Rapid Acute Myeloid Leukemia Targeted Therapy Mutation Panel
Ordering Recommendation
Use upon initial diagnosis or overt relapse of acute myeloid leukemia (AML) to rapidly assess for hotspot mutations, including substitutions and smaller insertions and deletions, in select regions of targeted genes that may have prognostic and/or therapeutic significance in AML. For subsequent or more comprehensive analyses, refer to Myeloid Malignancies Mutation and Copy Number Variation Panel by Next Generation Sequencing (3016621). This test is NOT intended to detect minimal residual disease (MRD).
New York DOH Approval Status
Specimen Required
Lavender (whole blood or bone marrow collected in EDTA), green (peripheral blood or bone marrow collected in sodium heparin)
Whole Blood or Bone Marrow: Transport 2 mL (Min: 1.0 mL)
Whole Blood or Bone Marrow: Refrigerated.
Serum, plasma, grossly hemolyzed specimens, buccal brush or swab, FFPE tissue, or frozen samples.
Whole blood: Ambient: 1 week, Refrigerated: 2 weeks, Frozen: Unacceptable
Bone marrow: Ambient: 72 hours, Refrigerated: 1 week, Frozen: Unacceptable
Methodology
Massively Parallel Sequencing
Performed
Varies
Reported
3-7 days
Reference Interval
Interpretive Data
Refer to report.
Laboratory Developed Test (LDT)
Note
The following regions are targeted to detect clinically relevant hotspot mutations, unless otherwise indicated: CEBPA* (NM_004364) exon 1; FLT3 (NM_004119) exons 14, 15, 16, 20; IDH1 (NM_005896) exon 4; IDH2 (NM_002168) exon 4; KIT (NM_000222) exons 8, 9, 10, 11, 17; KRAS (NM_004985) exons 2, 3, 4; NPM1 (NM_002520) exon 11; NRAS (NM_002524) exons 2, 3, 4; TP53*(NM_000546) all coding exons
*CEBPA and TP53 are fully covered; any clinically relevant or potentially relevant variants will be reported. More information about the targeted regions of this test is included in the Additional Technical Information.
Hotline History
Hotline History
CPT Codes
81450
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
3017051 | Rapid AML Interp | 101397-8 |
Aliases
- Acute myeloid leukemia (AML)
- AML therapeutic targets
- AML with recurrent/defining genetic abnormalities
- AML, not otherwise specified
- de novo AML
- Fast turn-around therapeutic AML panel
- High-grade myeloid neoplasm
- Recurrent AML
- Relapsed AML
- Secondary AML
- Therapy-related AML
- Therapy-related myeloid neoplasm