Chromosomal Microarray, germline / congenital
Collection Requirements
Source: blood
Container: EDTA lavender
Volume:
- Preferred: 3 mL in vacutainer
- Minimum: 1 mL in vacutainer
Source: buccal/saliva
Container: OraCollect Kit
Special Instructions
- Transport at room temperature; avoid fluctuating temperatures (hot or cold)
- Send immediately; delays impact specimen integrity
- Contact Genetics for specialty testing
Turn Around Time
STAT: 14 days
Routine: 21 days
Availability
STAT
Routine
Lab Processing Instructions
Specimen: whole blood
Room temperature
Performing Laboratory
Genetics
Adele Hall Lab Section
Cytogenetics
Instrumentation/Methodology
Microarray
Additional Information
Our constitutional 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 anomalie.s 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
CPT
81229