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AML PANEL (Cytogenetics + FISH [AML/ETO, inv(16), PML/RARA, MLL]) Test

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AML PANEL (Cytogenetics + FISH [AML/ETO, inv(16), PML/RARA, MLL]) Test

Short Name: AML Panel

Also known as: AML FISH Panel, Leukemia FISH Panel, AML Cytogenetics Panel

AML PANEL (Cytogenetics + FISH [AML/ETO, inv(16), PML/RARA, MLL]) Test test available at DNA Labs India for ₹18,000. Uses Cell Culture, Fluorescence In Situ Hybridization (FISH) on Bone marrow / Peripheral blood samples. Results in Results are typically available within 10 days after sample receipt.. Free home collection in 300+ cities across India.

Cytogenetics + FISH🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the AML Panel is to identify specific genetic abnormalities that aid in the diagnosis, risk stratification, and therapeutic management of Acute Myeloid Leukemia. It helps in distinguishing AML subtypes, predicting prognosis, and selecting targeted therapies. For example, detection of PML-RARA confirms APL and guides the use of differentiation therapy. The panel also assists in monitoring minimal residual disease and detecting relapse.

Test Code
6032
CPT Code
88237, 88271, 88275, 88291
ICD Code
C92.00
Price
₹18,000
Sample Type
Bone marrow / Peripheral blood
Result Time
Results are typically available within 10 days after sample receipt.
Fasting Required
No
Method
Cell Culture, Fluorescence In Situ Hybridization (FISH)
Step 1

Sample Collection

No special preparation required. Inform your doctor about any medications, especially anticoagulants or chemotherapy. A doctor's prescription is mandatory.

Method: Venipuncture or Bone Marrow Aspiration

Step 2

Laboratory Analysis

Sample collection involves a bone marrow aspiration or blood draw. You may feel minor discomfort. The procedure is performed by trained personnel.

Step 3

Report Delivery

Apply pressure to the puncture site to prevent bleeding. You can resume normal activities immediately. Report any unusual bleeding or infection at the site.

Timeline: Results are typically available within 10 days after sample receipt.

Patient Instructions

1
Before the Test:No special preparation. Ensure you have a doctor's prescription. Inform your doctor about all medications.
2
During the Test:Sample collection is quick. For bone marrow, local anesthesia is used. You may feel pressure but minimal pain.
3
After the Test:You can resume normal activities. Keep the puncture site clean and dry. Report any signs of infection.

About This Test

Who Should Get This Test

The purpose of the AML Panel is to identify specific genetic abnormalities that aid in the diagnosis, risk stratification, and therapeutic management of Acute Myeloid Leukemia. It helps in distinguishing AML subtypes, predicting prognosis, and selecting targeted therapies. For example, detection of PML-RARA confirms APL and guides the use of differentiation therapy. The panel also assists in monitoring minimal residual disease and detecting relapse.

How to Prepare

  • Bone marrow aspirate: collect in sodium heparin tube, transport at room temperature immediately
  • Peripheral blood: collect 2 ml in sodium heparin vacutainer, transport on cool pack
  • Label the sample with patient name, ID, and date of collection
  • Do not refrigerate bone marrow samples; keep at room temperature

Doctor's Notes

Reviewed by — MBBS, MD (Pathology) · Reg. No. 21521

"This panel is essential for risk stratification and targeted therapy selection in AML. Early detection of recurrent genetic abnormalities significantly impacts prognosis."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBone marrow / Peripheral blood
Sample Volume2 ml
ContainerSodium Heparin Vacutainer
Collection MethodVenipuncture or Bone Marrow Aspiration

Sample Stability

Bone marrow: 24 hours at room temperature
Peripheral blood: 48 hours at 2-8°C
Do not freeze
Sample Rejection Criteria:
  • Clotted sample
  • Hemolyzed sample
  • Incorrect anticoagulant (e.g., EDTA instead of heparin)
  • Sample received after 48 hours
  • Unlabeled or mislabeled sample

Understanding Your Results

The interpretation of the AML Panel results should be done by a qualified hematologist or oncologist. Results are reported as positive or negative for each genetic abnormality, along with the karyotype.
📊

t(8;21) / AML1-ETO positive

Core-binding factor AML, favorable prognosis, high remission rate with high-dose cytarabine

📊

inv(16) / CBFB-MYH11 positive

Core-binding factor AML, favorable prognosis, associated with myelomonocytic differentiation

📊

t(15;17) / PML-RARA positive

Acute promyelocytic leukemia (APL), highly responsive to ATRA and arsenic trioxide, excellent prognosis

📊

MLL (11q23) rearrangement positive

High-risk AML, often therapy-related, poor prognosis, may require allogeneic stem cell transplant

📊

Normal karyotype and negative FISH

No recurrent genetic abnormality detected; further molecular testing may be needed for risk stratification

⚠️ When to Consult a Doctor:

Consult your oncologist if you experience symptoms such as persistent fever, fatigue, easy bruising, bleeding, bone pain, or unexplained weight loss. Early diagnosis and treatment are critical for AML.

Limitations

  • FISH only detects specific known rearrangements; other cryptic abnormalities may be missed
  • Cytogenetic analysis requires viable cells; culture failure may occur
  • Results should be interpreted in conjunction with morphology and clinical findings
  • Not a screening test for general population; only for suspected AML

Risks & Considerations

  • Bone marrow aspiration: rare risk of bleeding, infection, or discomfort
  • Blood draw: minimal risk of bruising or hematoma
  • FISH and cytogenetics have no direct risks to the patient

Interfering Factors

  • Inadequate sample volume or poor quality DNA/RNA
  • Delayed transport leading to cell degradation
  • Recent blood transfusion (may dilute abnormal cells)
  • Clotted sample (if anticoagulant not mixed properly)
  • Prior chemotherapy or radiation may affect cytogenetic results

Compare With Similar Tests

TestAML PANEL (Cytogenetics + FISH [AML/ETO, inv(16), PML/RARA, MLL])AML Molecular Panel (NGS)Flow Cytometry for AMLConventional Cytogenetics only
ComparisonAML PANEL (Cytogenetics + FISH [AML/ETO, inv(16), PML/RARA, MLL])Detects gene mutations (e.g., FLT3, NPM1, CEBPA) in addition to chromosomal abnormalities. More comprehensive but higher cost and longer turnaround.Immunophenotyping to identify blast lineage, but does not detect genetic abnormalities.Karyotyping alone may miss small rearrangements; FISH adds sensitivity for specific translocations.

Frequently Asked Questions

What is the cost of the AML Panel test at DNA Labs India?
The AML Panel (Cytogenetics + FISH) costs INR 18,000 at DNA Labs India. This includes all necessary procedures and home sample collection.
What does the AML Panel detect?
It detects specific chromosomal abnormalities and gene rearrangements associated with AML, including t(8;21), inv(16), t(15;17), and MLL (11q23) rearrangements.
What sample is required for the AML Panel?
Bone marrow aspirate or peripheral blood (2 ml) collected in a sodium heparin vacutainer is required.
Is fasting required before the test?
No, fasting is not required for this test.
How long does it take to get results?
Results are typically available within 10 days after the sample is received by the laboratory.
Is a doctor's prescription necessary?
Yes, a doctor's prescription is required for this test, except for surgery or pregnancy cases or travel abroad.
Can home sample collection be done?
Yes, DNA Labs India offers free home sample collection for online bookings across major cities in India.
What is the significance of PML-RARA in AML?
PML-RARA indicates acute promyelocytic leukemia (APL), which is highly responsive to ATRA and arsenic trioxide, leading to excellent outcomes.
Are there any risks associated with the test?
The test involves a blood draw or bone marrow aspiration, which carries minimal risks like bleeding or infection. FISH and cytogenetics have no direct risks.
How should the sample be transported?
Bone marrow samples should be transported immediately at room temperature, while peripheral blood should be transported on a cool pack.
What does a negative result mean?
A negative result indicates that none of the tested genetic abnormalities were detected. Further molecular testing may be needed for comprehensive risk stratification.
Is the test covered by insurance?
Insurance coverage varies. It is advisable to check with your insurance provider. DNA Labs India does not directly bill insurance.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.
For Hospitals & Clinics

Reference Laboratory Services

We serve as a reference laboratory for hospitals and clinics across India. Send samples from your facility with same-day pickup, priority processing, and results delivered through our online portal. Competitive institutional pricing available.

LIMS Integration

Your Data Privacy

Your medical data is protected under Indian law.

Stored in India: All patient records are stored on servers located in India. No data is transferred outside the country.

DPDP Act Compliant: Under the Digital Personal Data Protection Act 2023, you can request deletion of your records at any time by contacting support.

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