Next Generation Sequencing

Next-Generation sequencing (NGS) performs massively parallel sequencing of genomes, allowing for the analysis of a significant number of genomic targets with a single test. Critically, NGS allows for the detection of aberrations that may only be present at very low levels, but which may have important clinical relevance for the patient’s diagnosis and prognosis.

DNA-FISH Probes

Fluorescence in situ hybridization (FISH) is used to detect chromosomal aberrations such as DNA copy number changes (gain/loss) and rearrangements (translocation/break apart). FISH is a method of choice for diagnosis, prognosis, and treatment response prediction for a number of hematological and solid tumor cancers

CGH Microarrays

Microarray based technology assesses a large number of genetic alterations in a single experiment. One application of this technology, known as array-CGH, is utilized to evaluate DNA copy number changes (gains/losses) observed frequently in tumor genomes. We have designed disease-specific, targeted microarrays for diagnostic and prognostic purposes in a variety of cancers.

Pharmacogenomic Testing

Pharmacogenomic testing is becoming increasingly central to the field of personalized medicine. Pharmacogenomic testing assesses biomarkers associated with drug metabolism and is used to help reduce the incidence of adverse drug reactions and predict how an individual patient will respond to a given medication. Pharmacogenomics can help ensure that patients get the right medication and the right dose.

Liquid Biopsy

Blood Test for Cancer Detection & Treatment Planning

CIRCULATING TUMOR CELL – Detection Test

Breast Cancer – Colon Cancer – Prostate Cancer

SINGLE TEST – BEFORE CHEMOTHERAPY

CIRCULATING TUMOR CELL – Breast, Colon & Prostate

INCLUDES 2 TESTS

PRE- CHEMOTHERAPY AND

AFTER 1ST CYCLE OF CHEMOTHERAPY –

CIRCULATING TUMOR CELL – Breast, Colon & Prostate

INCLUDES 3 TESTS

PRE-CHEMOTHERAPY

AFTER 1ST CYCLE OF CHEMOTHERAPY &

AFTER 1 YEAR OF CHEMOTHERAPY COMPLETION

Liquid Biopsy – Lung Cancer

Cell free DNA – EGFR Mutation Detection

Liquid Biopsy Colon Cancer

Cell free DNA (BRAF, NRAS, KRAS)

Liquid Biopsy – Colon Cancer

Cell free DNA – KRAS

Liquid Biopsy – Colon Cancer

Cell free DNA – BRAF

Liquid Biopsy – Colon Cancer

Cell free DNA – NRAS

Next Generation Sequencing

Clinical Grade Test to Detect Drugable Cancer Mutations

Next Generation Cancer Hot Spot Panel – 50 Genes

 (DNA – RNA – Pharmacogenomics)

BRCA1 & BRCA2

Breast and Ovarian Cancer

NGS-Lung Cancer Mutation & Fusion Panel

23 genes and 6 fusion transcripts (FDA IVD Approved)

NGS – Lung Focus Panel

 (52 genes, 26 copy Numbers)

Lung Cancer Tests

NGS – Liquid Biopsy – Molecular Tests

NGS – 50 Gene Cancer Hot Spot Panel

(DNA – RNA – Pharmacogenomics)

Lung Cancer Mutation & Fusion Panel

23 genes and 6 fusion transcripts (FDA IVD Approved)

NGS – Lung Focus Panel

 (52 genes, 26 copy Numbers)

Liquid Biopsy – Cell Free DNA

Droplet Digital PCR (EGFR L858R, E746_A750del,& T790M)

Liquid Biopsy – CIRCULATING TUMOR CELL

Detection & Enumeration – PFS/OS

PREDICITIVE LUNG CANCER PANEL –

EGFR BY ARMS PCR

ALK BY IHC

ROS1 BY FISH

MET BY FISH

EGFR mutation analysis for Exon 18 to 21

EGFR by RT PCR and ROS translocation by FISH

FISH-B.A. Test for EML-ALK fusion

Lung Multi-Gene

EGFR BY RT PCR

ROS1 translocation by FISH &

ALK by IHC

ROS1 BY FISH

ROS1 & MET BY FISH

CMET amplification by FISH and PDL1 by IHC

FISH-B.A. Test for EML-ALK fusion

BREAK APART FISH FOR – RET

Breast Cancer Tests

NGS – Liquid Biopsy – Molecular Tests

NGS – 50 Gene Cancer Hot Spot Panel

 (DNA – RNA – Pharmacogenomics)

Liquid Biopsy – CIRCULATING TUMOR CELL

Detection & Enumeration – PFS/OS

BRCA1 & BRCA2 by Next Gen Sequencing

BRCA1 & BRCA2 by Testing By MLPA

HER2 exon 20 and BRAF mutation analysis

FISH for HER2 Neu copy number gain

HER2 amplification and RET rearrangement – FISH

 

Colon Cancer Tests

NGS – Liquid Biopsy – Molecular Tests

NGS – 50 Gene Cancer Hot Spot Panel

 (DNA – RNA – Pharmacogenomics)

Liquid Biopsy – CIRCULATING TUMOR CELL

Detection & Enumeration – PFS/OS

Liquid Biopsy – Colon Cancer

Cell free DNA (BRAF, NRAS, KRAS)

Liquid Biopsy – Colon Cancer

Cell free DNA (BRAF)

Liquid Biopsy – Colon Cancer

Cell free DNA (NRAS)

Liquid Biopsy – Colon Cancer

Cell free DNA (KRAS)

Colon Molecular profiling of KRAS & NRAS

Extended Molecular Profiling – KRAS, NRAS and BRAF

KRAS mutation analysis (codon 12,13,61)

NRAS mutation analysis (codon 12,13,61)

Prostate Cancer Tests

NGS – Liquid Biopsy – Molecular Tests

NGS – 50 Gene Cancer Hot Spot Panel

 (DNA – RNA – Pharmacogenomics)

Liquid Biopsy – CIRCULATING TUMOR CELL

Detection & Enumeration – PFS/OS

Tests for Sarcoma

NGS – Liquid Biopsy – Molecular Tests

NGS – 50 Gene Cancer Hot Spot Panel

 (DNA – RNA – Pharmacogenomics)

FISH-B.A. Test for Ewings Sarcoma/Synovial Sarcoma

FISH-B.A. Test for EWSR1(Chr.22) (Ewings Sarcoma/

FISH-B.A. Test for SS18 (Chr. 18) (Synovial Sarcom

Tests for Melanoma

NGS – Liquid Biopsy – Molecular Tests

NGS – 50 Gene Cancer Hot Spot Panel

 (DNA – RNA – Pharmacogenomics)

Liquid Biopsy – Cell Free DNA – BRAF

c-KIT Mutation for Melanoma

BRAF & c-KIT MELONAMA

c-KIT Mutation & PDGFRA Mutation for GIST

Brain Tumor Tests – Glioblastoma

NGS – Liquid Biopsy – Molecular Tests

NGS – 50 Gene Cancer Hot Spot Panel

 (DNA – RNA – Pharmacogenomics)

FISH for 1p36/1q25 and 19q13/19p13 codeletion

MGMT MS-PCR

 

Acute Lymphocytic Leukemia

ALL Translocation Panel

 [t( 1;19) ,t(12 ;21), t (4;11),t(9; 22)]

Acute Myeloid Leukemia

AML Comboquest

NPM1 mutation analysis

FLT3 mutation analysis

CEBPA mutation analysis

AML Prognostic (NPM1 mutation, FLT3 mutation)

AML Translocation Extended Panel

 [t(8;21),t(15;17),inv16,FLT3,NPM1]

AML Translocation Panel

 [t(8;21),t(15;17),inv16]

PML-RARa t(15;17)/aml-eto T(8;21)/inv16 QUALITATIV

FLT3 muations (ITD & D835) Restriction Digestion

Chronic Myeloid Leukemia

Qualitative PCR for JAK2 V617F Exon 14 mutation de

Quantitative PCR t(9;22) BCR/ABL

BCR-ABL QUALITATIVE BY RT-PCR

BCR-ABL BY FISH

IRMA – BCR/ABL Kinase Domain Mutation analysis

 (Molecular Analysis of Acquired Resistance to Imatinib)

Chronic Lymphoid Leukemia

FISH FOR CLL

Lymphoma’s

Bcl2, Bcl6 & Cmyc Translocations by FISH

C-myc by FISH

BCL 2 by FISH

BCL 6 by FISH

Bcl2, Bcl6 & Cmyc Translocations by FISH

Hereditary Disease – Genetic Tests

To help you understand your risk of developing a disease

myGenome

Whole Genome Sequencing

myCarrier

Saliva-based screening of prospective or currently pregnant parents for carrier status of inherited and rare conditions such as cystic fibrosis, dystrophies, and other debilitating genetic conditions.

 myNewborn

Comprehensive screening of newborns for early childhood diseases, primarily monogenic, Mendelian disorders for which genetic screening by DNA sequencing is ideal and for which medical preventive, surveillance, or treatment interventions are possible.

 myPrenatal

Maternal Blood bases non invasive screening test that predicts the presence of Down Syndrome (T21), Edwards Syndrome (T18) and Patau Syndrome (T13).

 

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