PMID- 21156226 OWN - NLM STAT- MEDLINE DCOM- 20110104 LR - 20211020 IS - 1873-4456 (Electronic) IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 203 IP - 2 DP - 2010 Dec TI - Standardization of fluorescence in situ hybridization studies on chronic lymphocytic leukemia (CLL) blood and marrow cells by the CLL Research Consortium. PG - 141-8 LID - 10.1016/j.cancergencyto.2010.08.009 [doi] AB - Five laboratories in the Chronic Lymphocytic Leukemia (CLL) Research Consortium (CRC) investigated standardizing and pooling of fluorescence in situ hybridization (FISH) results as a collaborative research project. This investigation used fixed bone marrow and blood cells available from previous conventional cytogenetic or FISH studies in two pilot studies, a one-day workshop, and proficiency test. Multiple FISH probe strategies were used to detect 6q-, 11q-, +12, 13q-, 17p-, and IGH rearrangements. Ten specimens were studied by participants who used their own probes (pilot study 1). Of 312 FISH interpretations, 224 (72%) were true-negative, 74 (24%) true-positive, 6 (2%) false-negative, and 8 (3%) false-positive. In pilot study no. 2, each participant studied two specimens using identical FISH probe sets to control for variation due to probe sets and probe strategies. Of 80 FISH interpretations, no false interpretations were identified. At a subsequent workshop, discussions produced agreement on scoring criteria. The proficiency test that followed produced no false-negative results and 4% (3/68) false-positive interpretations. Interpretation disagreements among laboratories were primarily attributable to inadequate normal cutoffs, inconsistent scoring criteria, and the use of different FISH probe strategies. Collaborative organizations that use pooled FISH results may wish to impose more conservative empiric normal cutoff values or use an equivocal range between the normal cutoff and the abnormal reference range to eliminate false-positive interpretations. False-negative results will still occur, and would be expected in low-percentage positive cases; these would likely have less clinical significance than false positive results. Individual laboratories can help by closely following rigorous quality assurance guidelines to ensure accurate and consistent FISH studies in their clinical practice and research. CI - Copyright (c) 2010 Elsevier Inc. All rights reserved. FAU - Smoley, Stephanie A AU - Smoley SA AD - Cytogenetics, Division of Laboratory Genetics, Department of Laboratory Medicine, 200 First Street SW, Rochester, MN 55905, USA. FAU - Van Dyke, Daniel L AU - Van Dyke DL FAU - Kay, Neil E AU - Kay NE FAU - Heerema, Nyla A AU - Heerema NA FAU - Dell' Aquila, Marie L AU - Dell' Aquila ML FAU - Dal Cin, Paola AU - Dal Cin P FAU - Koduru, Prasad AU - Koduru P FAU - Aviram, Ayala AU - Aviram A FAU - Rassenti, Laura AU - Rassenti L FAU - Byrd, John C AU - Byrd JC FAU - Rai, Kanti R AU - Rai KR FAU - Brown, Jennifer R AU - Brown JR FAU - Greaves, Andrew W AU - Greaves AW FAU - Eckel-Passow, Jeanette AU - Eckel-Passow J FAU - Neuberg, Donna AU - Neuberg D FAU - Kipps, Thomas J AU - Kipps TJ FAU - Dewald, Gordon W AU - Dewald GW LA - eng GR - P01 CA081534/CA/NCI NIH HHS/United States GR - R01 CA095241/CA/NCI NIH HHS/United States GR - P01-CA81534/CA/NCI NIH HHS/United States GR - CA95241/CA/NCI NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 RN - 0 (Oligonucleotide Probes) SB - IM MH - Bone Marrow Cells/cytology MH - Cytogenetics/*standards MH - False Negative Reactions MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Karyotyping MH - Leukemia, Lymphocytic, Chronic, B-Cell/*genetics MH - Microscopy, Fluorescence/methods MH - Oligonucleotide Probes/genetics MH - Pilot Projects MH - Reproducibility of Results PMC - PMC3763815 MID - NIHMS493106 EDAT- 2010/12/16 06:00 MHDA- 2011/01/05 06:00 PMCR- 2013/09/05 CRDT- 2010/12/16 06:00 PHST- 2010/05/09 00:00 [received] PHST- 2010/07/13 00:00 [revised] PHST- 2010/08/05 00:00 [accepted] PHST- 2010/12/16 06:00 [entrez] PHST- 2010/12/16 06:00 [pubmed] PHST- 2011/01/05 06:00 [medline] PHST- 2013/09/05 00:00 [pmc-release] AID - S0165-4608(10)00451-6 [pii] AID - 10.1016/j.cancergencyto.2010.08.009 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2010 Dec;203(2):141-8. doi: 10.1016/j.cancergencyto.2010.08.009.