CMA Array
| Epic Lab Code: | CYT52 |
| Order Form: | C-12 Cytogenetics Request or Epic Req |
Shivanand R. Patil Cytogenetics & Molecular Laboratory (Dept. of Pediatrics)
W-101 GH
356-3877 (Laboratory)
W-101 GH
356-3877 (Laboratory)
Specimen:
Whole Blood from lavender top (EDTA) tube AND green top (sodium heparin) tube
Minimum:
For infants under 1 year of age: 1-2 ml in a lavender (EDTA) AND 1-2 mL
in a green top (sodium heparin)
For children over 1 year of age: 3-5 ml in a lavender (EDTA) AND 3-5 mL
in a green top (sodium heparin)
For adults: 5-7 ml in a lavender (EDTA) AND 5-7 ml in a green top
(sodium heparin)
Delivery Instructions:
Submit specimen to laboratory as soon as possible after collection. DO
NOT FREEZE.
Testing Schedule:
Specimens are accepted Monday - Friday, 0800-1700. Provide details of
clinical information. If the specimen is collected over the weekend,
please page the technologist on call by dialing 1-888-533-0186. When
it stops ringing, enter your phone number, the '#' sign, and hang
up.
Turn Around
Time:
Final results within 30 days
Reference Range:
Ratio of <0.8 for deletion; ratio of >1.2 for duplication.
Comments:
Oligo Array CGH is indicated for patients with normal chromosome
analysis and:
Unexplained developmental delay or mental retardation
Dysmorphic features or congenital anomalies
Autism spectrum disorders, seizures, or a clinical presentation
suggestive of a chromosomal syndrome
Oligo array CGH is also indicated for individuals with a previously
identified chromosomal abnormality:
For unbalanced rearrangements, oligo array can be used to size the
deletion or duplication, and identify the number of genes involved
For 'apparently balanced' rearrangements and an abnormal clinical
phenotype, oligo array can be used to test for cryptic deletions/
duplications at the breakpoints or at other regions
Shivanand R. Patil Cytogenetics & Molecular Laboratory
Website
Test
Limitations:
The detection of deletions and duplications of 500kb or greater is
expected to be very high using the Nimbelgen 385k whole genome oligo
array. Detection is limited to gain of copy number (duplication), loss
of copy number (deletion), or normal copy number. Deletions and
duplications 500kb or greater are reported. Smaller deletions or
duplications in regions of known microdeletion/microduplication
syndromes or in targeted genes will also be reported.
Oligo array will not detect translocations, inversions, smaller
imbalances, point mutations, or low level mosaicism (usually less than
25%) that may underlie the clinical presentation of the patient.
Methodology:
DNA isolated from peripheral blood is hybridized to a Nimblegen array
containing oligonucleotide clones across the genome to detect copy
number imbalances. FISH analysis is used to confirm any abnormal
findings.
CPT Code:
88230; 88261; 83891; 88386; 88384