Acute myeloid leukemia

Results with clinical significance

The presence and pattern of gene mutations in a known or suspected hematologic neoplasm can provide critical diagnostic, prognostic, and therapeutic information for physicians. While many hematologic neoplasms show morphologic or phenotypic similarities, most harbor a distinct composition of somatic gene mutations. In addition, many myeloid neoplasms lack a clonal bone marrow cytogenetic finding at diagnosis (normal karyotype) but can be better characterized with the aid of a sufficiently comprehensive gene mutation profile.

At Mayo Clinic Laboratories, we strive to provide the highest quality molecular services available to complement your clinical practice by offering three myeloid gene panels, including a comprehensive, 42-gene OncoHeme panel and two acute myeloid leukemia (AML) focused subpanels. In addition, we offer comprehensive fluorescence in situ hybridization (FISH) panels.

Next-generation sequencing for acute myeloid leukemias

Our next-generation sequencing testing for AML and myelodysplastic syndromes (MDS) offers both comprehensive and focused approaches to testing. Flexible ordering includes 4-gene, 11-gene, and 42-gene panels to meet your patients’ specific needs, with the option of add-on (reflex) analysis for the additional genes in the 42-gene panel if a smaller panel was ordered initially. The comprehensive, 42-gene panel follows World Health Organization and National Comprehensive Cancer Network guidelines for genes of clinical significance. Diagnostic, prognostic, therapeutic, or germline, our test has your patients covered.

Which test should I order?

Next-generation sequencing for myeloid malignancies

David Viswanatha, M.D., gives an overview of the next-generation sequencing (NGS) testing for myeloid malignancies available through Mayo Clinic Laboratories. He discusses when this testing should be ordered, how this testing improves upon previous testing approaches, and what clinical action can be taken due to the results of this testing.

Cost-savings comparison for traditional MDS ordering:

  • Historical ordering pattern — Chromosomes and MDS FISH ordered in tandem
  • Research has shown FISH is not needed when chromosome results are successful
  • Mayo Clinic algorithm to hold FISH and cancel when chromosome results are successful
  • 70% reduction in unnecessary FISH testing
  • 100 MDS patients = Average savings of $49,000

Comprehensive testing, simplified

Our approach to fluorescence in situ hybridization (FISH) testing is designed to simplify the ordering process by providing diagnostic panels that include all appropriate genes.

Which test should I order?

AMLAF | Adult AML FISH Panel

  • Performed on specimens from patients ages 31 and older with acute myeloid leukemia (AML)

AMLPF | Pediatric FISH Panel

  • Performed on specimens from patients ages 30 and younger with AML

AMLMF | Specified FISH Panel

  • Probe sets to be performed must be specified upon ordering. Any probe set(s) captured in AMLAF or AMLPF can be ordered under AMLMF

CILDF | Congenital Infantile Leukemia, Diagnostic FISH Panel

  • Performed on specimens from patients 18 months and younger

CILPF | Congenital Infantile Leukemia, FISH, Tissue

  • Performed on specimens from patients 18 months and younger

CILMF | Congenital Infantile Leukemia, Specified FISH Panel

  • Probe set(s) to be performed must be specified upon ordering. Any probe set(s) captured under CILDF can be ordered

Additional tests

Learn more about our AML testing algorithms.

Learn more about how to order these evaluations at your institution.