PMID- 35560245 OWN - NLM STAT- MEDLINE DCOM- 20220615 LR - 20220808 IS - 1096-8652 (Electronic) IS - 0361-8609 (Linking) VI - 97 IP - 7 DP - 2022 Jul TI - Optical genome mapping for structural variation analysis in hematologic malignancies. PG - 975-982 LID - 10.1002/ajh.26587 [doi] AB - Optical genome mapping (OGM) is a technology that is rapidly being adopted in clinical genetics laboratories for its ability to detect structural variation (e.g., translocations, inversions, deletions, duplications, etc.) and replace several concurrent standard of care techniques (karyotype, fluorescence in situ hybridization, and chromosomal microarray). OGM can dramatically simplify lab workflow by reducing multiple tests (conventional karyotype, fluorescence in situ hybridization [FISH], and chromosomal microarray) into one test. The superior ability to detect structural variation across the genome removes the need for reflex FISH studies, which can dramatically reduce cost and turnaround time per sample. Parallel studies of OGM versus standard of care testing have demonstrated it can detect and resolve more abnormalities than karyotyping or FISH. However, like many molecular tests that normalize copy number it can have difficulty with non-diploid karyotypes. This Test of the Month review will summarize how the technique works, review the strengths and weaknesses of OGM compared to standard of care techniques and illustrate how the technique is likely to change front line testing in many hematologic malignancies-including summarizing the clinical utility in acute myeloid leukemia, myelodysplastic syndromes, and B cell acute lymphoblastic leukemia. CI - (c) 2022 Wiley Periodicals LLC. FAU - Smith, Adam C AU - Smith AC AUID- ORCID: 0000-0001-9927-4914 AD - Laboratory Medicine Program, University Health Network, Toronto, Ontario, Canada. AD - The Department of Laboratory Medicine and Pathobiology, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. FAU - Neveling, Kornelia AU - Neveling K AD - Department of Human Genetics, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - Kanagal-Shamanna, Rashmi AU - Kanagal-Shamanna R AUID- ORCID: 0000-0001-7829-5249 AD - Department of Hematopathology and Molecular Diagnostics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. LA - eng PT - Journal Article DEP - 20220520 PL - United States TA - Am J Hematol JT - American journal of hematology JID - 7610369 SB - IM MH - Chromosome Aberrations MH - Chromosome Mapping MH - *Hematologic Neoplasms/genetics MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Karyotyping MH - *Myelodysplastic Syndromes/genetics EDAT- 2022/05/14 06:00 MHDA- 2022/06/16 06:00 CRDT- 2022/05/13 18:53 PHST- 2022/04/26 00:00 [revised] PHST- 2022/02/17 00:00 [received] PHST- 2022/04/28 00:00 [accepted] PHST- 2022/05/14 06:00 [pubmed] PHST- 2022/06/16 06:00 [medline] PHST- 2022/05/13 18:53 [entrez] AID - 10.1002/ajh.26587 [doi] PST - ppublish SO - Am J Hematol. 2022 Jul;97(7):975-982. doi: 10.1002/ajh.26587. Epub 2022 May 20.