Chromosomal Microarray, prenatal
Collection Restrictions
Gestational age should be at least 14 weeks, but preferably 15-18 weeks
Collection Requirements
Source: amniotic fluid
Container: sterile clear centrifuge tubes
Volume:
- Preferred: at least 20 mL of amniotic fluid
- Minimum: 10 mL amniotic fluid (testing will be limited)
Source: chorionic villus sampling
Container: sterile specimen cup or centrifuge tube
containing sterile transport medium
Volume: at least 50 mg of chorionic villus
sampling
Special Instructions
- Transport at room temperature; avoid fluctuating temperatures (hot or cold)
- Specimen must be processed within 24 hours of collection
- Contact Genetics for collection materials
- Use the Prenatal and Pregnancy Loss Cytogenetics Requisition
Turn Around Time
14 days
Availability
Routine
Lab Processing Instructions
Specimen: aminotic fluid
Room temperature
Performing Laboratory
Genetics
Adele Hall Lab Section
Cytogenetics
Instrumentation/Methodology
Microarray
Additional Information
Our prenatal microarray views the entire genome at a resolution much higher than possible by conventional karyotyping or fluorescence in situ hybridization. This copy number plus single nucleotide polymorphism (SNP) platform is designed to detect gains and/or losses (copy number changes) and absence of heterozygosity (AOH) or regions of homozygosity (ROH). The array contains ~2.6 million copy number markers, including 743,304 SNP probes. Microarray testing is recommended as 1st tier testing for individuals with intellectual disabilities, autism spectrum disorders, and multiple congenital anomalies by the American College of Medical Genetics & Genomics (ACMGG). Advantages: Evaluates hundreds of different genetic conditions, including aneuploidy. Detects large and small deletions and duplications. Detects regions of homozygosity. Refines breakpoints of unbalanced structural chromosome anomalies. Limitations: Cannot identify truly balanced chromosomal aberrations, i.e., balanced translocations, inversions, insertions, etc. Cannot detect point mutations or epigenetic changes. Cannot detect genomic imbalances in regions not represented on the microarray. Low-level mosaicism may not be detected. Failure to detect an alteration at a gene locus does not exclude the diagnosis of an associated disorder.
Reference Ranges
See interpretive report