Competency information

Details

Analyse samples for a range of sequence variants to aid diagnosis and prognosis.

Considerations

  •  Quality analysis of samples for NGS and at each stage of the procedure
  • Different types of approach and panel relevant for the disease
  • Principles of the assays performed
  • Use of bioinformatic tools for the analysis of results Use of various databases to assess and classify variants (pathogenic vs variants of uncertain significance vs benign polymorphisms)
  • Tools to identify relevance of the variant detected Correct nomenclature for reporting of acquired variants (HGVS)
  • Considerations concerning inherited variants
  • Age related clonal haematopoiesis
  • Consent and ethical considerations for the use of next generation sequencing
  • Role of next generation sequencing as a “one size fits all test”
  • Role of large sequencing projects eg100K genomes project
  • National and international guidelines for interpretation of next generation sequencing

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
# 4 Outcome Implement the appropriate strategy for monitoring residual disease in patients with acute myeloid leukaemia
# 5 Outcome Implement the appropriate testing strategy for a range of lymphoid malignancies including CLL and large B cell lymphomas, including assessment of lymphoid clonality 
# 7 Outcome Interpret and report on the relevant laboratory procedures for the diagnosis of a range of myeloid and lymphoid malignancies