Epic Code LAB1230329 B-ALL MRD, Blood
Test Name Alias
B Lymphoblastic Leukemia MRD | B cell acute leukemia MRD | Minimal residual disease | MRD by Flow Cytometry | COG Day 8 | B-ALL MRD
Interface Order Alias
55133
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 8 of COG protocol; 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. White blood cells in a peripheral blood sample are stained with a viability dye and monoclonal antibody to CD10, CD19, CD20, CD34, CD45. 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: Blood
Container/Tube: Lavender top EDTA or Sodium Heparin (NaHep Green)
Preferred volume to collect: 5.0 mL
Minimum volume to collect: 2.0 mL
Neonate volume to collect: 2.0 mL
Capillary collect ok? No
Microtainer acceptable? No
Collection Instructions:
- Gently invert tube 8-10 times after collection
- 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
88185×5
88187
CDM Code
LAB88187, 3108818404, 3108818504
Epic Test ID
1230101895
Reviewed Date
4/28/2023