Chromosome Analysis, High Resolution; Rule Out Mosaic (Blood)

Key Information

TAT:

21 days

Price:

$947

CPT Code(s):

88230, 88263, 88285x5, 88291, 88289

Test Code:

CBHM

Chromosome Analysis, High Resolution; Rule Out Mosaic (Blood)

High resolution chromosome analysis is used to asses chromosomes at a higher resolution for subtle changes or cryptic translocations associated with microdeletions or microduplications in addition to chromosome abnormalities detected on routine analysis including trisomy, monosomy, triploidy, marker chromosomes, balanced, and unbalanced rearrangements.

Chromosome mosaicism is defined as the presence of two or more cell lines with different chromosome constitutions in a single individual. Chromosome analysis to rule out mosaicism includes high resolution karyotyping using G-banded preparations, but additional cells are counted compared to routine chromosome analysis.

Clinical Information

This type of study is required for the detection of subtle chromosome rearrangements, and it is considered an important component in the diagnosis of microdeletion syndromes such as Prader-Willi syndrome, Angelman syndrome, Smith-Magenis syndrome, and Miller-Dieker syndrome. Mosaic

Technical Information

High resolution chromosome analysis requires the use of elongation methods to obtain a high percentage of prophase and prometaphase spreads. The chromosomes are less condensed than in routine metaphase analysis, and the number of identifiable bands is expanded, allowing a more sensitive analysis of the karyotype.

For rule out mosaic high resolution chromosome analysis, 50 cells are counted to determine the modal number and a minimum of 5 cells are analyzed for chromosomal abnormalities. Because special culture conditions are required, high resolution studies must be specifically requested.

Specimen Requirements

The accepted sample type is 3-4 ml of whole blood collected in a sodium heparin (green top) tube. For newborns and small infants, 2-3 ml of blood in a sodium heparin tube is acceptable. Blood kits are available by request.

Transport Instructions

Specimen should be kept at room temperature and should be sent by courier or overnight mail to arrive at the laboratory the next day. Do not freeze or refrigerate the specimen.

Connect With Our Experts

Call 1-800-473-9411 to speak with our team of laboratory genetic counselors for questions or additional information.

Robin Fletcher, MS, CGC
Falecia Thomas, MS, CGC
Alex Finley, MS, CGC