Clinical Report Generation Process
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Questions and Answers

Living cells capable of cell division are the most critical requirement for ___________ examination.

karyograms

The sample collection and handling process greatly influences whether or not the cells will grow and divide, and the quality of the resulting ___________.

metaphases

Specimen containers used for cell culture must be ________ and labeled with the patient’s name and a second identifier.

sterile

Peripheral blood samples should be collected in _________ syringes or vacuum tubes containing preservative-free sodium heparin.

<p>sterile</p> Signup and view all the answers

Outdated vacuum tubes for blood samples should be __________.

<p>discarded</p> Signup and view all the answers

Living cells for cell culture should be received in a manner that ensures they are capable of ________.

<p>division</p> Signup and view all the answers

The final steps of the process typically involve a clerical review of all relevant clinical, technical, and clerical data, examination of the patient’s chart and karyograms by the laboratory director, and generation of the formal clinical ______.

<p>report</p> Signup and view all the answers

In addition to the appropriate physician and patient demographic information, the patient's file should include the number of metaphases that were examined microscopically, the banding resolution obtained for the specimen, and the number of cells that were analyzed in ______.

<p>detail</p> Signup and view all the answers

The laboratory director is responsible for the examination of the patient’s chart and karyograms, often preceded by the supervisor and/or other senior laboratory personnel, before the generation of the formal clinical ______.

<p>report</p> Signup and view all the answers

The final clinical report should include the patient’s karyotype, the number of karyograms prepared, and the clinical interpretation of the results, including recommendations for additional testing and/or genetic ______.

<p>counseling</p> Signup and view all the answers

The purpose of this chapter is to provide a general overview of the many steps involved from receipt of a sample in the cytogenetics laboratory to the generation of a patient report and to impress upon the reader the ______ nature of this work.

<p>labor-intensive</p> Signup and view all the answers

Summary information recorded in the patient’s file is used in the clinical report and should include patient karyotype, banding resolution, number of cells examined, analyzed, imaged, etc., and is part of the final steps of the process before the generation of the formal clinical ______.

<p>report</p> Signup and view all the answers

Due to the nature of this chapter, individual citations were not always practical. In addition to the references cited below and the authors’ personal experience, the following were used as supplemental sources of information: Barch MJ, Knutsen T, Spurbeck JL, editors. The AGT cytogenetic laboratory manual. Philadelphia: Raven-Lippincott; 1997. 65 Rooney DE, editor. Human cytogenetics: constitutional analysis. 3rd ed. Oxford: Oxford University Press; 2001. Rooney DE, Czepulkowski BH, editors. Human cytogenetics: a practical approach, volume I constitutional analysis. New York: IRL Press, Oxford University Press; 1992. Verma RS, Babu A. Human chromosomes. New York: McGraw-Hill, Inc.; 1995. The American College of Medical Genetics (ACMG) Standards and Guidelines for Clinical Genetics Laboratories. ACMG 2009 Edition/ Revised 01/2010; www.acmg.net/StaticContent/SGs/Section_E_ 2011.pdf. References 1. Dicker F, Schnittger S, Haferlach T, Kern W, Schoch C.

<p>Karyograms examination</p> Signup and view all the answers

All of these in turn depend upon individuals with the appropriate expertise and dedication to patient care. Due to the nature of this chapter, individual citations were not always practical. In addition to the references cited below and the authors’ personal experience, the following were used as supplemental sources of information: Barch MJ, Knutsen T, Spurbeck JL, editors. The AGT cytogenetic laboratory manual. Philadelphia: Raven-Lippincott; 1997. 65 Rooney DE, editor. Human cytogenetics: constitutional analysis. 3rd ed. Oxford: Oxford University Press; 2001. Rooney DE, Czepulkowski BH, editors. Human cytogenetics: a practical approach, volume I constitutional analysis. New York: IRL Press, Oxford University Press; 1992. Verma RS, Babu A. Human chromosomes. New York: McGraw-Hill, Inc.; 1995. The American College of Medical Genetics (ACMG) Standards and Guidelines for Clinical Genetics Laboratories. ACMG 2009 Edition/ Revised 01/2010; www.acmg.net/StaticContent/SGs/Section_E_ 2011.pdf. References 1. Dicker F, Schnittger S, Haferlach T, Kern W, Schoch C.

<p>Cytogenetics laboratory procedures</p> Signup and view all the answers

Due to the nature of this chapter, individual citations were not always practical. In addition to the references cited below and the authors’ personal experience, the following were used as supplemental sources of information: Barch MJ, Knutsen T, Spurbeck JL, editors. The AGT cytogenetic laboratory manual. Philadelphia: Raven-Lippincott; 1997. 65 Rooney DE, editor. Human cytogenetics: constitutional analysis. 3rd ed. Oxford: Oxford University Press; 2001. Rooney DE, Czepulkowski BH, editors. Human cytogenetics: a practical approach, volume I constitutional analysis. New York: IRL Press, Oxford University Press; 1992. Verma RS, Babu A. Human chromosomes. New York: McGraw-Hill, Inc.; 1995. The American College of Medical Genetics (ACMG) Standards and Guidelines for Clinical Genetics Laboratories. ACMG 2009 Edition/ Revised 01/2010; www.acmg.net/StaticContent/SGs/Section_E_ 2011.pdf. References 1. Dicker F, Schnittger S, Haferlach T, Kern W, Schoch C.

<p>Review of clinical, technical, and clerical data</p> Signup and view all the answers

Due to the nature of this chapter, individual citations were not always practical. In addition to the references cited below and the authors’ personal experience, the following were used as supplemental sources of information: Barch MJ, Knutsen T, Spurbeck JL, editors. The AGT cytogenetic laboratory manual. Philadelphia: Raven-Lippincott; 1997. 65 Rooney DE, editor. Human cytogenetics: constitutional analysis. 3rd ed. Oxford: Oxford University Press; 2001. Rooney DE, Czepulkowski BH, editors. Human cytogenetics: a practical approach, volume I constitutional analysis. New York: IRL Press, Oxford University Press; 1992. Verma RS, Babu A. Human chromosomes. New York: McGraw-Hill, Inc.; 1995. The American College of Medical Genetics (ACMG) Standards and Guidelines for Clinical Genetics Laboratories. ACMG 2009 Edition/ Revised 01/2010; www.acmg.net/StaticContent/SGs/Section_E_ 2011.pdf. References 1. Dicker F, Schnittger S, Haferlach T, Kern W, Schoch C.

<p>Generation of clinical report</p> Signup and view all the answers

Due to the nature of this chapter, individual citations were not always practical. In addition to the references cited below and the authors’ personal experience, the following were used as supplemental sources of information: Barch MJ, Knutsen T, Spurbeck JL, editors. The AGT cytogenetic laboratory manual. Philadelphia: Raven-Lippincott; 1997. 65 Rooney DE, editor. Human cytogenetics: constitutional analysis. 3rd ed. Oxford: Oxford University Press; 2001. Rooney DE, Czepulkowski BH, editors. Human cytogenetics: a practical approach, volume I constitutional analysis. New York: IRL Press, Oxford University Press; 1992. Verma RS, Babu A. Human chromosomes. New York: McGraw-Hill, Inc.; 1995. The American College of Medical Genetics (ACMG) Standards and Guidelines for Clinical Genetics Laboratories. ACMG 2009 Edition/ Revised 01/2010; www.acmg.net/StaticContent/SGs/Section_E_ 2011.pdf. References 1. Dicker F, Schnittger S, Haferlach T, Kern W, Schoch C.

<p>Laboratory director responsibilities</p> Signup and view all the answers

Due to the nature of this chapter, individual citations were not always practical. In addition to the references cited below and the authors’ personal experience, the following were used as supplemental sources of information: Barch MJ, Knutsen T, Spurbeck JL, editors. The AGT cytogenetic laboratory manual. Philadelphia: Raven-Lippincott; 1997. 65 Rooney DE, editor. Human cytogenetics: constitutional analysis. 3rd ed. Oxford: Oxford University Press; 2001. Rooney DE, Czepulkowski BH, editors. Human cytogenetics: a practical approach, volume I constitutional analysis. New York: IRL Press, Oxford University Press; 1992. Verma RS, Babu A. Human chromosomes. New York: McGraw-Hill, Inc.; 1995. The American College of Medical Genetics (ACMG) Standards and Guidelines for Clinical Genetics Laboratories. ACMG 2009 Edition/ Revised 01/2010; www.acmg.net/StaticContent/SGs/Section_E_ 2011.pdf. References 1. Dicker F, Schnittger S, Haferlach T, Kern W, Schoch C.

<p>Expertise</p> Signup and view all the answers

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