Epic Code LAB1230328 B-ALL MRD, Bone Marrow
Test Name Alias
B Lymphoblastic Leukemia MRD | B cell acute leukemia MRD | Minimal residual disease | MRD by Flow Cytometry | COG Day 29 | B-ALL MRD
Interface Order Alias
55132
Quick Collect
AP Ambient
Clinical Information
This test is appropriate for patients previously diagnosed wth B-ALL and may be run at any time point in therapy.
This is a COG approved MRD test for patients enrolled on AALL0932 and AALL1131. Day 29 of COG protocol. May be ordered post consolidation; other timepoints in therapy also accepted.
Minimal residual disease (MRD) is a powerful prognostic factor for predicting outcome in pediatric B cell acute lymphoblastic leukemia (B-ALL). This flow cytometry assay is an effective method for measuring MRD and is the COG approved MRD test for patients enrolled on AALL0932 and AALL1131 Day 8 of COG protocol; other time points in therapy also accepted. This flow cytometry assay involves the staining of white blood cells in a bone marrow sample with a viability dye and monoclonal antibody to CD3, CD9, CD10, CD13, CD19, CD20, CD33, CD34, CD38, CD45, CD58, and CD71. Additional markers may be evaluated if phenotypic charateristics indicate the need. This flow cytometric assay has the ability to enumerate and characterize very small populations of abnormal cells, often as low as 1 in 10,000 cells.
Collection Instructions
Specimen Collection: Bone Marrow Aspirate
Container/Tube: 4 mL Sodium Heparin (NaHep Green) or 3 mL Lavender EDTA
Preferred volume to collect: 4.0 mL NaHep or 3.0 mL EDTA
Minimum volume to collect: 3.0 mL
Neonate volume to collect: 2.0 mL
Collection Instructions:
- Keep sample at room temperature and send to the Lab immediately.
Processing Instructions (Laboratory, Outpatient or Off-site collection)
Please contact ATL Lab Central at 616-486-6233 for shipping instructions
Spin: No
Aliquot: No
Transport Temperature: Ambient
If ambient temperature exceeds 80°F or is below 40°F, please send in an insulated container. All samples should be directed to the laboratory as soon as possible.
Specimen Stability
Ambient: 48 hours (specimens >48 hours will still be run and reported)
Laboratory Retention: 7 days (refrigerated)
Test Frequency
Test Set Up: Monday – Friday 8:00 am – 4:00 pm, Saturday - Sunday 8:00 am - 12:30 pm
Final report: 1 – 3 days.
Reference Range
An interpretative report will be provided.
Performing Department
Flow Cytometry
Performing Department Laboratory Location
Corewell Health Advanced Technology Laboratory (ATL), Grand Rapids, MI
Methodology
Flow Cytometry Immunophenotyping
CPT
88184
88185×12
88188
CDM Code
LAB88188, 3108818404, 3108818504
Epic Test ID
1230101893
Reviewed Date
4/28/2023