, NT5C2, PLP1, PNPLA6, REEP1, REEP2, RTN2, SACS, SLC16A2, SLC1A4, SLC2A1, SLC33A1, SPAST, SPG11, SPG20, SPG21, SPG7, TECPR2, TFG, USP8, VAMP1, VPS37A, ZFYVE26, ZFYVE27Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Charcot-Marie-Tooth type 4C (SH3TC2) deletion/duplication analysisNeurology - neuromuscular14 working daysthis MLPA only partially covers SH3TC2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Myotonia congenita gene panelNeurology - neuromuscular21 working daysCLCN1, SCN4APeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed eppendorf tube; amniotic fluid in a sterile falc20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
FISH for Deletion 7/7q (7q22,7q31), MDS/AML/CML/JMMLOncology6 working daysProvide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
FISH for Leukaemia panel (4 markers)Oncology7 working daysIncludes MLL rearrangement, BCR/ABL t(9;22) fusion, ETV6 RUNX1 fusion and iAMP-21. Provide detailed clinical history along with bone marrow findings. All samples for FISH to reach the lab with in 24 hours of collection for best results. If Peripheral blood sample is provided, then include the Peripheral blood findings also.Bone marrow aspirate (preferred) or peripheral bloodSodium heparin - Green top20-25℃Minimum 1ml of bone marrow aspirate; minimum 4ml of peripheral bloodFISH
Microphthalmia and anophthamia gene panelOphthalmology21 working daysABCB6, ALDH1A3, BCOR, BMP4, FRAS1, FREM2, GDF3, GDF6, GRIP1, HCCS, HDAC6, HMGB3, HMX1, MAB21L2, MFRP, MITF, NAA10, OTX2, PAX6, PRSS56, PXDN, RAB3GAP1, RARB, RAX, RBP4, SHH, SIX6, SMOC1, SOX2, STRA6, TENM3, VAX1, VCX2, VSX2Peripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing
Amniotic Fluid karyotyping onlyPrenatal15 working daysNot AvailableAmniotic FluidAmniotic fluid in 2 sterile falcon tubes20-25℃2 tubes with 10ml in each sterile tubeCytogenetics/Karyotyping
DiGeorge syndrome deletion/duplication analysisRare inherited disorders14 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);MLPA
Pallister Hall syndrome (GLI3) gene analysisRare inherited disorders21 working daysNot AvailablePeripheral blood/purified genomic DNA/chorionic villus sample (CVS)/amniotic fluidEDTA anticoagulated peripheral blood; DNA in sealed Eppendorf tube; amniotic fluid in a sterile falcon20-25℃ CVS at 2-8℃Minimum 3ml of peripheral blood; minimum 1 microgram of DNA (concentration of 50-100ng/microliters);Next Generation Sequencing

آزمایش توالی یابی کامل اگزوم

چهارشنبه, 15 ارديبهشت 1400 16:18 نوشته شده توسط

 

 

معرفی

آزمایش تعیین توالی اگزوم، یک آزمایش ژنتیکی انتخابی برای بیماران با علائم پیچیده ، ناهمگن و غیر مشخص است. معمولا پس از اینکه بیماران سالها عدم اطمینان را تجربه می‌کنند و ماهیت و دلایل اصلی بیماری آنها شناخته نمی‌شود، آزمایش توالی یابی اگزوم به پزشکان برای تشخیص قطعی بیماری کمک می کند. اگزوم شامل تمام مناطق کدگذاری پروتئین‌ها (اگزون) از حدود 23000 ژن شناخته شده در انسان است. اگرچه اگزوم تنها حدود 1-2٪ از كل ژنوم را تشكیل می دهد، اما تقریباً 89٪ جهش های شناخته شده ایجادكننده بیماری در اگزون‌ها واقع شده اند. در نتیجه توالی‌یابی اگزوم یک روش موثر و مقرون به صرفه برای انجام تحقیقات یا تشخیص بیماری نسبت به تعیین توالی کل ژنوم فرد است زیرا فقط ژن های به دست آمده از مطالعات فعلی را به طور انتخابی توالی یابی و تجزیه و تحلیل می کند.

 

 

 

تعیین توالی کل اگزوم، تجزیه و تحلیل همزمان تعداد بسیار زیادی از ژن­‌ها را در هر ترکیبی امکان پذیر می‌کند. این امر به طور قابل توجهی شانس یافتن علت عوارض پیچیده بیماری ژنتیکی را در مدت زمان کوتاه‌تری در مقایسه با آزمایشات ژنتیکی بر روی مجموعه‌های کوچک ژنی افزایش می‌دهد. مبنای آزمایش WES بصورت زیر است:

  1. تعیین توالی کل اگزوم بر روی DNA استخراج شده از خون بیماران انجام می شود.
  2. تقریباً 47 میلیون جفت از توالی کدگذار DNA که براساس اجماع معتبرترین منابع ژنتیکی جهان نقشی در بیماری‌های شناخته شده ژنتیکی دارند، با پروب هایی که برای ژنوم انسان طراحی شده‌اند برای پوشش بیش از 4600 ژن مرتبط کلینیکی غنی‌سازی و نمونه برای قراردادن در دستگاه توالی‌یابی آماده می‌شود.
  3. نمونه آماده شده با استفاده از بستر HiSeq X (Illumina) توالی یابی می‌شود. داده های خام توالی توسط پایپ‌لاین معتبر بیوانفورماتیک پردازش شده و ابتدا داده‌های خام مربوط به یک نمونه با استفاده از شناسه آن از دیگر نمونه‌ها جدا و سپس داده مربوط به خوانش‌های با کیفیت پایین، جداسازی می‌شوند.
  4. خوانش‌های پالایش شده به مرجع ژنوم انسانی نگاشت شده و خوانش‌های تکراری قبل از تعیین واریانت‌‍‌ها و تحلیل بیشتر حذف می‌گردند.

 

 

تحلیل نتایج هول اگزوم

معیارهای کیفی توالی‌یابی اگزوم فاکتور بسیار مهمی در دقت نتایج است. معیارهای کیفی زیر در هر نمونه بررسی و اگر نمونه‌ای حداقل معیارهای کیفی را برآورده نسازد مجدداً توالی یابی می‌شود.

خوانش‌های با کیفیت بالا بیش از 80% کل خوانش‌ها باشد

میانگین عمق پوشش کمتر از100X نباشد

نسبت توالی‌های با پوشش بالاتر از 20X بزرگتر از 97% باشد

واریانت‌های ژنتیکی حاصل از توای‌یابی با استفاده از ابزارها و روال‌های استاندارد برای اولویت‌بندی و توصیف تغییرات ژنتیکی، مورد تفسیر و بررسی قرار می‌گیرند. داده های حاصل برای کشف جهش در ژن‌ها متناسب با نشانه‌های بالینی بیمار با استفاده از پایگاه‌‌های داده موجود از اطلاعات ژنتیکی (شامل OMIM، ClinVar، dbSNP، EVS، ExAC، gnomAD، HGMD Professional و غیره) تجزیه و تحلیل شده و بر این اساس گزارش کلینیکی مختص بیمار تولید می شود.

آمنیو سنتز

چهارشنبه, 15 ارديبهشت 1400 16:15 نوشته شده توسط

 

کدام گروه از زنان باردار کاندید انجام آمنیوسنتز هستند؟

  1. مادران بارداری که سن شان بالای 35 سال است (خطر داشتن جنین ناهنجار در این گروه مادران به علت سن بالای تخمک و در نتیجه احتمال عدم تفرق صحیح میوزی بیشتر میباشد، البته در سنین بالاتر مادر افزایش خطر بیشتر است و در مورد انجام این تست صرف تنها سن 35 یا نزدیک به آن و بدون هیچ اندیکاسیون دیگری اختلاف نظر وجود دارد).
  2. بارداران دوقلویی دو تخمکی که سن شان هنگام زایمان بالای 31 سال است.
  • خانم هایی که سابقه به دنیا آوردن فرزند مبتلا به ناهنجاری کروموزومی دارند.
  • وجود جا به جایی کروموزومی در مادر یا همسر.
  • وجود مواردی از سقط های زودهنگام.
  • مادرانی که نتیجه تست های غربالگری سه ماهه اول یا دوم آنها احتمال خطر ناهنجاری جنین را تائید میکند.
  • تشخیص ناهنجاری جنین در سونوگرافی.
  • سابقه فامیلی مثبت برخی اختلالات ژنتیکی دارند.
  • جهت تشخیص کامل شدن مراحل تکاملی ریه جنین، بخصوص در مادران دیابتی.
  • گاها جهت درمان افزایش حجم مایع آمنیوتیک بویژه در مواقعی که این افزایش حجم منجر به تنگی نفس و مشکلات تنفسی مادر گردیده است.

 

نکاتی در مورد پروسه آمنیوسنتر و ارسال نمونه آمنیون

  1. پیش از انجام پروسه آمنیوسنتر مطالعه دقیق اطلاعات بیمار نظیر سونوگرافی (سن بارداری، چندقلویی، زنده بودن جنین، آناتومی جنین، وجود آنومالی، محل جفت و محل خروج بند ناف (مهم)) الزامی می باشد.
  2. بهترین زمان جهت انجام آزمایش کشت و مطالعه کروموزومی روی مایع آمنیوتیک بین 15 تا 18 هفته بارداری می باشد. با این حال به منظور در اختیار داشتن زمان کافی جهت انجام سقط قانونی، زمان مناسب برای گرفتن نمونه آمنیون، پیش از انتهای هفته شانزدهم است، (امکان عدم رشد در نمونه های بالای 20 هفته بارداری افزایش می یابد)..
  3. ترجیحاً 2 سرنگ، هر کدام حاوی 10 سی سی نمونه که نام و نام خانوادگی، تاریخ تولد مادر، هفته بارداری و تاریخ نمونه گیری روی لیبل آن نوشته شده است، گرفته شود (مقادیر کمتر از 10 سی سی ممکن است به نتیجه نرسند).
  4. عوارض آمنیوسنتز بندرت دیده میشود وشامل لکه بینی گذرای واژینال، نشت مایع آمینون، عفونت مایع و آسیب دیدگی جفت و جنین بر اثر برخورد سوزن میباشد، بر اساس آمارهای موجود سقط ناشی از آمنیوسنتز در سه ماهه دوم بارداری حدود 6/0 درصد میباشد، البته از دست دادن بارداری در خانم های چاق و بارداری های چند قلو شایع تر است و کسانی که می خواهند آزمایش آمنیوسنتز انجام دهند باید به طور کامل از عوارض آن آگاهی داشته باشند ، همچنین اگر گروه خونی مادر منفی و پدرمثبت باشد حتما باید آمپول روگام تزریق گردد.
  5. کپی تست های غربالگری، سونوگرافی های انجام شده و سایر مدارک مرتبط ضمیمه پرونده گردد.
  6. احتمال آلودگی با سلول های مادری و یا عدم رشد در نمونه های کدر و خونی افزایش می یابد.
  7. از هرگونه دستکاری سرنگ ها (خم کردن یا برداشتن Needle، برداشتن کلاهک، شکستن پیستون و ... ) خودداری فرمایید. به منظور جدا نشدن Needle از سرنگ، محل اتصال به وسیله ی Parafilm محکم شود. ترجیحاً نمونه برداری در سرنگ های یکسان انجام شود.
  8. هر دو سرنگ یک بیمار، داخل یک کیسه یا پاکت جدا گذاشته شود تا از برخورد با نمونه های دیگر، یونولیت، Ice Pack و احتمال هر گونه آلودگی جلوگیری شود. (به هیچ عنوان نمونه های مایع آمنیون در مجاورت مستقیم با یخ نباشند).

 

کشت سلول ها و تهیه کاریوتایپ (روش سلولی)، تکنیک QF - PCR (روش مولکولی)

تشخیص پیش از تولد اختلالات کروموزومی در آزمایشگاه ژنتیک پزشکی به طور معمول در بخش سیتوژنتیک و به روش کشت سلول های جنینی موجود در نمونه مایع آمنیون و یا بیوپسی پرزهای کوریونیک و در نهایت تهیه کاریوتایپ جنین صورت می گیرد.

تهیه کاریوتایپ امکان تشخیص اختلالات تعدادی و برخی ناهنجاری های ساختاری را در مورد تمامی کروموزوم ها فراهم می سازد، اما از آن جا که در روش کشت سلولی، رسیدن تعداد سلول ها به میزان کافی برای انجام مطالعه، معمولاً حدود 7 تا 10 روز به طول می انجامد و پس از آن نمونه وارد مراحل بررسی های بسیار تخصصی بعدی شامل هاروست، تهیه ی لام، رنگ آمیزی و آنالیز می شود، رسیدن به نتیجه زمانبر است و غالباً جواب، در طول 14 تا 18 روز ارایه می شود.

گاه بنا به دلایل گوناگون -از جمله اضطراب والدین به ویژه مادر باردار و یا کمبود وقت از نظر دریافت نتیجه پیش از پایان یافتن فرصت قانونی ختم بارداری- امکان صرف این زمان وجود ندارد. چنانچه خانواده به علت نگرانی زیاد مایل به دریافت سریع تر نتیجه باشد و نیز خطری که بارداری را تهدید می کند مشخصاً یکی از اختلالات کروموزومی شایع شامل آنوپلوئیدی (اختلالات تعدادی) کروموزوم های 13، 18، 21، X و یا Y تشخیص داده شده باشد، می توان از تکنیک QF-PCR برای تسریع در ارایه نتیجه استفاده کرد. در این صورت اضطراب ناشی از انتظار درازمدت کاهش خواهد یافت. با توجه به حساسیت و اختصاصیت بالای این آزمایش و برابری نسبی دقت آن با کشت کروموزومی در مورد تشخیص آنوپلوئیدی شایع، ارایه جواب به خانواده با اطمینان بالایی صورت می گیرد.

هم چنین در مواردی که نتیجه ی غربالگری و یا سونوگرافی به طور مشخص ریسک وجود اختلالات تعدادی را در یکی از کروموزوم های نامبرده مطرح می کند و سن بارداری از 17 هفته کامل گذشته باشد، زمان کافی برای دریافت مجوز ختم بارداری پس از آماده شدن جواب کشت کروموزومی در اختیار نخواهد بود. لازم به ذکر است که مجوز ختم بارداری جنین مبتلا تنها تا پایان هفته 19 بارداری (18 هفته و 6 روز) صادر می شود. در این گونه موارد نیز تکنیک QF-PCR راهگشا خواهد بود.

توجه به این نکته لازم است که در حال حاضر اخذ مجوز ختم بارداری از طریق پزشکی قانونی تنها با در دست داشتن نتیجه QF-PCR میسر نیست، اما چنان چه نتیجه حاصله توسط تکنیک دیگری نظیر MLPA یا FISHتأیید گردد، امکان ختم بارداری وجود خواهد داشت.

در شرایطی که زمان برای ختم بارداری واقعاً محدود باشد، توصیه می شود آزمایش QF-PCR همراه با MLPA یا FISH به صورت همزمان با کشت کروموزومی درخواست شود.

محدودیت آزمایش های QF-PCR و MLPA و FISHعدم قدرت تشخیص درجات پایین موزاییسم و هم چنین عدم قدرت تشخیص اختلالات در کروموزوم های دیگر به غیر از کروموزوم های 13، 18، 21، X و یا Y است. مزیت اصلی این آزمایش ها امکان جواب دهی در زمانی کوتاه است. هم چنین برخورداری از حساسیت و اختصاصیت بالا و عدم تأثیر پذیری از سن بارداری نیز از جمله مزایای مهم این تکنیکها محسوب می شود.

 

نکاتی در مورد اختلالات تک ژنی و تشخیص پیش از تولد توسط آمنیوسنتز

اختلالات ژنتیکی شامل بیماری های متعددی می باشند که بیماری های تک ژنی دسته ی بزرگی از آن ها را تشکیل می دهند. این گروه از بیماری ها شامل زیرگروهی تحت عنوان بیماری های اوتوزوم مغلوب می باشند که غالباً در اثر ازدواج های فامیلی بروز می کنند، اما در ازدواج های غریبه هم احتمال کمتری برای بروز آن ها وجود دارد.

چنانچه در خانواده بیماری ژنتیکی وجود دارد، پیش از ازدواج و در صورت وقوع ازدواج، پیش از بارداری می بایست با مراجعه به مشاور ژنتیک از نوع اختلال و اقدامات ضروری در رابطه با آن اطلاع حاصل کرد. در صورتی که بیماری از نوع تک ژنی تشخیص داده شود، می بایست با استفاده از آزمایشات ژنتیکی، نوع ژن معیوب بررسی و یافته شود و پس از آن زوجین از نظر ناقل بودن بررسی شوند.

در صورت انجام تمام مراحل فوق پیش از بارداری و مشخص شدن ناقلی زوجین، می توان در مورد بسیاری از بیماری های تک ژنی با استفاده از روش تشخیص پیش از تولد، جنین های مبتلا را تشخیص داده و در مورد بعضی از بیماری ها، مجوز سقط جنین مبتلا را دریافت کرد.

چنانچه پیش از وقوع بارداری ژن معیوب در فرد مبتلا مشخص و وضعیت ناقلی زوجین بررسی نشده باشد، حین بارداری امکان بررسی وضعیت ابتلای جنین وجود نخواهد داشت. آمنیوسنتز در مواردی که قبلاً ناقلی والدین بررسی شده باشد، می تواند روشی برای ارایه نمونه جهت انجام تشخیص پیش از تولد باشد. در غیر این صورت آمنیوسنتز تنها قادر به بررسی اختلالات کروموزومی جنین می باشد و بررسی اختلالات تک ژنی ممکن نیست.

در هر حاملگی ریسکی حدود 5-3 درصد برای بروز اختلالات مادرزادی با علل نامشخص، وجود دارد. برای نمونه می‌توان از عارضه لب شکری، اختلالات ذهنی و آسیب‌های قلبی عروقی نام برد. روش آمنیوسنتز در بررسی این گروه از اختلالات و بیماری‌های مادرزادی کاربردی ندارد.

 

شرایط، مشکلات و محدودیت های کشت و مطالعه کروموزومی سلول های مایع آمنیون

  1. در برخی موارد ممکن است کشت مایع آمنیوتیک ناموفق باشد و نیاز به نمونه گیری مجدد و تکرار آزمایش باشد.
  2. در حدود نیم درصد، امکان عدم نتیجه گیری صحیح وجود دارد (طبق استاندارد بین المللی).
  3. مدت زمان لازم جهت نتیجه گیری و پاسخ در صورت رشد کافی سلولها بین 2 تا 3 هفته میباشد.
  4. از آنجایی که در نمونه های کدر یا خونی، آلودگی با سلول های مادری و عدم رشد سلول ها مطرح میباشد، احتمال خطا در تشخیص و عدم رسیدن به نتیجه قطعی در کشت سلول ها افزایش می یابد.
  5. چنانچه به علت هایی که در مورد فوق ذکر گردید و یا به علت هفته های پیشرفته بارداری (زمان مناسب آمنیوسنتز بین هفته های 15 تا 18 بارداری می باشد)، ادامه آزمایش عملی نگردد، در صورت عدم تکرار نمونه گیری و آزمایش مجدد، تنها 50 درصد از هزینه دریافتی مسترد خواهد شد.
  6. در برخی موارد نظیر موارد یاد شده در بالا اعم از سن بالای بارداری، نمونه کدر یا خونی و آلودگی با سلول های مادری، زمان لازم جهت نتیجه گیری و پاسخ دهی (که در صورت رشد کافی سلول ها بین 2 تا 3 هفته می باشد) و نیز عدم رشد سلولها، همچنین احتمال خطا در تشخیص افزایش خواهد یافت.
  7. این آزمایش، مشکلات ناشی از ازدواج خویشاوندی و بیماری های ارثی (مشکلات تک ژنی نظیر تالاسمی)، همچنین مشکلات بوجود آمده در دوران جنینی (تکاملی، هورمونی، تراتوژنیک، نقایص قلبی، اسکلتی و ...) را نشان نمی دهد و تنها مشکلات کروموزومی جنین به ویژه اختلالات تعدادی کروموزومها مانند سندروم داون قابل بررسی می باشند.
  8. از آنجایی که نمونه مایع آمنیون از خارج از آزمایشگاه آورده می شود، مسئولیت هرگونه جابجایی و اشتباه در تحویل، به عهده بیمار و همراه او می باشد.
  9. چنانچه در هفته های پیشرفته بارداری (پایان هفته 16 به بعد) این آزمایش درخواست گردیده، با توجه به اینکه مهلت انجام سقط قانونی 18 هفته و 6 روز بارداری می باشد، در زمان جوابدهی آزمایش شاید سقط درمانی برای این بارداری ممکن نباشد.

 

نکاتی در مورد شرایط تست مولکولی QF-PCR روی مایع آمنیون

  1. QF-PCR یک تست مولکولی است که جهت تشخیص اختلالات تعدادی کروموزوم های 13، 18، 21، X و Y انجام می شود.
  2. در کمتر از 1 درصد موارد امکان عدم نتیجه گیری وجود دارد. در این صورت انجام آزمایش روی نمونهی جدید بدون دریافت هزینه ی مجدد صورت می گیرد و در صورتی که تمایلی برای تکرار آزمایش وجود نداشته باشد، 50 درصد هزینه ی دریافت شده مسترد خواهد شد.
  3. در مواردی که نمونه، خونی و یا آلوده به سلول های مادری باشد، امکان مخدوش شدن جواب و عدم نتیجه گیری افزایش می یابد (در حدود 4 تا 5 درصد).
  4. مدت زمان ارایه جواب شفاهی 5 تا 6 روز کاری پس از دریافت نمونه می باشد.
  5. طبق مصوبه ی پزشکی قانونی، دریافت اجازه ی سقط با QF-PCR همراه با جواب کشت مایع آمنیوتیک امکان پذیر می باشد.
  6. بیان توضیحات کافی به زوجین در رابطه با امکان جوابدهی سریع با انجام تست مولکولی (QF - PCR) الزامیست، با توجه به اینکه دریافت مجوز سقط قانونی تا سن 18 هفته و 6 روز بارداری میباشد و این احتمال وجود دارد که تا زمان فوق الذکر، جواب کشت مایع آمنیوتیک آماده نشود و حتی در مواردی که سن بارداری تا زمان جوابدهی از نظر سقط درمانی مشکل قانونی ندارد، ارایه این مطلب به زوجین که در این شرایط، این تست صرفاً جهت کاهش اضطراب در زمان نسبتاً طولانی جوابدهی کشت و کاریوتایپ می باشد و علاوه بر این می تواند تأییدی بر جواب نهایی کشت سلولی باشد، ضرورت دارد تا با رفع ابهامات زوجین در این زمینه، ایشان بتوانند در مورد تمایل جهت انجام گرفتن این آزمایش تصمیم بگیرند.
  7. دقت تست QF – PCR طبق استاندارد جهانی 96% میباشد و حدود 4 درصد امکان دارد پاسخ این تست با پاسخ آمنیوسنتر متفاوت باشد که اغلب به علتهایی نظیر آلودگی نمونه با خون یا ادرار مادر و یا موزائیسم سلولها برمیگردد.

 

آزمایش ژنتیک چیست

چهارشنبه, 15 ارديبهشت 1400 16:03 نوشته شده توسط

آزمایش ژنتیک چیست

و چه افرادی به آن نیاز دارند؟

 

ژن‌ها و کروموزوم‌ها

بدن ما از میلیون ها سلول تشکیل شده است. بیشتر این سلول ها حاوی مجموعه کاملی از ژن ها هستند. ژن ها مانند مجموعه ای از دستورالعمل ها عمل می کنند و رشد و نحوه کار بدن را کنترل می کنند. آنها همچنین مسئول بسیاری از خصوصیات ما مانند رنگ چشم، گروه خون یا قد هستند و تعدادشان به هزاران ژن می‌رسد. هر انسان دو نسخه از بیشتر ژن‌ها را به ارث می‌برد، یك نسخه از مادر و یك نسخه از پدر. به همین دلیل است که ما غالباً خصوصیات مشابه از هم پدر و هم مادر خود را داریم. ژن ها بر روی ساختارهای رشته‌-مانند کوچک به نام کروموزوم قرار دارند. معمولاً ما در سلول‌های خود 46 کروموزوم داریم. یک مجموعه از 23 کروموزوم که از مادر خود به ارث می بریم و یک مجموعه از 23 کروموزوم که از پدر به ما ارث می رسد. بنابراین ما دو مجموعه 23 کروموزومی یا 23 جفت داریم. گاهی اوقات ، در یک نسخه از ژن یا کروموزوم تغییری (جهشی) ایجاد می شود که عملکرد صحیح آن را متوقف می کند. این تغییر می تواند بیماری ژنتیکی ایجاد کند زیرا ژن دستورالعمل های صحیحی را به بدن منتقل نمی‌کند. برخی از نمونه‌های بیماری ژنتیکی شامل سندرم داون ، فیبروز کیستیک و دیستروفی عضلانی است.

 

 

 

آزمایش ژنتیک

آزمایش ژنتیکی می تواند برای تشخیص تغییرات در ژن‌ها یا کروموزوم‌های خاص بکار گرفته شودد. این آزمایش معمولاً برروی نمونه خون، مایع آمنیون یا بافت انجام می‌شود. دلایلی وجود دارد که ممکن است فرد نیاز به آزمایش ژنتیکی پیدا کند. برخی از دلایل در زیر ذکر شده است:

  • شما یا همسرتان فرزندی با مشکلات یادگیری، تأخیر در رشد یا مشکلات سلامتی دارید و پزشک تشخیص بدهد که احتمالا عوارض ناشی از یک بیماری ژنتیکی است.
  • پزشک شما فکر می کند ممکن است یک بیماری ژنتیکی داشته باشید و می خواهد تشخیص را تأیید کند.
  • یک بیماری ژنتیکی وجود دارد که در خانواده شما اتفاق می افتد. شما می خواهید بدانید که آیا در معرض خطر ابتلا به این بیماری در طول زندگی خود هستید.
  • شما یا همسرتان یک بیماری ژنتیکی دارید که ممکن است به فرزندان شما نیز منتقل شود.
  • نوع دیگری از آزمایش را که در دوران بارداری انجام می شود، انجام داده اید (مانند سونوگرافی ، اسکن ضخامت بینی یا آزمایش خون) و آن آزمایش نشان داده است که خطر ابتلا به بیماری ژنتیکی در کودک شما وجود دارد.
  • دارای سابقه سقط جنین یا مرده زایی مکرر هستید.
  • انواع خاصی از سرطان در تعدادی از بستگان نزدیک شما در گذشته رخ داده است.

ارتباط ژنتیکی با یک قوم خاص نیز می‌تواند احتمال داشتن فرزند با یک بیماری ژنتیکی را افزایش دهد. به عنوان مثال می توان به سلول داسی شکل در افراد از نژاد آفریقایی-کارائیب، بتا-تالاسمی در افراد از نژاد مدیترانه ای و فیبروز کیستیک در افراد از نژاد اروپای غربی اشاره کرد. اگرچه این بیماری‌ها در این گروه های قومی خاص شیوع بیشتری دارد، با این حال ممکن است در سایر افراد نیز وجود داشته باشد.

 

 

 

 

 

مزایا و خطرات آزمایش ژنتیکی

تصمیم گیری در مورد انجام آزمایش ژنتیکی می تواند تصمیمی دشوار باشد وانتخاب انجام آزمایش ژنتیک با خود فرد است. بنابراین مهم است که افراد تمام اطلاعاتی را که لازم دارند کسب و برای کمک به تصمیم گیری درک درستی از این اطلاعات داشته باشند. همچنین مهم است که افراد پیش از دادن آزمایش ژنتیک فرصت داشته باشند هر گونه سوال یا نگرانی را با پزشک در میان بگذارند.

آزمایش ژنتیک می تواند فواید زیادی به همراه داشته باشد، اما تعدادی از خطرات و محدودیت های احتمالی نیز همراه آن وجود دارد. درک مزایا و خطرات قبل از تصمیم گیری مهم است. برخی از این مزایا و خطرات در زیر بحث شده است. این لیست کامل نیست و همه نکات مربوط به شرایط خاص یک فرد را ممکن است پوشش ندهد. با این وجود لیست موارد مهم و مفیدی را در اختیار شما قرار می‌دهد تا در مورد آنها فکر کنید و با پزشک یا متخصص ژنتیک در خصوص آنها مشورت کنید.

مزایا و فواید

آزمایش ژنتیک تشخیص هویت ممکن است بتواند در مورد شما یا ترکیب ژنتیکی فرزندتان شما را به قطعیت برساند. برای برخی از افراد این رهایی از عدم اطمینان بسیار مهم است، حتی اگر خبر بد باشد. اگر خبر خوب باشد، می تواند به معنای احساس آرامش در ادامه زندگی باشد.

آزمایش ژنتیکی می تواند به تشخیص یک بیماری ژنتیکی کمک کند. وقتی فردی تشخیص دقیق از بیماری خود دارد، می تواند درمان مناسب را انجام داد. اگر یک آزمایش ژنتیکی به فردی بگوید که احتمال بالایی برای ابتلا به یک بیماری در طول زندگی (مانند سرطان پستان) دارد، ممکن است فرد را ترغیب به انجام معاینات منظم تر پزشکی و اتخاذ یک زندگی سالم نماید و بنابراین خطر را به حداقل برساند.

همچنین نتایج یک آزمایش ژنتیکی می تواند اطلاعات مفیدی را هنگام برنامه ریزی برای کودکان آینده فراهم کند. اگر می دانید که شما و همسرتان در معرض خطر داشتن فرزندی با بیماری ژنتیکی هستید، لازم است کودک متولد نشده در دوران بارداری برای بررسی اینکه آیا تحت تأثیر قرار گرفته است آزمایش شود و از این طریق بتوان از تولد یک کودک مبتلا پیشگیری کرد.

از آنجا که خصوصیات و بیماری‌های ژنتیکی بدلیل طبیعت وراثت اغلب در خانواده ها وجود دارد، اطلاعات مربوط به ترکیب ژنتیکی شما ممکن است برای سایر اعضای خانواده نیز مفید باشد. اگر اعضای خانواده از وجود بیماری ژنتیکی در خانواده آگاه باشند، ممکن است از تشخیص نادرست جلوگیری شود. این اطلاعات ممکن است در هنگام برنامه ریزی برای فرزندآوری نیز مورد استفاده قرار گیرد.

استفاده از آزمایش ژنتیکی در یک فرد بدون علامت برای پیش بینی خطر ابتلا به بیماری در آینده نشان دهنده یک کلاس جدید و در حال رشد از آزمایشات پزشکی است که از لحاظ اساسی با آزمایش های تشخیصی پزشکی معمولی تفاوت دارد.

خطرات و محدودیت های احتمالی

انجام آزمایش ژنتیک، انتظار برای نتایج و سپس دریافت نتایجی دور از انتظار ممکن است باعث ایجاد طیف وسیعی از احساسات مختلف مانند تسکین، ترس، اضطراب یا گناه شود. از آنجا که ممکن است خبری خوب یا خبری بد دریافت کنید، مهم است که به عواقب احتمالی برای خود و خانواده خود فکر کرده باشید.

در برخی موارد، حتی اگر آزمایش ژنتیک تشخیص را تأیید کند، ممکن است هیچ مداخله یا درمانی در دسترس نباشد. در بعضی از افراد جهش در ژن یا اختلالات کروموزومی ممکن است یافت نشود ما این لزوماً به معنای عدم وجود آن نیست. یافتن برخی جهش‌های ژنتیکی با تکنیک‌های آزمایشگاهی فعلی بسیار دشوار است. برای کسانی که سعی در تشخیص دارند این می تواند بسیار ناامید کننده باشد و باید این موضوع را با پزشک خود در میان بگذارید. در برخی شرایط ، حتی اگر ژن یا کروموزوم تغییر یافته یافت شود، باز هم نمی‌توان با قطعیت گفت که شدت تاثیر بیماری ژنتیکی بر فرد تحت تأثیر قرار گرفته چه میزان است.

شاید مهم باشد که قبل از شروع آزمایش ژنتیک بررسی شود که تاثیر نتیجه یک آزمایش ژنتیک بر بیمه و وضعیت شغلی افراد چیست و البته نتایج آزمایش ممکن است بعضی مواقع اسرار خانوادگی مربوط به هویت پدری و فرزندخواندگی را نشان دهد.

غربالگری ژنتیکی چیست؟

یکشنبه, 12 ارديبهشت 1400 12:32 نوشته شده توسط

غربالگری ژنتیکی چیست؟


غربالگری ژنتیکی (غربالگری ژنتیکی چیست؟) از مطالعات ژنوم و فناوری های مربوط به آن برای شناسایی گونه‌ها یا نشانگرهای ژنتیکی در DNA شما استفاده می‌کند. نشانگرهای ژنتیکی پرچم‌های قرمزی در DNA هستند که ریسک را برای ابتلا به یک بیماری‌ مشخص غیرواگیر افزایش می‌دهند. این نشانگرها با بیماری‌ها و ناهنجاری‌های مختلف مانند بیماری‌های قلبی-عروقی، ناهنجاری‌های متابولیک، سرطان و حتی ناهنجاری‌های پیش‌رونده در ارتباط هستند. به عبارت دیگر تمایل به بروز چنین بیماری‌های غیرواگیر را در شما نشان می‌دهد.

فراتر از بیماری‌ها، غربالگری ژنتیکی می‌تواند خصوصیات ژنتیکی که تعیین‌کننده وضعیت سلامت و تناسب اندام شما است را شناسایی کند. این خصوصیات شامل متابولیسم ریزمغذی‌ها، مقاومت در برابر پیری، سم زدایی سلولی، ظرفیت آنتی اکسیدانی و مدیریت وزن و رژیم غذایی است. به علاوه نشانگرهای ژنتیکی  (غربالگری ژنتیکی چیست؟) می‌توانند ریسک شما را برای پاسخ‌های دارویی مضر بسنجد.

غربالگری ژنتیکی چیست؟

در اسرع وقت ریسک ژنتیکی ابتلا به بیماری‌ها را در خود شناسایی کنید (غربالگری ژنتیکی چیست؟)


غربالگری ژنتیکی می‌تواند ریسک‌های ممکن برای ابتلا به بسیاری بیماری‌های ژنتیکی را پیش از آنکه نشانه‌های بیماری ظاهر شود شناسایی کند. براساس جزئیات غربالگری، شما می‌توانید با کمک پزشکان و متخصصان یک برنامه مناسب جهت مدیریت سلامت خود داشته باشید تا از طریق روش‌های پیشگیرانه، بیماری را درمان یا ظهور علایم را تا جای ممکن به تاخیر اندازید.

از تاثیرگذاری DNA خود روی پاسخ دارویی بدنتان آگاه باشید (غربالگری ژنتیکی چیست؟)

غربالگری ژنتیکی  (غربالگری ژنتیکی چیست؟) به پزشک شما کمک می‌کند بفهمد بدن شما به انواع مشخصی از دارو‌ها چگونه واکنش نشان می‌دهد. گونه‌های ژنی در DNA شما در اینکه انواع درمان‌ها تا چه میزان در بدن شما موثرند، نقش عمده دارند. اطلاعات موجود در گزارش غربالگری ژنتیکی  (غربالگری ژنتیکی چیست؟) شما پزشکتان را یاری می‌دهد تا میزان و نوع دارویی که بهترین تطابق را با پروفایل ژنتیکی شما دارد تجویز کند.

آیا غربالگری ژنتیکی بی‌خطر است

غربالگری ژنتیکی قطعا هیچ خطری متوجه شما نمی‌سازد. نمونه‌ها از طریق بزاق یا مخاط دهانی جمع‌آوری می‌شوند. همچنین نمونه خونی نیز می‌تواند برای غربالگری ژنتیکی (غربالگری ژنتیکی چیست؟)  مورد استفاده قرار گیرد.

انجام غربالگری چه میزان زمان می‌گیرد؟

بسته به نوع تست(هایی) که مورد درخواست شما است، انجام آزمایش ممکن است بین 10 تا 25 روز کاری به طول انجامد؛ از جمع آوری نمونه تا ارائه گزارش.غربالگری ژنتیکی چیست؟

چه تفاوتی بین یک آزمایش خون معمول با غربالگری ژنتیکی وجود دارد؟

آزمایش خون معمول برای تشخیص تغییرات در بدن شما هنگامی که بیمار هستید بکار گرفته می‌شود. اما غربالگری ژنتیکی می‌تواند خطر ابتلا به بیماری را مدتها پیش از اینکه علایم آن بیرون بزند تشخیص دهد. اگر می‌خواهید تصویر کاملی از خطر سلامت خود داشته باشید، بهتر است هر دو تست را انجام دهید.

غربالگری ژنتیکی تا چه میزان دقیق است؟

تمامی تست‌های غربالگری ژنتیکی  (غربالگری ژنتیکی چیست؟) برای نشانگرهای ژنتیکی شناخته شده دقیق هستند. بیماری‌های پیچیده البته ممکن است تست‌های تکمیلی لازم داشته باشند که نشانگرهای بیشتری را مورد آزمایش قرار دهند. پزشک شما در صورت لزوم می‌تواند آن تست‌ها را درخواست کند. مهم است که نتایج غربالگری ژنتیکی با آزمایشات پزشکی نیز تایید شود.

آیا من به غربالگری ژنتیکی نیاز دارم؟

اگر شرایط زیر را دارید غربالگری ژنتیکی می‌تواند به شما کمک کند:

  • دارای سابقه خانوادگی ابتلا به بیماری‌ غیرواگیر هستید و تمایل دارید بدانید خود نیز چه میزان مستعد برای این بیماری‌ هستید؛
  • تمایل دارید از سلامت خود بصورت فعالانه‌تری مراقبت کنید؛
  • می‌خواهید بدانید آیا واکنش مضری به مصرف برخی‌ داروها خواهید داشت؛ و یا
  • برای داشتن بچه برنامه‌ریزی کرده‌اید اما نگران ریسک‌ ابتلا به بیماری‌های ژنتیکی توارثی در آنها هستید.

 

بررسی سلامت جنین

یکشنبه, 12 ارديبهشت 1400 12:04 نوشته شده توسط

هر بارداری دارای یک احتمال خطر اندک از نظر وجود اختلالات کروموزومی می باشد. در این میان شایعترین اختلالات کروموزومی سندرم داون بوده که در مبتلایان به آن یک کروموزوم 21 اضافی وجود دارد. بعلاوه اختلالات کروموزومی دیگری نیز وجود دارند که از آن جمله می توان به سندرم پاتو (کروموزوم اضافی 13) و سندرم ادوارد (کروموزوم اضافی 18) اشاره نمود. این اختلالات موجب عقب ماندگی ذهنی و بروز اشکالات متعدد ساختمانی بویژه در قلب، صورت و اندامهای کودک می گردد. در حال حاضر بهترین راه پیشگیری از این ناهنجاری ها تشخیص زودهنگام در سه ماهه اول بارداری می باشد. جهت رسیدن به این هدف روشهای غربالگری و در صورت نیاز روش تشخیصی قطعی آمنیوسنتز توصیه می گردند.

سندرم داون

سندرم یا نشانگان داون که در گذشته به اشتباه منگولیسم نیز نامیده می‌شد، یک بیماری ژنتیکی است که به دلیل افزایش کل و یا قسمتی از کروموزم 21 به وجود می‌آید. این بیماری دارای علایم مختلف از جمله ناهنجاری‌های عمده و یا خفیف در ساختار و عملکرد ارگان‌های مختلف بدن می‌باشد. از مهمترین علایم عمده و زودرس که تقریباً در همه این بیماران مشاهده می‌شود، وجود مشکلات یادگیری و عقب ماندگی ذهنی است.

افراد مبتلا به سندرم داون، توان ذهنی پایین تری از حد میانگین دارند و به طور معمول دچار عقب ماندگی ذهنی متوسط هستند، تعداد کمی از مبتلایان نیز دچار ناتوانی شدید ذهنی می باشند، همراه با عقب ماندگی ذهنی، اختلالات متعددی در ارگانهای مختلف وجود دارد از جمله بیماری های مادرزادی قلب به خصوص اختلالات دریچه ای و دیواره بین حفرات قلب، انواعی از سرطان به خصوص سرطان های خون، کم کاری تیروئید، انسداد روده، سقط، ناباروری، آلزایمر، صرع، عیوب انکساری چشم و آب مروارید، انسداد مجاری گوش وعفونتهای مکرر گوش و.....

امکان بروز سندرم داون در ازدواج های خویشاوندی و غیر خویشاوندی بطور یکسان وجود دارد، متوسط میزان بروز این سندرم 1 در 600 تا 1 در 1000 مورد از تولد نوزادان زنده گزارش شده است و در طی یکسال حدود 400 مورد سندرم داون در شهر تهران متولد می شوند.

تشخیص زودرس سندرم داون

نه فقط مادران با سن بالا بلکه همه مادران در خطر ابتلای فرزندشان به سندرم داون هستند، بیش از دو سوم نوزادان مبتلا به سندرم داون از مادران زیر 35 سال متولد می‌شوند، لذا در حال حاضر شیوه‌های غربالگری سندرم داون به همه مادران باردار توصیه می‌شود.

در این غربالگری که معمولاً از ابتدای هفته 11 تا پایان هفته 13 بارداری انجام می‌پذیرد، از مارکرهای سونوگرافی و بررسی میزان پروتئینهایی در خون مادر استفاده میگردد.  

در مادرانی که در سه ماهه اول موفق به انجام غربالگری نشده اند و یا در مواردی که امکان دسترسی به روش‌های پیشرفته سه ماهه اول وجود ندارد غربالگری سه ماهه دوم توصیه می گردد.

بیش از 95% موارد سندرم داون در صورت مراجعه بموقع جهت غربالگری سه ماهه اول قابل پیشگیری می باشند.  

آزمایش آمنیوسنتز چیست و چگونه صورت میگیرد؟

آزمایش آمنیوسنتز، آزمایشیست که برای تشخیص برخی اختلالات جنینی مورد استفاده قرار می‌گیرد، طی این آزمایش، نمونه کوچکی از مایع داخل رحم که جنین را احاطه کرده است، گرفته می‌شود. لازم است مثانه مادر پر باشد، به این ترتیب رحم از ناحیه لگنی بیرون می‌آید و مشاهده جنین با سونوگرافی ساده تر می‌گردد. سونوگرافی پیش از آمنیوسنتز برگزار می‌شود، تا بتوان بارداری و جفت را بررسی کرد. تصویربرداری سونوگرافی بدون درد است و مستلزم مالیدن کمی ژل روی شکم مادر می‌شود و سپس به آرامی وسیله­ای را روی سطح پوست حرکت می‌دهند. پس از آن، شکم پاک می‌شود و سوزنی از میان شکم و دیواره‌ی رحم عبور کرده و وارد مایع پیرامون جنین می‌شود. تقریباً بدون استثنا مادر ناراحتی بسیار کمی را تجربه می‌کند، میزان ناراحتی معمولاً مشابه به حس آزمایش نمونه خون می باشد. این سوزن در تمامی مدت روی مونیتور سونوگرافی قابل مشاهده است. سپس فقط حدود یک دقیقه زمان می‌برد تا 15-20 میلی لیتر مایع به درون سرنگ کشیده شود. (در مقایسه با میزان مایع موجود (حداقل 150 میلی لیتر) در هنگام آزمایش یعنی حدود هفته 16 بارداری این میزان ناچیز است). پس از خارج ساختن سوزن و بررسی دوباره جنین، مادر قادر خواهد بود که لباس به تن کرده و به منزل باز گردد، البته پیشنهاد می‌شود که برای بقیه روز کار زیادی انجام ندهد، اما پس از آن به روال معمول باز گردد. عوارض آمنیوسنتز بندرت دیده میشود و بیشتر شامل مواردی نظیر لکه بینی گذرا یا نشت مایع آمینون میباشد که در اغلب موارد با استراحت چند روزه برطرف میگردد.

آزمایش روی سلول‌های جنین صورت می‌گیرد که در مایع حضور دارند. کروموزوم این سلول‌ها می‌تواند آزمایش گردد و در این روش امکان تشخیص سندرم داون یا مشکلات دیگر کروموزومی وجود دارد. جنسیت جنین نیز مشخص می‌گردد.

بهترین زمان جهت انجام آزمایش کشت و مطالعه کروموزومی روی مایع آمنیوتیک بین 15 تا 18 هفته بارداری می باشد. با این حال به منظور در اختیار داشتن زمان کافی جهت انجام سقط قانونی، زمان مناسب برای گرفتن نمونه ی آمنیون، پیش از انتهای هفته ی شانزدهم است..

کدام گروه از زنان باردار کاندید انجام آمنیوسنتز هستند؟

  1. مادران بارداری که سن شان بالای 35 سال است.
  2. بارداریهای دوقلویی که سن شان هنگام زایمان بالای 31 سال است.
  3. خانم هایی که سابقه به دنیا آوردن کودک مبتلا به ناهنجاری کروموزومی دارند.
  4. وجود جا به جایی کروموزومی در مادر یا همسر.
  5. وجود مواردی از سقط های زودهنگام.
  6. مادرانی که نتیجه تست های غربالگری سه ماهه اول یا دوم آنها احتمال خطر ناهنجاری جنین را تائید می کند.
  7. تشخیص ناهنجاری جنین در سونوگرافی.
  8. وجود سابقه فامیلی مثبت برای برخی اختلالات ژنتیکی.
  9. جهت تشخیص کامل شدن مراحل تکاملی ریه جنین، بخصوص در مادران دیابتی.
  10. برای درمان برخی موارد افزایش حجم مایع آمنیوتیک بویژه در مادرانی که این افزایش حجم، باعث تنگی نفس و مشکلات تنفسی درمادر شده است.

 

کشت سلول ها و تهیه کاریوتایپ (روش سلولی)، تکنیک QF - PCR (روش مولکولی)

تشخیص پیش از تولد اختلالات کروموزومی در آزمایشگاه ژنتیک پزشکی به طور معمول در بخش سیتوژنتیک و به روش کشت سلول های جنینی موجود در نمونه مایع آمنیون و یا بیوپسی پرزهای کوریونیک و در نهایت تهیه گستره کروموزومی (کاریوتایپ) جنین صورت می گیرد.

تهیه کاریوتایپ امکان تشخیص اختلالات تعدادی و برخی ناهنجاری های ساختاری را در مورد تمامی کروموزوم ها فراهم می سازد، اما از آن جا که در روش کشت سلولی، رسیدن تعداد سلول ها به میزان کافی برای انجام مطالعه، معمولاً حدود 7 تا 10 روز به طول می انجامد و پس از آن نمونه وارد مراحل بررسی های بسیار تخصصی بعدی شامل هاروست، تهیه ی لام، رنگ آمیزی و آنالیز می شود، رسیدن به نتیجه زمانبر است و غالباً جواب، در طول 14 تا 18 روز ارایه می شود.

گاه بنا به دلایل گوناگون، از جمله اضطراب والدین به ویژه مادر باردار و یا کمبود وقت از نظر دریافت نتیجه پیش از پایان یافتن فرصت قانونی ختم بارداری، امکان صرف این زمان وجود ندارد. چنانچه خانواده به علت نگرانی مایل به دریافت سریع تر نتیجه باشد و نیز خطری که بارداری را تهدید می کند مشخصاً یکی از اختلالات کروموزومی شایع شامل آنوپلوئیدی (اختلالات تعدادی) کروموزوم های 13، 18، 21، X و یا Y تشخیص داده شده باشد، می توان از تکنیک QF-PCR برای تسریع در ارایه نتیجه استفاده کرد. در این صورت اضطراب ناشی از انتظار درازمدت کاهش خواهد یافت. با توجه به حساسیت و اختصاصیت بالای این آزمایش و برابری نسبی دقت آن با کشت کروموزومی در مورد تشخیص آنوپلوئیدی شایع، ارایه جواب به خانواده با اطمینان بالایی صورت می گیرد.

همچنین در مواردی که نتیجه ی غربالگری و یا سونوگرافی به طور مشخص ریسک وجود اختلالات تعدادی را در یکی از کروموزوم های نامبرده مطرح می کند و سن بارداری از 17 هفته کامل گذشته باشد، زمان کافی برای دریافت مجوز ختم بارداری پس از آماده شدن جواب کشت کروموزومی در اختیار نخواهد بود. لازم به ذکر است که مجوز ختم بارداری جنین مبتلا تنها تا پایان هفته 19 بارداری (18 هفته و 6 روز) صادر می شود. در این گونه موارد نیز تکنیک QF-PCR راهگشا خواهد بود.

توجه به این نکته لازم است که در حال حاضر اخذ مجوز ختم بارداری از طریق پزشکی قانونی تنها با در دست داشتن نتیجه QF-PCR میسر نیست، اما چنان چه نتیجه حاصله توسط تکنیک دیگری نظیر MLPA یا FISHتأیید گردد، امکان ختم بارداری وجود خواهد داشت.

در شرایطی که زمان برای ختم بارداری واقعاً محدود باشد، توصیه می شود آزمایش QF-PCR همراه با MLPA یا FISH به صورت همزمان با کشت کروموزومی درخواست شود.

محدودیت آزمایش های QF-PCR و MLPA و FISHعدم قدرت تشخیص درجات پایین موزاییسم و هم چنین عدم قدرت تشخیص اختلالات در کروموزوم های دیگر به غیر از کروموزوم های 13، 18، 21، X و یا Y است. مزیت اصلی این آزمایش ها امکان جواب دهی در زمانی کوتاه است. هم چنین برخورداری از حساسیت و اختصاصیت بالا و عدم تأثیر پذیری از سن بارداری نیز از جمله مزایای مهم این تکنیکها محسوب می شود.

نکاتی در مورد اختلالات تک ژنی و تشخیص پیش از تولد توسط آمنیوسنتز

اختلالات ژنتیکی شامل بیماری های متعددی می باشند که بیماری های تک ژنی دسته ی بزرگی از آن ها را تشکیل می دهند. این گروه از بیماری ها شامل زیرگروهی تحت عنوان بیماری های اوتوزوم مغلوب می باشند که غالباً در اثر ازدواج های فامیلی بروز می کنند، اما در ازدواج های غریبه هم احتمال کمتری برای بروز آن ها وجود دارد.

چنانچه در خانواده بیماری ژنتیکی وجود دارد، پیش از ازدواج و در صورت وقوع ازدواج، پیش از بارداری می بایست با مراجعه به مشاور ژنتیک از نوع اختلال و اقدامات ضروری در رابطه با آن اطلاع حاصل کرد. در صورتی که بیماری از نوع تک ژنی تشخیص داده شود، می بایست با استفاده از آزمایشات ژنتیکی، نوع ژن معیوب بررسی و یافته شود و پس از آن زوجین از نظر ناقل بودن بررسی شوند.

در صورت انجام تمام مراحل فوق پیش از بارداری و مشخص شدن ناقلی زوجین، می توان در مورد بسیاری از بیماری های تک ژنی با استفاده از روش تشخیص پیش از تولد توسط آمنیوسنتز ، جنین های مبتلا را تشخیص داده و در مورد بعضی از بیماری ها، مجوز سقط جنین مبتلا را دریافت کرد.

چنانچه پیش از وقوع بارداری ژن معیوب در فرد مبتلا مشخص و وضعیت ناقلی زوجین بررسی نشده باشد، حین بارداری امکان بررسی وضعیت ابتلای جنین وجود نخواهد داشت. آمنیوسنتز در مواردی که قبلاً ناقلی والدین توسط مشاوره ژنتیک بررسی شده باشد، می تواند روشی برای ارایه نمونه جهت انجام تشخیص پیش از تولد باشد. در غیر این صورت آمنیوسنتز تنها قادر به بررسی اختلالات کروموزومی جنین می باشد و بررسی اختلالات تک ژنی ممکن نیست. ناگفته نماند این امر نیز بیش از پیش اهمیت و ارزش مشاوره ژنتیک به موقع را یادآور می شود.

آزمون های غربالگری سندرم داون و سندرمهای دیگر

تست غربالگری سلامت جنین صرفا یک تست آماری و محاسباتی است که میزان خطر (ریسک) یا احتمال ابتلاء بیماری ژنتیکی نوزاد در زمان قبل از تولد را تعیین مینماید و هدف از انجام آن این است که گروههای پر خطر (احتمال بالا) شناسائی شده و جهت آزمایشات تکمیلی ژنتیکی معرفی شوند و بایستی توجه داشت که پایین بودن احتمال (ریسک ابتلاء) یا جواب منفی در آزمایش غربالگری بدین معنی است که احتمال جنین به سندروم داون (منگولیسم) یا اختلال لوله عصبی پایین می باشد و دال بر جواب منفی قطعی نمی شود. بالا بودن احتمال(ریسک ابتلاء) در آزمایش غربالگری به معنی خطر وجود سندروم داون یا اختلاات لوله عصبی است اما بالا بودن احتمال به معنی جواب مثبت قطعی نبوده و به این معنی نیست که جنین قطعا مبتلا به بیماریهای ژنتیکی نظیر سندروم داون یا اختلالات لوله عصبی است بلکه این نتیجه بدین معنی است که روشهای تکمیلی نظیر آمینوسنتز برای رسیدن به نتایج قطعی بایستی انجام شود.

 

اهمیت غربالگری سندرم داون و پروتکل آن

تشخیص قبل از تولد بیماریهای ژنتیکی، مادرزادی و ارثی، مطمئن ترین روش پیشگیری و کنترل این بیماریها در جامعه بوده، که از طریق بکارگیری روشهای تشخیصی مختلف به منظور بررسی وضعیت جنین در دوران بارداری امکانپذیر شده است؛ تا بدین طریق بتوان از تولد نوزاد مبتلا به این بیماریها جلوگيری نمود. در بین این بیماریها، سندرم داون با شیوع 1 در 500 زایمان منتهی به تولد نوزاد زنده، بعنوان شایعترین اختلال کروموزومی شناخته شده و از اینرو با توجه به شیوع فراوان آن، روش های مختلفی نیز جهت تشخیص قبل از تولد آن ابداع شده اند؛ که بطورکلی در دو گروه روشهای تهاجمی (Invasive) نظیر انجام آمینوسنتز، نمونه گیری از پرزهای جنینی یا CVS و روشهای غیرتهاجمی (Non_Invasive) از قبیل انجام سونوگرافی سه یا چهار بعدی و اندازه گیری غلظت مارکرهای سرمی خون مادر قرار میگیرند.

روش های غیرتهاجمی تشخیص سندرم داون نقش غربالگری را داشته و روش های تهاجمی با توجه به احتمال ایجاد خطر سقط جنین و نیز هزینه بالای اقتصادی آن، نقش تأییدی را خواهند داشت. بنابراین پروتکل تشخیص بایستی برمبنای انجام آزمایشات غیرتهاجمی در وهله اول بوده، که در صورت مثبت بودن نتایج و قرار گرفتن در گروه با ریسک بالا، برای تأیید و قطعی شدن نتیجه مثبت از روشهای تهاجمی استفاده نمود.

 

آزمون جامع

آزمون جامع یکی از چهار آزمون موجود در غربالگری سندرم داون بوده، که سه آزمون دیگر شامل دابل تست (Double Test) یا تست ترکیبی (Combined Test)، تریپل تست (Triple Teset) و کواد راپل تست (Quadruple Test) میباشد. همگی این آزمونها برای غربالگری، از مارکرهای سرمی خون مادر استفاده مینمایند، که این مارکرهای سرمی عبارتست از:

1-      پروتئین پلاسمایی A مرتبط با حاملگی یا PAPP-A2 ، که بوسیله جفت در حال تکامل تولید شده و غلظت آن در سرم مادر بسرعت پس از هفتمین روز حاملگی افزایش مییابد. اندازه گیری این پروتئین در سه ماه اول بارداری، مارکر مفیدی در غربالگری سندرم داون میباشد.

2-      آلفافتوپروتئین یا αFP ، که یک کلیکوپروتئین انکوفتال بوده و در خلال تکامل جنینی توسط کبد، کیسه زرده و به مقدار کمی مجاری معدی- روده ای تولید میگردد. مقداری از αFP سنتز شده، از طریق جفت وارد گردش خون مادر شده و میزان آن تا اواخر سه ماهه دوم بارداری افزایش یافته و پس از آن رو به کاهش میگذارد. لذا پس از تولد ، سریعاً غلظت آن در سرم کاهش یافته، بطوریکه پس از دومین سال تولد، مقدار ناچیزی از آن در سرم قابل اندازه گیری میباشد.

3-      بخش آزاد زنجیره بتا هورمون گنادوتروپین جفتی یا free β-HCG .

4-      استریول غیرکونژوگه یا uE3 که توسط غدد آدرنال جنین ساخته شده و در جفت، متابولیزه میشود. استریول با عبور از جفت، وارد جریان خون مادر شده و از طریق کلیه ها یا کبد، در صفرا دفع میشود.

5-      Inhibin A که یک هورمون پروتئینی هترودیمر بوده و بوسیله سلولهای گرانوزایی تخمدان و سلولهای سرتولی بیضه ها ترشح شده که بطور انتخابی ترشح هورمون FSH را مهار مینماید.

تفاوت این آزمونها علاوه بر حساسیت، میزان مثبت کاذب و ارزش پیش بینی نتایج مثبت متعاقباً بدانها اشاره خواهد شد، همانطوریکه از نامگذاری آنها نیز پیداست؛ در تعداد مارکر مورد سنجش میباشد.

بطوریکه در دابل تست یا تست ترکیبی دو مارکر PAPP وfree β-HCG ، در تریپل تست سه مارکر αFP، free β-HCG و uE3 و در کواد راپل تست علاوه بر سه مارکر تریپل تست ، مارکر Inhibin A نیز اندازه گیری می شود.در حالیکه در آزمون جامع، تمامی پنج مارکر فوق الذکر در دو مرحله زمانی متفاوت مورد ارزیابی قرار میگیرند.

مرحله اول انجام آزمون جامع در سه ماهه اول بارداری و بهترین زمان انجام آن هفته یازدهم بارداری بوده، که البته مابین هفته های 10-13 نیز قابل انجام است. در این مرحله ضمن انجام اندازه گیری سطح سرمی مارکر PAPP-A یک اسکن سونوگرافی نیز بمنظور تعیین سن بارداری و نیز اندازه گیری ضخامت پین پشت گردن یا NT انجام میپذیرد.

مرحله دوم آزمون جامع در سه ماهه دوم و مناسبترین زمان انجام آن هفته های 15-16 بوده، ولی تا پایان هفته 22 نیز قابل انجام است. در این مرحله سطح سرمی مارکرهای α-FP، free β-HCG، uE3 و Inhibin A اندازه گیری میشوند.

نتیجه آزمون جامع تنها زمانی قابل ارائه خواهد بود که مادر در هر دو مرحله آزمون شرکت نموده و نمونه گیری شده باشد. اگر نمونه خون دوم تا پایان هفته بیستم دریافت نشود ریسک سندرم داون با استفاده از اطلاعات آزمایشات مرحله اول به تنهایی گزارش خواهد شد،که ارزش آن نسبت به آزمون جامع کمتر خواهد بود. زیرا استفاده از نتایج دو مرحله آزمایش مطمئن تر و مؤثرتر از استفاده از نتایج مرحله اول در تشخیص بارداری مبتلا از سالم خواهد بود و نتیجه آن نیز کاهش شانس از دست دادن حاملگی مبتلا به سندرم داون خواهد بود.