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The 10 most important things to remember about CML Testing

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It's easy to become overwhelmed with the amount of technical information about blood testing which we need to learn to gain the most benefit from the results.

Fact 1

Your oncologist or haematologist is a trained professional and should be comfortable with discussing your lab results with you, in boring detail if necessary.


Fact 2

Being aware of sample collection and the method used to generate your results is part of being an informed patient.


Fact 3

Because q-PCR testing is so sensitive, it is normal for percentages of BCR-ABL1 to fluctuate a little over time.


Fact 4

A “log drop” means BCR-ABL1 transcripts have reduced by 10 fold from a standardised baseline of 100%I.S. at diagnosis.


Fact 5

MMR is a 3-log (1000-fold) reduction in BCR-ABL1 transcripts.


Fact 6

Achievement of MMR (0.1%I.S.) within 12 months is, according to ELNet recommendations and NCCN guidelines (2013), an optimal response with very low risk of progression.


Fact 7

There is significant variability among laboratories using different assays and test platforms.


Fact 8

Q-PCR testing for BCR-ABL1 transcripts should be performed by the same laboratory or referred to a specialist laboratory that follows universal reporting criteria.


Fact 9

Results from several tests that show a trend of rising or falling levels of BCR-ABL1 transcripts is more important than one single test result.


Fact 10

Samples of both blood and bone marrow are often evaluated at diagnosis, but the majority of follow-up monitoring is performed on peripheral blood samples.

Last modified: 
21 September 2015

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