PMID- 22031309 OWN - NLM STAT- MEDLINE DCOM- 20111215 LR - 20111027 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 136 IP - 5 DP - 2011 Nov TI - Detection of genomic abnormalities in multiple myeloma: the application of FISH analysis in combination with various plasma cell enrichment techniques. PG - 712-20 LID - 10.1309/AJCPF7NFLW8UAJEP [doi] AB - Multiple myeloma (MM) is a hematopoietic neoplasm characterized by malignant plasma cells (PCs) that accumulate in the bone marrow. A number of different genomic abnormalities are associated with MM; however, detection of these by fluorescence in situ hybridization (FISH) can be limited by the percentage of PCs in the specimen. In this study, we tested 20 bone marrow specimens with known MM and a low concentration of monoclonal PCs for the presence of genomic abnormalities using FISH in combination with various PC enrichment techniques: magnetic cell sorting, targeted manual scoring, and automated image analysis. In addition, flow cytometric cell sorting of PCs in combination with FISH analysis was also tested for minimal residual disease applications. Different parameters were evaluated when assessing the detection efficiency of each approach. FISH results are highly dependent on the chosen enrichment method. We describe the evaluation of different techniques applicable for various laboratory settings and specimen parameters. FAU - Hartmann, Luise AU - Hartmann L AD - Department of Molecular Analysis, HematoLogics, 3161 Elliott Avenue, Seattle, WA 98121, USA. FAU - Biggerstaff, Julie Sanford AU - Biggerstaff JS FAU - Chapman, Douglas B AU - Chapman DB FAU - Scott, Janice M AU - Scott JM FAU - Johnson, Krystal R AU - Johnson KR FAU - Ghirardelli, Keely M AU - Ghirardelli KM FAU - Fritschle, Wayne K AU - Fritschle WK FAU - Martinez, Dolores L AU - Martinez DL FAU - Bennington, Richard K AU - Bennington RK FAU - de Baca, Monica E AU - de Baca ME FAU - Wells, Denise A AU - Wells DA FAU - Loken, Michael R AU - Loken MR FAU - Zehentner, Barbara K AU - Zehentner BK LA - eng PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 SB - IM MH - Bone Marrow/pathology MH - Chromosome Aberrations MH - Flow Cytometry MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Multiple Myeloma/diagnosis/*genetics MH - Plasma Cells/*pathology EDAT- 2011/10/28 06:00 MHDA- 2011/12/16 06:00 CRDT- 2011/10/28 06:00 PHST- 2011/10/28 06:00 [entrez] PHST- 2011/10/28 06:00 [pubmed] PHST- 2011/12/16 06:00 [medline] AID - 136/5/712 [pii] AID - 10.1309/AJCPF7NFLW8UAJEP [doi] PST - ppublish SO - Am J Clin Pathol. 2011 Nov;136(5):712-20. doi: 10.1309/AJCPF7NFLW8UAJEP.