PMID- 17397242 OWN - NLM STAT- MEDLINE DCOM- 20070621 LR - 20191210 IS - 1177-1062 (Print) IS - 1177-1062 (Linking) VI - 11 IP - 2 DP - 2007 TI - Comparative genomic hybridization arrays in clinical pathology: progress and challenges. PG - 73-7 AB - Array-based comparative genomic hybridization (array CGH) genome scanning is a powerful method for the global detection of gains and losses of genetic material in both congenital and neoplastic disorders. When used as a clinical diagnostic test, array CGH combines the whole genome perspective of traditional G-banded cytogenetics with the targeted identification of cryptic chromosomal abnormalities characteristic of fluorescence in situ hybridization (FISH). However, the presence of structural variants in the human genome can complicate analysis of patient samples, and array CGH does not provide morphologic information about chromosome structure, balanced translocations, or the actual chromosomal location of segmental duplications. Identification of such anomalies has significant diagnostic and prognostic implications for the patient. We therefore propose that array CGH should be used as a guide to the presence of genomic structural rearrangements in germline and tumor genomes that can then be further characterized by FISH or G-banding, depending on the clinical scenario. In this article, we share some of our experiences with diagnostic array CGH and discuss recent progress and challenges involved with the integration of array CGH into clinical laboratory medicine. FAU - Gunn, Shelly R AU - Gunn SR AD - Department of Pathology, University of Texas Health Science Center, San Antonio, Texas 78229-3900, USA. gunn@uthscsa.edu FAU - Robetorye, Ryan S AU - Robetorye RS FAU - Mohammed, Mansoor S AU - Mohammed MS LA - eng GR - P30 CA54174/CA/NCI NIH HHS/United States PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - New Zealand TA - Mol Diagn Ther JT - Molecular diagnosis & therapy JID - 101264260 SB - IM MH - Chromosome Banding MH - Congenital Abnormalities/diagnosis MH - Gene Dosage MH - Genes, Neoplasm MH - Genome, Human MH - Humans MH - Microarray Analysis/*methods MH - Molecular Diagnostic Techniques MH - Nucleic Acid Hybridization/*methods MH - Pathology, Clinical/*methods/*trends RF - 13 EDAT- 2007/04/03 09:00 MHDA- 2007/06/22 09:00 CRDT- 2007/04/03 09:00 PHST- 2007/04/03 09:00 [pubmed] PHST- 2007/06/22 09:00 [medline] PHST- 2007/04/03 09:00 [entrez] AID - 1122 [pii] AID - 10.1007/BF03256225 [doi] PST - ppublish SO - Mol Diagn Ther. 2007;11(2):73-7. doi: 10.1007/BF03256225.