Competency information

Details

Analyse samples for genomic rearrangements and or copy number variation (CNV) using standard laboratory methodology for patients referred at diagnosis

Considerations

  • Requirements of the sample for successful nucleic acid extraction
  • Health and safety requirements for processing of fresh peripheral blood, bone marrow or paraffin embedded samples
  • Principles of molecular genetic approaches for identification of oncogene fusions
  • Choice of appropriate tests according to the suspected diagnosis eg G-band analysis, FISH, microarray, RNA-Seq
  • Limitations of each procedure including limit of detection, sensitivity and specificity
  • Factors affecting the quality of molecular results Interpretation of results
  • Integration of results with molecular cytogenetic data
  • Importance of knowledge of the transcript type or breakpoint for fusion genes
  • Consideration of rare and unusual transcript type or breakpoints
  • Internal quality control for assays Importance of external quality assurance
  • Role of validation and verification of procedures and equipment
  • Understanding of ISO 15189 or equivalent
  • National guidelines for pathways and procedures

Relevant learning outcomes

# Outcome
# 3 Outcome Apply the appropriate testing strategy for a range of complex myeloid malignancies including AML, MDS, considering the approach for subclassification and prognosis of disease
# 7 Outcome Interpret and report on the relevant laboratory procedures for the diagnosis of a range of myeloid and lymphoid malignancies