Collect

Acceptable Specimens
  1. Bone Marrow Aspirate, EDTA anticoagulated, minimum 1.0 mL (including Ficoll Gradient Flow Cells or unstained smears)
  2. Peripheral Blood, EDTA anticoagulated, minimum 2.0 mL (including Ficoll Gradient Flow Cells)

Unacceptable Conditions

Unacceptable specimens: Blood/Bone Marrow collected in heparin (green-top) tubes.

***Note: This assay is not designed for formalin-fixed paraffin embedded tissues****
 

Storage/Transport Temperature

Refrigerate

Performed

Monday-Friday Molecular Diagnostics Laboratory

Remarks

There are two seperate tests built depending on specimen source, MPNPB for peripheral blood, and MPNBM for Bone Marrow samples.

***Note: This assay is not designed for formalin-fixed paraffin embedded tissues****

 

Notes

Molecular Diagnostics Laboratory now offers a panel analysis for somatic mutations in 5 genes that are known to be mutated in Myeloproliferative Neoplasms including Polycythemia Vera (PV), Essential Thrombocythemia (ET), Primary Myelofibrosis (PMF), Chronic Neutrophilic Leukemia (CNL) and Systemic Mastocytosis (SM).
 
This panel, using masking of the 40 gene Oncomine Myeloid panel on the Ion S5™ Prime System, will aid in both establishing the diagnosis of a Myeloproliferative Neoplasm and discriminating these clonal entities from reactive conditions, in fresh bone marrow and peripheral blood.  To summarize:
                                                                         MPN Panel
JAK2 (Exons 12, 13, 14, 15, hotspots)
MPL (Exons 3,4,10,12 hotspots)
CALR (full gene)
KIT (Exons 1,2,8-11,13,17 hotspots)
CSF3R (Exons 14,17,18 hotspots)


This assay is not intended for the analysis of normal/ non-neoplastic tissue or for the identification of germline variants that may result in hereditary syndromes.  If variants are identified that raise concern for a germline change, the oncologist will be consulted regarding genetic referral.  

This assay does not identify large insertions or deletions, gene amplification, chromosomal translocations or other structural changes, gene expression, epigenetic alterations or mutations that are not covered by this panel.


The stated limit of detection for this assay is approximately 5% mutant allele for SNVs and 10% for small indels, but may vary depending on the specific mutation.  In certain cases (e.g. JAK2 p.V617F), variants can be identified down to 3% mutant allele frequency.

Performed

Monday-Friday Molecular Diagnostics Laboratory

Methodology

Next Generation Sequencing

Reported

Within 10-14 buisness days

Interpretive Data

Results and Interpretation will be individualized based on specific findings. Depending on these findings, results may include gene mutations, associated targeted therapy information, and clinical trial information for certain identified mutations. Mutations will not be identified in every case.

CPT Codes

81450
​​​​​​​UHC reference code:  56200023

Test Build Information

OrderCode OrderName ResultCode ResultName CPT
MPNBM Myeloproliferative Neoplasm (MPN) Panel/Bone Marrow MPNBM Myeloproliferative Neoplasm (MPN) Panel/Bone Marrow 81450
         
MPNPB Myeloproliferative Neoplasm (MPN) Panel/Peripheral Blood MPNPB Myeloproliferative Neoplasm (MPN) Panel/Peripheral Blood 81450

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu
 
Collection

Collect

Acceptable Specimens
  1. Bone Marrow Aspirate, EDTA anticoagulated, minimum 1.0 mL (including Ficoll Gradient Flow Cells or unstained smears)
  2. Peripheral Blood, EDTA anticoagulated, minimum 2.0 mL (including Ficoll Gradient Flow Cells)

Unacceptable Conditions

Unacceptable specimens: Blood/Bone Marrow collected in heparin (green-top) tubes.

***Note: This assay is not designed for formalin-fixed paraffin embedded tissues****
 

Storage/Transport Temperature

Refrigerate

Performed

Monday-Friday Molecular Diagnostics Laboratory

Remarks

There are two seperate tests built depending on specimen source, MPNPB for peripheral blood, and MPNBM for Bone Marrow samples.

***Note: This assay is not designed for formalin-fixed paraffin embedded tissues****

 

Notes

Molecular Diagnostics Laboratory now offers a panel analysis for somatic mutations in 5 genes that are known to be mutated in Myeloproliferative Neoplasms including Polycythemia Vera (PV), Essential Thrombocythemia (ET), Primary Myelofibrosis (PMF), Chronic Neutrophilic Leukemia (CNL) and Systemic Mastocytosis (SM).
 
This panel, using masking of the 40 gene Oncomine Myeloid panel on the Ion S5™ Prime System, will aid in both establishing the diagnosis of a Myeloproliferative Neoplasm and discriminating these clonal entities from reactive conditions, in fresh bone marrow and peripheral blood.  To summarize:
                                                                         MPN Panel
JAK2 (Exons 12, 13, 14, 15, hotspots)
MPL (Exons 3,4,10,12 hotspots)
CALR (full gene)
KIT (Exons 1,2,8-11,13,17 hotspots)
CSF3R (Exons 14,17,18 hotspots)


This assay is not intended for the analysis of normal/ non-neoplastic tissue or for the identification of germline variants that may result in hereditary syndromes.  If variants are identified that raise concern for a germline change, the oncologist will be consulted regarding genetic referral.  

This assay does not identify large insertions or deletions, gene amplification, chromosomal translocations or other structural changes, gene expression, epigenetic alterations or mutations that are not covered by this panel.


The stated limit of detection for this assay is approximately 5% mutant allele for SNVs and 10% for small indels, but may vary depending on the specific mutation.  In certain cases (e.g. JAK2 p.V617F), variants can be identified down to 3% mutant allele frequency.

Ordering

Performed

Monday-Friday Molecular Diagnostics Laboratory

Methodology

Next Generation Sequencing

Reported

Within 10-14 buisness days
Result Interpretation

Interpretive Data

Results and Interpretation will be individualized based on specific findings. Depending on these findings, results may include gene mutations, associated targeted therapy information, and clinical trial information for certain identified mutations. Mutations will not be identified in every case.
Administrative

CPT Codes

81450
​​​​​​​UHC reference code:  56200023
RPS Interface Information

Test Build Information

OrderCode OrderName ResultCode ResultName CPT
MPNBM Myeloproliferative Neoplasm (MPN) Panel/Bone Marrow MPNBM Myeloproliferative Neoplasm (MPN) Panel/Bone Marrow 81450
         
MPNPB Myeloproliferative Neoplasm (MPN) Panel/Peripheral Blood MPNPB Myeloproliferative Neoplasm (MPN) Panel/Peripheral Blood 81450

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu