Thyroid Nodule Prognostication Test | Thyroid cancer Testing

Pioneering Precision in Thyroid Tumor Testing for Informed Healthcare Decisions

thyroid tumor test

ThyroTrack assay is a NGS-based sequencing assay that helps to comprehensively understand thyroid tumor genetics allowing improvement in the diagnostic accuracy and precise personalized treatments. ThyroTrack test screens variable genetic alterations in thyroid cancer-related genes curated according to ATA (2015) & NCCN (2022) guidelines, covering SNVs, Small InDels in 46 genes, and Fusions in 23 genes.

ThyroTrack

Next generation sequencing based test to detect genomic biomarkers in thyriod nodules.

46 genes*
(SNVs and InDels)

Includes BRAF, RAS and P13K Pathway genes

23 genes*
(Fusions)

Includes known and unknown fusions in RET, NTRK, ALK and other genes
*As per ATA (2015) and NCCN (2022) Guidelines

Why do you need this test?

  • Determines accurate diagnosis and informed surgery decisions in thyroid nodules with benign/indeterminate FNA cytology
  • Provides informed clinical management and treatment options for malignant thyroid nodules
  • Can be used pre-surgery on FNA sample and post-surgery on FFPE tissue block

Who needs to get tested?

genetic testing for thyroid nodules
  • Thyroid FNA with indeterminate cytology (Bethesda categories III and IV)
  • Malignant thyroid cytology (Bethesda category V and VI), when results of the NGS are expected to affect the decision for extent of oncological surgery/treatment
  • Benign thyroid cytology (Bethesda category II), when strong Suspicion of Malignancy exists on clinical grounds such as presence of a highly suspicious sonographic pattern
  • Bethesda category I nodules which are cytologically insufficient and suspicious on sonographic findings
  • When the diagnosis of thyroid cancer is established cytologically or histologically and molecular profiling will affect decision regarding radioactive iodine therapy, intensity of follow up, or for selection of targeted therapies in patients with advanced cancer
molecular testing of thyroid nodules

Gene List

SNVs and Short InDels
AKT1CTNNB1EZH1IDH1
METNTRK3PPARGRNF213
TERTVHLALKDICER1
FARSBIDH2NF2PI3K
PTENROS1 TG APC
EIF1AX FGFR2KDM6ANRAS
PICALMPTHSLC5A5TP53
BRAF EP300 GNAS KRAS
NTRK1PIK3CA RAF1 STK11
TSC2 CHEK2ERBB4 HRAS
MEN1 NTRK2 PIK3R2 RET
SYN2TSHR
Fusions
ALKEML4
FGFR2NTRK1
PAX8RAF1
ROS1THADA
BRAFERBB4
KIF5BNTRK2
PICALMRET
SS18 UACA
CLIP1FARSB
METNTRK3
PPARGRNF213
SYN2

Assay Specification

Sample Requirements* FNAC Fluid in RNA later; Tissue in
RNA later ; FFPE tissue block
FFPE Block Requirement*Cross-sectional tumor area of 25mm2 containing at least 40 μm of tumor
Tumor Purity Minimum20%
Limit of Detection 5% VAF* for SNV and INDELs
>10 spanning reads for fusions
Panel Inclusion 46 genes analysed for SNVs and InDels
23 genes analysed for fusions
(All partners can be identified)
Depth of SequencingAverage >250X
Analytical Sensitivity98%

Test Details

Test CodeMGM2538
Test NameThyroTrack
TAT14 Working Days
Sample Type 1) FNAC Fluid in RNA Later*
Tissue in RNA Later*
(Shipped at 2-4 Degree Celsius)
2) FFPE Tissue Block
(Shipped at Room Temperature)

Clinical Evidences

Positive testing for BRAF, RET/PTC or PAX8/PPARγ was specific for a malignant outcome in 100% of cases, whereas RAS mutations had an 84% risk of cancer and a 16% chance of benign follicular adenoma [PMID: 24811481]. 462 thyroid nodules with AUS/FLUS cytology were assessed using mutation profiling;
31 were positive on mutational analysis (6.7%). 98 of the cases (21%) had a definitive diagnosis by either surgical (n=96) or non-surgical (n=2) methods [PMID: 26356635].
In the largest prospective study of nodules with indeterminate cytology (n=653); detection of mutations was reported to convey an 88% risk of cancer among nodules with surgical follow-up;
63% of cancers on final histopathology were identified with a positive mutation preoperatively and 94% of nodules that were negative on mutation analysis had a benign final histopathology [PMID: 21880806].

Brochures

ThyroTrack Testing

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