Comprehensive Myeloid & Lymphoid Panel

What is Comprehensive Myeloid & Lymphoid Panel?

Comprehensive Myeloid & Lymphoid Panel is a next-generation sequencing (NGS)-based test designed to detect a wide range of clinically relevant genetic alterations associated with myeloid and lymphoid malignancies. The test analyses DNA and RNA extracted from peripheral blood or bone marrow samples to provide a detailed molecular profile of the patient’s leukemia. By consolidating multiple conventional tests into a single, high-throughput assay, the panel delivers comprehensive information to support diagnosis, risk stratification, therapy selection, and minimal residual disease (MRD) monitoring.

Key Genomic Biomarkers Covered

Myeloid MalignanciesFusionsPoint Mutations
AML: Acute Myeloid LeukemiaT(8;21); RUNX1T1-RUNX1 t(15;17); PML-RARA t(11q23) rearrangement: MLL (KMT2A) inv(16); CBFB-MYH11 t(9;11); MLLT3-MLL (KMT2A) t(6;9); DEK-NUP214 t(9;12); ETV6-MECOM AML
(megakaryoblastic) with t(1;22) RBM15-MKL1.
ASXL1, KIT, FLT3 (ITD and TKD), NPM1, GATA2, MECOM, CEBPA, IDH1, IDH2,
NRAS, TP53
MPN: Myeloproliferative Neoplasmt(9;22); BCR-ABL1.JAK2, MPL, and CALR; ASXL1, EZH2,
TET2, IDH1, IDH2, TP53, SRSF2
MDS: Myelodysplastic SyndromesDel 5q, Del 7q, Del 20q, Trisomy 8, Inv 3.SF3B1, TET2, SRSF2, ASXL1, RUNX1,
TP53, U2AF1, DNMT3A, EHZ2
CML: Chronic Myelogenous Leukemiat(9;22); BCR-ABL1.ASXL1, RUNX1, IDH1/2, JAK2, SRSF2, TP53, BRAF, CDKN2A/B, CBLC, CBLB,
CRLF2, CREBBP
JMML: Juvenile Myelomonocytic
Leukemia
PTPN11, JAK2, NRAS, KRAS, CBL, NF1
B-ALLPaediatric: t(12;21); ETV6-RUNX1, t(9;22); BCR-ABL1, t(1;19); E2A-PBX1 (previously MLL) translocations. In adults: t(9;22); BCR-ABL1, rearrangement MYC, iAMP21, trisomy 4 and 10.ABL1, TET2, CDKN2A, CREBBP, NRAS, KRAS, NOTCH1, JAK2, KDM6A, IKZF1,
PAX5, TP53.
T-ALLDNMT3A, NRAS, KRAS, NOTCH1, NRAS,
FBXW7, PTEN, RUNX1, CDKN2B, FBXW7
Ph-like ALLBCR-ABL1, ETV6-RUNX1, KMT2A,
CRLF2 rearrangement;
fusions involving JAK-STAT
Pathway, ABL-class genes
CLLdel (11q), del (13q), del (6q), trisomy 12 and del (17p).MYD88, NOTCH1, TP53, BIRC3, SF3B1, IGHV mutation. TP53 sequencing, BTK and PLCG2 for ibrutinib resistance.

Clinical Applications of Comprehensive Myeloid & Lymphoid Panel

  • Identifies genetic mutations and chromosomal changes for leukemia subtype classification.
  • Assists in risk stratification by detecting high-risk or favourable prognostic markers.
  • Guides therapy selection through the identification of actionable mutations and resistance genes.
  • Supports minimal residual disease (MRD) monitoring after treatment.
  • Detects treatment resistance mutations that may influence clinical decisions.
  • Informs decisions around eligibility and timing for stem cell transplantation.
  • Enables long-term surveillance for relapse in patients with known genetic alterations.

Specifications

  • Indications: All Myeloid and Lymphoid Neoplasms.
  • Methodology: Next-Generation Sequencing (NGS).
  • Sample Type: 3-5 mL of peripheral blood or 2-3 mL of bone marrow aspirate in EDTA. FFPE tissue blocks are accepted especially lymph node biopsies for lymphoma or myelofibrotic tissues.
  • Accuracy: Limit of Detection: 5% VAF for SNVs & InDels, >10 spanning reads for Fusions, SNVs and InDels is ≥5%.
  • Coverage: Comprehensive coverage of complete coding regions of all the genes and intron/exon boundaries for SNVs, InDels & Fusion detection (Major hematological malignancies related genes are covered).

Leukemia Genetic Tests Offered by MedGenome

Key Highlights of MedGenome's Comprehensive Myeloid & Lymphoid Panel

Single Assay for Comprehensive Insights

Detects SNVs, InDels, CNVs, and all cryptic/acryptic gene fusions in one test, reducing the need for multiple assays like FISH or RT-PCR.

Validated Accuracy with Global Standards

98% sensitivity and specificity, validated per CAP guidelines, with 100% performance in biannual proficiency testing.

Cryptic and Rare Fusions Detected

Identifies novel fusion partners and cryptic transcripts often missed by conventional methods, essential for targeted therapy planning.

What is Comprehensive Myeloid & Lymphoid Panel?

Comprehensive Myeloid & Lymphoid Panel is an advanced genetic test that checks for changes in your DNA that may be linked to different types of leukemia or related blood cancers. It uses Next-Generation Sequencing (NGS) to look for mutations, gene fusions, chromosomal changes, and copy number variations, all of which can help doctors diagnose the type of leukemia, assess risk, and guide treatment choices.

How is the Comprehensive Myeloid & Lymphoid Panel Test Done?

StepWhat Happens
1. Sample CollectionA small amount of blood or bone marrow is collected using standard methods.
2. Sample ShippingThe sample is stored at 4–8°C and shipped to the lab within 48 hours.
3. DNA AnalysisThe lab extracts DNA and sequences it using NGS technology.
4. Mutation DetectionThe test checks for various mutations, gene fusions, CNVs, and chromosomal changes.
5. Result InterpretationExperts analyse the genetic findings to provide a clear report for your doctor.
6. Report SharingYour doctor receives the results, usually within 10–14 working days.
Why is Comprehensive Myeloid & Lymphoid Panel Essential?

This test provides a detailed understanding of the genetic changes that may be driving your condition. It helps:

  • Confirm a diagnosis of leukemia or related blood disorders like MDS (Myelodysplastic Syndromes) or MPN (Myeloproliferative Neoplasms)
  • Determine risk level and prognosis
  • Identify the most effective treatment options
  • Monitor disease progression or response to treatment

It enables a more personalised approach to care, which means better outcomes.

What Genetic Mutations Does the Comprehensive Myeloid & Lymphoid Panel Detect?
Who Should Consider the Comprehensive Myeloid & Lymphoid Panel?

You may benefit from this test if:

  • You have been diagnosed or suspected of having leukemia or other blood cancers
  • You’ve received abnormal results from a blood test or bone marrow exam
  • You have a family history of hematologic cancers
  • Your doctor wants to monitor minimal residual disease (MRD) after treatment

It is suitable for both new diagnoses and ongoing monitoring.

What Do Comprehensive Myeloid & Lymphoid Panel Test Results Mean?
When is the Best Time to Get a Comprehensive Myeloid & Lymphoid Panel Test?

The test can be done at several stages:

  • At the time of diagnosis, to guide treatment decisions
  • After initial treatment to check for minimal residual disease (MRD)
  • During follow-up visits to monitor for relapse or disease progression

Your doctor will decide the best time based on your health condition and treatment plan.

Can the Comprehensive Myeloid & Lymphoid Panel Detect All Causes of Endometrial Cancer?
Why Choose MedGenome for Comprehensive Myeloid & Lymphoid Panel Testing?

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