PMID- 25639817 OWN - NLM STAT- MEDLINE DCOM- 20160412 LR - 20161125 IS - 1751-553X (Electronic) IS - 1751-5521 (Linking) VI - 37 IP - 4 DP - 2015 Aug TI - Utility and impact of early t(15;17) identification by Fluorescence In Situ Hybridization (FISH) in clinical decision making for patients in Acute Promyelocytic Leukemia (APL). PG - 515-20 LID - 10.1111/ijlh.12326 [doi] AB - INTRODUCTION: Acute Promyelocytic Leukemia (APL) is a curable malignancy with studies showing above 90% survival. However, population-based studies looking at survival suggest that approximately 30% of patients with APL die during induction. Early demonstration of t(15;17) will lead to accurate decision making regarding treatment. The aim of this project was to validate earlier time frames for the Abbott Molecular Vysis LSI promyelocytic leukemia (PML)/ retinoic acid receptor alpha (RARA) fluorescence in situ hybridization (FISH) probe (ASR 6-16 h). METHODS: Twenty patients (15 APL cases and five non-APL cases) were selected for validating various hybridization times for the FISH probe. Expected normal signal pattern was two red and two green signals (2R2G), and the most common expected abnormal signal pattern was two fusion (yellow) signals, one red and one green (2F1R1G) and/or one fusion, one red and one green (1F1R1G). RESULTS: The specificity of the probe ranged from 84% at 2 h, 86% at 4 h, 84% at 6 h, and 87% for overnight hybridization. The sensitivity increased from 79% at 2 h, 80% at 4 h, 81% at 6 h to 87% for overnight hybridization. CONCLUSION: Based on the validation studies, we recommend reading of FISH results at the 4-h incubation mark for a preliminary diagnosis and confirmation with overnight hybridization. CI - (c) 2015 John Wiley & Sons Ltd. FAU - Kolhe, R AU - Kolhe R AUID- ORCID: 0000-0002-8283-2403 AD - Department of Pathology, Georgia Regents University, Augusta, GA, USA. FAU - Mangaonkar, A AU - Mangaonkar A AD - Department of Internal Medicine, Georgia Regents University Cancer Center, Augusta, GA, USA. FAU - Mansour, J AU - Mansour J AD - Department of Internal Medicine, Georgia Regents University Cancer Center, Augusta, GA, USA. FAU - Clemmons, A AU - Clemmons A AD - University of Georgia College of Pharmacy, Augusta, GA, USA. FAU - Shaw, J AU - Shaw J AD - Department of Pathology, Georgia Regents University, Augusta, GA, USA. FAU - Dupont, B AU - Dupont B AD - Department of Pathology, Georgia Regents University, Augusta, GA, USA. FAU - Walczak, L AU - Walczak L AD - Department of Pathology, Georgia Regents University, Augusta, GA, USA. FAU - Mondal, A AU - Mondal A AD - Department of Pathology, Georgia Regents University, Augusta, GA, USA. FAU - Rojiani, A AU - Rojiani A AD - Department of Pathology, Georgia Regents University, Augusta, GA, USA. FAU - Jillella, A AU - Jillella A AD - Winship Cancer Institute of Emory University, Atlanta, GA, USA. FAU - Kota, V AU - Kota V AD - Winship Cancer Institute of Emory University, Atlanta, GA, USA. LA - eng PT - Journal Article DEP - 20150114 PL - England TA - Int J Lab Hematol JT - International journal of laboratory hematology JID - 101300213 RN - 0 (RARA protein, human) RN - 0 (Receptors, Retinoic Acid) RN - 0 (Retinoic Acid Receptor alpha) SB - IM MH - Bone Marrow/metabolism/pathology MH - Case-Control Studies MH - Chromosomes, Human, Pair 15 MH - Chromosomes, Human, Pair 17 MH - Clinical Decision-Making MH - Early Diagnosis MH - Gene Expression MH - Humans MH - In Situ Hybridization, Fluorescence MH - Leukemia, Promyelocytic, Acute/*diagnosis/*genetics/pathology MH - Leukocytes, Mononuclear/metabolism/pathology MH - Lymph Nodes/metabolism/pathology MH - Receptors, Retinoic Acid/*genetics MH - Retinoic Acid Receptor alpha MH - Sensitivity and Specificity MH - Time Factors MH - *Translocation, Genetic OTO - NOTNLM OT - Acute promyelocytic leukemia OT - Fluorescence In Situ Hybridization OT - early diagnosis EDAT- 2015/02/03 06:00 MHDA- 2016/04/14 06:00 CRDT- 2015/02/03 06:00 PHST- 2014/05/14 00:00 [received] PHST- 2014/11/05 00:00 [accepted] PHST- 2015/02/03 06:00 [entrez] PHST- 2015/02/03 06:00 [pubmed] PHST- 2016/04/14 06:00 [medline] AID - 10.1111/ijlh.12326 [doi] PST - ppublish SO - Int J Lab Hematol. 2015 Aug;37(4):515-20. doi: 10.1111/ijlh.12326. Epub 2015 Jan 14.