Skip to main content
DNA Labs India

FISH - NSCLC (Non-Small Cell Lung Cancer) ALK1 & ROS1 Test

DNA Labs India | ISO 9001:2015 Certified

FISH - NSCLC (Non-Small Cell Lung Cancer) ALK1 & ROS1 Test

Short Name: FISH NSCLC ALK1 ROS1 Test

Also known as: ALK1 FISH Test, ROS1 FISH Test, NSCLC Genetic Panel, Fluorescence In Situ Hybridization for Lung Cancer

FISH - NSCLC (Non-Small Cell Lung Cancer) ALK1 & ROS1 Test test available at DNA Labs India for ₹16,000. Uses Fluorescence In Situ Hybridization (FISH) on Formalin fixed paraffin embedded tissue block samples. Results in Report available in 4 working days. Free home collection in 300+ cities across India.

Genetic TestAdults🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the FISH NSCLC ALK1 ROS1 test is to detect specific genetic rearrangements in the ALK1 and ROS1 genes within non-small cell lung cancer cells. Identifying these alterations is crucial for determining eligibility for targeted therapies, which can significantly enhance treatment efficacy and patient prognosis. This test supports personalized medicine by enabling oncologists to tailor treatment plans based on the genetic profile of the tumor.

Test Code
586
Price
₹16,000
Sample Type
Formalin fixed paraffin embedded tissue block
Result Time
Report available in 4 working days
Fasting Required
No
Method
Fluorescence In Situ Hybridization (FISH)
Step 1

Sample Collection

Ensure the biopsy is performed by a qualified professional. Provide a duly filled Chromosome & FISH analysis Requisition Form (Form 17). No specific fasting or preparation is required for the patient.

Method: Biopsy collection

Step 2

Laboratory Analysis

The biopsy procedure involves extracting tissue from the lung or suspected area. The sample must be handled carefully to maintain integrity for FISH analysis.

Step 3

Report Delivery

The tissue block is preserved in formalin and embedded in paraffin for long-term stability. The sample is then shipped to the laboratory at room temperature.

Timeline: Report available in 4 working days

Patient Instructions

1
Before the Test:No special preparation is required. Ensure the biopsy sample is collected and the requisition form is completed.
2
During the Test:The test is performed on the biopsy specimen in the laboratory; no patient involvement is needed during analysis.
3
After the Test:Results are communicated via the chosen delivery method. Discuss findings with your oncologist for next steps.

About This Test

Who Should Get This Test

The purpose of the FISH NSCLC ALK1 ROS1 test is to detect specific genetic rearrangements in the ALK1 and ROS1 genes within non-small cell lung cancer cells. Identifying these alterations is crucial for determining eligibility for targeted therapies, which can significantly enhance treatment efficacy and patient prognosis. This test supports personalized medicine by enabling oncologists to tailor treatment plans based on the genetic profile of the tumor.

How to Prepare

  • Submit a formalin-fixed paraffin-embedded tissue block
  • Ensure the block contains at least 10% tumor tissue
  • Include a completed Chromosome & FISH analysis Requisition Form (Form 17)
  • Ship the sample at room temperature to the laboratory

Doctor's Notes

Reviewed by — MBBS, MD (General Medicine) · Reg. No. 8052

"This FISH test is critical for identifying ALK1 and ROS1 rearrangements in NSCLC patients, enabling targeted therapies that significantly improve treatment outcomes and survival rates."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeFormalin fixed paraffin embedded tissue block
Sample VolumeSufficient tissue with at least 10% tumor cells
ContainerParaffin embedded tissue block
Collection MethodBiopsy collection

Sample Stability

Room TemperatureStable for several days if properly fixed
Sample Rejection Criteria:
  • Insufficient tumor content in the tissue block
  • Missing or incomplete requisition form
  • Improperly fixed or damaged sample

Understanding Your Results

Interpretation of the FISH NSCLC ALK1 ROS1 test involves evaluating the presence or absence of gene rearrangements in the biopsy specimen. A positive result indicates the detection of ALK1 or ROS1 rearrangements, guiding targeted therapy options, while a negative result suggests no such alterations were found.
📊

Positive for ALK1 rearrangement

Indicates presence of ALK1 gene rearrangement; patient may be eligible for ALK-targeted therapies

📊

Positive for ROS1 rearrangement

Indicates presence of ROS1 gene rearrangement; patient may be eligible for ROS1-targeted therapies

📊

Negative for both rearrangements

No ALK1 or ROS1 rearrangements detected; consider alternative diagnostic or therapeutic approaches

⚠️ When to Consult a Doctor:

Consult your oncologist if you experience persistent lung cancer symptoms such as cough, chest pain, or weight loss, or if you have been diagnosed with NSCLC and need genetic testing for treatment planning.

Limitations

  • FISH may not detect all rare or novel rearrangements outside known variants
  • Requires experienced personnel for accurate interpretation
  • Limited to detecting rearrangements, not point mutations or other alterations

Risks & Considerations

  • Risks associated with biopsy procedure, such as infection, bleeding, or pneumothorax
  • Minimal laboratory-related risks during FISH analysis

Interfering Factors

  • Poor tissue quality or insufficient tumor content
  • Inadequate fixation or preservation of biopsy sample
  • Technical errors in FISH probe application or interpretation

Compare With Similar Tests

TestFISH - NSCLC (Non-Small Cell Lung Cancer) ALK1 & ROS1 TestPCR-based molecular testsNext-generation sequencing (NGS)
ComparisonFISH - NSCLC (Non-Small Cell Lung Cancer) ALK1 & ROS1 Test

Frequently Asked Questions

What is the FISH NSCLC ALK1 ROS1 test?
It is a genetic test using Fluorescence In Situ Hybridization to detect ALK1 and ROS1 gene rearrangements in non-small cell lung cancer cells, guiding targeted therapy decisions.
Why is this test important for NSCLC patients?
Identifying ALK1 and ROS1 rearrangements helps determine eligibility for targeted therapies, which can improve treatment response and patient outcomes.
How is the sample collected for this test?
A biopsy sample is collected and preserved as a formalin-fixed paraffin-embedded tissue block, then submitted to the laboratory.
What is the cost of the FISH NSCLC ALK1 ROS1 test?
The test costs INR 16,000 in India, with home sample collection available at no additional charge.
How long does it take to get the results?
Results are typically available within 4 working days after sample receipt.
Is fasting required before the test?
No, fasting is not required for this test.
What do a positive result mean?
A positive result indicates the presence of ALK1 or ROS1 gene rearrangements, suggesting potential eligibility for targeted therapies.
What do a negative result mean?
A negative result means no ALK1 or ROS1 rearrangements were detected, and alternative treatment options may be considered.
Are there any risks associated with the biopsy?
Biopsy procedures carry minor risks such as infection, bleeding, or pneumothorax, but these are generally rare when performed by experienced professionals.
How accurate is the FISH test?
FISH is highly accurate for detecting gene rearrangements and is considered the gold standard for ALK and ROS1 testing in NSCLC.
Can this test be used for other cancers?
While primarily for NSCLC, FISH can be adapted for other cancers, but this specific test is optimized for lung cancer ALK1 and ROS1 rearrangements.
How do I book the test with DNA Labs India?
You can book online through our website or contact us for home sample collection in supported cities across India.
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.

Book Your Test

Enter your details and we'll connect you within 15 minutes.

🧬

Quick Connect

Enter your mobile number and we’ll connect you with the team.

+91

✅ Connecting you now...

🔒 Your number is used to respond to this request.