After the Test: Interpreting a Clinical Report

Document Type

Book Chapter

Publication Date

9-2025

Identifier

DOI: 10.1093/oxfordhb/9780190069964.013.0017

Abstract

Genetic testing is a vital component of genetic counseling. As testing continues to advance at a rapid pace, so too does the complexity of genetic testing reports. Clinical laboratories use established frameworks for variant interpretation. However, the interpretation guidelines may be unclear to nonlaboratory specialists and are prone to misuse. With increased utilization of genetic testing, there is increasing demand for genetic counselors to assist both clinicians and families in the interpretation of genetic testing results. It is therefore of the utmost importance for genetic counselors to have the tools to understand genetic testing reports. This chapter will provide a brief overview of genetic testing, examine interpretation guidelines, and provide a framework for steps to take after a negative test result.

Journal Title

The Oxford Handbook of Genetic Counseling

First Page

343

Last Page

365

Keywords

genetic testing interpretation; genetic testing; variant analysis; next-generation sequencing; clinical genetic testing; reanalysis

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