Chromosomal microarray analysis, including constitutional and neoplastic disease applications, 2021 revision: a technical standard of the American College of Medical Genetics and Genomics (ACMG).

Document Type

Article

Publication Date

10-2021

Identifier

DOI: 10.1038/s41436-021-01214-w

Abstract

Chromosomal microarray technologies, including array comparative genomic hybridization and single-nucleotide polymorphism array, are widely applied in the diagnostic evaluation for both constitutional and neoplastic disorders. In a constitutional setting, this technology is accepted as the first-tier test for the evaluation of chromosomal imbalances associated with intellectual disability, autism, and/or multiple congenital anomalies. Furthermore, chromosomal microarray analysis is recommended for patients undergoing invasive prenatal diagnosis with one or more major fetal structural abnormalities identified by ultrasonographic examination, and in the evaluation of intrauterine fetal demise or stillbirth when further cytogenetic analysis is desired. This technology also provides important genomic data in the diagnosis, prognosis, and therapy of neoplastic disorders, including both hematologic malignancies and solid tumors. To assist clinical laboratories in the validation of chromosomal microarray methodologies for constitutional and neoplastic applications, the American College of Medical Genetics and Genomics (ACMG) Laboratory Quality Assurance Committee has developed these updated technical laboratory standards, which replace the ACMG technical standards and guidelines for microarray analysis in constitutional and neoplastic disorders previously published in 2013.

Journal Title

Genetics in medicine : official journal of the American College of Medical Genetics

Volume

23

Issue

10

First Page

1818

Last Page

1829

MeSH Keywords

Comparative Genomic Hybridization; Genetics, Medical; Genomics; Humans; Microarray Analysis; Neoplasms; United States

Keywords

Comparative Genomic Hybridization; Genetics, Medical; Genomics; Humans; Microarray Analysis; Neoplasms; United States

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