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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 standards and Guidelines
      Open Archive

      ACMG Standards and Guidelines for constitutional cytogenomic microarray analysis, including postnatal and prenatal applications: revision 2013

      Genetics in Medicine
      Vol. 15Issue 11p901–909Published in issue: November, 2013
      • Sarah T. South
      • Charles Lee
      • Allen N. Lamb
      • Anne W. Higgins
      • Hutton M. Kearney
      • for the Working Group for the American College of Medical Genetics and Genomics (ACMG) Laboratory Quality Assurance Committee
      Cited in Scopus: 223
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        Microarray methodologies, including array comparative genomic hybridization and single-nucleotide polymorphism–detecting arrays, are accepted as an appropriate first-tier test for the evaluation of imbalances associated with intellectual disability, autism, and multiple congenital anomalies. This technology also has applicability in prenatal specimens. To assist clinical laboratories in validation of microarray methodologies for constitutional applications, the American College of Medical Genetics and Genomics has produced the following revised professional standards and guidelines.
      • ACMG Standards and Guidelines
        Open Archive

        American College of Medical Genetics and Genomics technical standards and guidelines: microarray analysis for chromosome abnormalities in neoplastic disorders

        Genetics in Medicine
        Vol. 15Issue 6p484–494Published in issue: June, 2013
        • Linda D. Cooley
        • Matthew Lebo
        • Marilyn M. Li
        • Marilyn L. Slovak
        • Daynna J. Wolff
        • A Working Group of the American College of Medical Genetics and Genomics (ACMG) Laboratory Quality Assurance Committee
        Cited in Scopus: 46
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          Microarray methodologies, to include array comparative genomic hybridization and single-nucleotide polymorphism–based arrays, are innovative methods that provide genomic data. These data should be correlated with the results from the standard methods, chromosome and/or fluorescence in situ hybridization, to ascertain and characterize the genomic aberrations of neoplastic disorders, both liquid and solid tumors. Over the past several decades, standard methods have led to an accumulation of genetic information specific to many neoplasms.
        • 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: 690
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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: 80
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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.
            • ACMG Standards and Guidelines
              Open Archive

              Microarray analysis for constitutional cytogenetic abnormalities

              Genetics in Medicine
              Vol. 9Issue 9p654–662Published in issue: September, 2007
              • Lisa G. Shaffer
              • Arthur L. Beaudet
              • Arthur R. Brothman
              • Betsy Hirsch
              • Brynn Levy
              • Christa Lese Martin
              • and others
              Cited in Scopus: 62
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                This guideline is designed primarily as an educational resource for health care providers to help them provide quality medical genetic services. Adherence to this guideline does not necessarily ensure a successful medical outcome. This guideline 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. In determining the propriety of any specific procedure or test, the geneticist should apply his or her own professional judgment to the specific clinical circumstances presented by the individual patient or specimen.
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