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ACMG Statements and Guidelines

These online statements and guidelines are definitive and may be cited using the digital object identifier (DOI). These recommendations are designed primarily as an educational resource for medical geneticists and other healthcare providers to help them provide quality medical genetics services; they should not be considered inclusive of all proper procedures and tests or exclusive of other procedures and tests that are reasonably directed to obtaining the same results. Please refer to the leading disclaimer in each document for more information.

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  • ACMG Policy Statement
    Open Archive

    American College of Medical Genetics standards and guidelines for interpretation and reporting of postnatal constitutional copy number variants

    Genetics in Medicine
    Vol. 13Issue 7p680–685Published in issue: July, 2011
    • Hutton M. Kearney
    • Erik C. Thorland
    • Kerry K. Brown
    • Fabiola Quintero-Rivera
    • Sarah T. South
    • A Working Group of the American College of Medical Genetics (ACMG) Laboratory Quality Assurance Committee
    Cited in Scopus: 702
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      Genomic microarrays used to assess DNA copy number are now recommended as first-tier tests for the postnatal evaluation of individuals with intellectual disability, autism spectrum disorders, and/or multiple congenital anomalies. Application of this technology has resulted in the discovery of widespread copy number variation in the human genome, both polymorphic variation in healthy individuals and novel pathogenic copy number imbalances. To assist clinical laboratories in the evaluation of copy number variants and to promote consistency in interpretation and reporting of genomic microarray results, the American College of Medical Genetics has developed the following professional guidelines for the interpretation and reporting of copy number variation.
    • ACMG Policy Statement and Guidelines
      Open Archive

      American College of Medical Genetics recommendations for the design and performance expectations for clinical genomic copy number microarrays intended for use in the postnatal setting for detection of constitutional abnormalities

      Genetics in Medicine
      Vol. 13Issue 7p676–679Published in issue: July, 2011
      • Hutton M. Kearney
      • Sarah T. South
      • Daynna J. Wolff
      • Allen Lamb
      • Ada Hamosh
      • Kathleen W. Rao
      • and others
      Cited in Scopus: 81
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        Genomic copy number microarrays have significantly increased the diagnostic yield over a karyotype for clinically significant imbalances in individuals with developmental delay, intellectual disability, multiple congenital anomalies, and autism, and they are now accepted as a first tier diagnostic test for these indications. As it is not feasible to validate microarray technology that targets the entire genome in the same manner as an assay that targets a specific gene or syndromic region, a new paradigm of validation and regulation is needed to regulate this important diagnostic technology.
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