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DNA Labs India

IMD Panel Extended Test

DNA Labs India | ISO 9001:2015 Certified

IMD Panel Extended Test

Short Name: IMD Panel Extended

Also known as: IMD Panel Extended, Inherited Metabolic Disorders Panel Extended

IMD Panel Extended Test test available at DNA Labs India for ₹13,000. Uses Tandem Mass Spectrometry, Gas Chromatography / Mass Spectrometry, Enzyme Assay on Dried blood spot, serum or plasma, and random urine samples. Results in Sample accepted Monday through Saturday by 9 am; report in 3 days.. Free home collection in 300+ cities across India.

Genetic TestAll age groups🏠 Home Collection

🩺 Medically Reviewed By

Overview

The panel evaluates amino acids, organic acids in urine, acylcarnitine profile, and biotinidase activity to aid in the diagnosis of inborn errors of metabolism.

Test Code
3482
Price
₹13,000
Sample Type
Dried blood spot, serum or plasma, and random urine
Result Time
Sample accepted Monday through Saturday by 9 am; report in 3 days.
Fasting Required
No
Method
Tandem Mass Spectrometry, Gas Chromatography / Mass Spectrometry, Enzyme Assay
Step 1

Sample Collection

No fasting is specified. Provide complete clinical details and drug history.

Method: Heel or finger prick for dried blood spots; venipuncture for serum/plasma; random urine collection

Step 2

Laboratory Analysis

A healthcare worker collects dried blood spots, blood, and urine samples as required.

Step 3

Report Delivery

Samples are shipped refrigerated or frozen. Reports are delivered within about 3 days.

Timeline: Sample accepted Monday through Saturday by 9 am; report in 3 days.

Patient Instructions

1
Before the Test:No fasting specified. Provide complete clinical details and drug history.
2
During the Test:Dried blood spots, blood, and urine samples are collected using standard procedures.
3
After the Test:No specific post-test restrictions are noted. Reports are delivered online.

About This Test

Who Should Get This Test

The panel evaluates amino acids, organic acids in urine, acylcarnitine profile, and biotinidase activity to aid in the diagnosis of inborn errors of metabolism.

How to Prepare

  • Collect one drop of heel or finger prick blood on each of three spots of filter paper.
  • Collect 2 mL serum or plasma.
  • Collect 15 mL random urine in a sterile screw-capped container without preservative.
  • Ship refrigerated or frozen.
  • Include clinical details and drug history.

Doctor's Notes

Reviewed by — MBBS, MD (Medical Genetics) · Reg. No. 8532

"IMD Panel Extended Test is indicated when a child presents with unexplained developmental delays, seizures, liver dysfunction, hypotonia, or other signs suggesting an inherited metabolic disorder. Timely testing can guide early dietary or medical intervention."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeDried blood spot, serum or plasma, and random urine
Sample Volume3 dried blood spots; 2 mL serum/plasma; 15 mL random urine
ContainerFilter paper, SST (serum), Green Top (Sodium Heparin) for plasma, sterile screw-capped container for urine
Collection MethodHeel or finger prick for dried blood spots; venipuncture for serum/plasma; random urine collection

Sample Stability

Room temperature: 2 hours
Refrigerator: 48 hours
Frozen: 1 week
Sample Rejection Criteria:
  • Insufficient sample volume
  • Improperly labelled sample
  • Wrong sample container
  • Missing clinical details and drug history

Understanding Your Results

Results should be interpreted by a qualified specialist in the context of the patient’s symptoms, clinical details, and drug history.
Normal amino acid, organic acid, and acylcarnitine patterns suggest a lower likelihood of the tested metabolic disorders.
Elevated or reduced metabolites may indicate a specific inborn error of metabolism and require confirmatory testing.
Reduced biotinidase activity may suggest biotinidase deficiency.
⚠️ When to Consult a Doctor:

Consult a doctor if you or your child have developmental delays, seizures, liver disease, muscle weakness, hypotonia, feeding difficulty, failure to thrive, or other concerning symptoms.

Limitations

  • Abnormal results may not be specific to one particular disorder.
  • Confirmatory testing is required for abnormal results.
  • Clinical correlation is necessary.

Risks & Considerations

  • Mild pain or bruising at blood collection site
  • Slight discomfort during heel or finger prick

Interfering Factors

  • Improper sample collection
  • Delay in sample transport
  • Incomplete clinical or drug history

Frequently Asked Questions

What is the IMD Panel Extended Test?
The IMD Panel Extended Test is a genetic and metabolic testing panel used to help diagnose inherited metabolic disorders by analysing amino acids, acylcarnitines, urine organic acids, and biotinidase activity.
Which sample types are required?
The test requires one drop of heel or finger prick blood on each of 3 spots of filter paper, 2 mL serum or plasma, and 15 mL random urine.
Is fasting required for the test?
No fasting is specified. Clinical details and drug history must accompany the sample.
What symptoms may indicate a need for this test?
Symptoms may include developmental delays, seizures, liver disease, muscle weakness, abnormal urine odour, hyperammonaemia, hypotonia, feeding difficulty, intellectual disability, and failure to thrive.
What is the cost in India?
The cost at DNA Labs India is INR 13,000. Home sample collection is available for online bookings.
How is the test performed?
A blood sample, dried blood spots, and random urine sample are collected and sent to the laboratory for analysis.
Which methods are used?
Tandem mass spectrometry, gas chromatography/mass spectrometry, and enzyme assay are used.
What do abnormal results mean?
Abnormal results may indicate an inherited metabolic disorder but may not be specific to one particular disease. Confirmatory testing and specialist interpretation are required.
How long does the report take?
Sample accepted Monday through Saturday by 9 am; reports are delivered in about 3 days.
Is home sample collection available?
Yes, DNA Labs India offers free home sample collection for online bookings across India.
What disorders can this test detect?
It helps identify inborn errors of metabolism involving amino acid, fatty acid, and organic acid pathways, including disorders affecting biotinidase activity.
Do I need to provide clinical details and drug history?
Yes, clinical details and drug history must accompany the sample because they are important for accurate interpretation.
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.

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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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