GTR Test Accession:
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GTR000613422.1
CAP
Registered in GTR:
2024-10-24
View version history
GTR000613422.1,
registered in GTR:
2024-10-24
Last annual review date for the lab: 2024-10-24
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At a Glance
Methods (1):
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Cytogenetics - Karyotyping: Microarray
Target population: Help
Individuals with unexplained developmental delay/intellectual disability, autism spectrum disorders, and/or …
Clinical validity:
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Not provided
Clinical utility:
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Not provided
Ordering Information
Offered by:
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Sanford Medical Genetics Laboratory
View lab's test page
View lab's test page
Test short name:
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CMA with 5-cell chromosome analysis reflex
Specimen Source:
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- Cord blood
- Peripheral (whole) blood
Who can order: Help
- Health Care Provider
Test Order Code:
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LBOR0239
CPT codes:
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Contact Policy:
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Laboratory can only accept contact from health care providers. Patients/families are encouraged to discuss genetic testing options with their health care provider.
How to Order:
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Call Sanford Client support at (605) 328-5502
Order URL
Order URL
Informed consent required:
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Based on applicable state law
Test strategy:
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DNA copy number gains (duplications), losses (deletions), and regions of homozygosity (ROH) assessed and reported per ACMG guidelines. In the case of a normal result, chromosome analysis is performed
Pre-test genetic counseling required:
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Decline to answer
Post-test genetic counseling required:
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Decline to answer
Recommended fields not provided:
Lab contact for this test,
Test development
Conditions
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Total conditions: 4
Condition/Phenotype | Identifier |
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Test Targets
Chromosomal regions/Mitochondria
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Total chromosomal regions/mitochondria: 1
Chromosomal region/Mitochondrion | Associated condition |
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Methodology
Total methods: 1
Method Category
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Test method
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Instrument *
Karyotyping
Microarray
* Instrument: Not provided
Clinical Information
Test purpose:
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Diagnosis
Target population:
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Individuals with unexplained developmental delay/intellectual disability, autism spectrum disorders, and/or multiple congenital anomalies
Variant Interpretation:
What is the protocol for interpreting a variation as a VUS?
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Variant classification will be reported following the ACMG recommendations (Riggs et al Genet Med. 2020 Feb;22(2):245-257).
Variant classification will be reported following the ACMG recommendations (Riggs et al Genet Med. 2020 Feb;22(2):245-257).
Will the lab re-contact the ordering physician if variant interpretation changes?
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.
.
Recommended fields not provided:
Clinical validity,
Clinical utility,
Are family members with defined clinical status recruited to assess significance of VUS without charge?,
Is research allowed on the sample after clinical testing is complete?,
Sample negative report,
Sample positive report
Technical Information
Test Procedure:
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Chromosomal microarray: Chromosomal microarray (CMA) of genomic DNA using the Illumina Infinium Global Diversity Array with Cytogenetics-8 v1.0 BeadChip. The array resolution is approximately 5kb for regions targeting 4885 dosage sensitive genes and the backbone resolution is 20kb. The copy number results are assessed in silico and analyzed using the …
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Availability:
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Tests performed
Entire test performed in-house
Entire test performed in-house
Analytical Validity:
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Detection is limited to copy number losses of at least 6 kb in size containing a minimum of 15 consecutive probes and copy number gains greater than 50 kb containing a minimum of 40 consecutive probes. Mosaicism greater than 20% is generally detected by this array. Within this limit of …
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Assay limitations:
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This microarray will not detect balanced alterations (reciprocal translocations, Robertsonian translocations, inversions, or balanced insertions), point mutations, or insertions/deletions (indels) of regions not covered by the platform. It may not detect low-level of mosaicism (less than 20%) or marker chromosomes that only contain heterochromatin. High copy number gains are detected …
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Proficiency testing (PT):
Is proficiency testing performed for this test?
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Yes
Method used for proficiency testing: Help
Formal PT program
PT Provider: Help
American College of Medical Genetics / College of American Pathologists, ACMG/CAP
Yes
Method used for proficiency testing: Help
Formal PT program
PT Provider: Help
American College of Medical Genetics / College of American Pathologists, ACMG/CAP
Recommended fields not provided:
Test Confirmation,
Citations to support assay limitations,
Description of internal test validation method,
Citations for Analytical validity,
Description of PT method,
Major CAP category, CAP category, CAP test list
Regulatory Approval
FDA Review:
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Not provided
Additional Information
Reviews:
Clinical resources:
Consumer resources:
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Patients and consumers
with specific questions about a genetic test should contact a health care provider or a genetics professional.