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June 6, 2026CancersOpen Access

SNP-Based Chromosomal Microarray Analysis in the Era of Optical Genome Mapping: An Enriched Case-Series Evaluating Copy-Neutral Events

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Authors

AMAlexander MarrPGPatrick R. GonzalesSGShivani Golem

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Overview

Retrospective analysis evaluates copy-neutral events in malignancies, suggesting CMA is crucial despite OGM advancements.

Key Points

  • This study aims to assess the necessity of chromosomal microarray analysis (CMA) for detecting copy-neutral events in cancer diagnostics when comparing it to optical genome mapping (OGM).
  • Retrospective review of 53 primary neoplastic cases identified with CN-LOH via CMA from a cohort of 327 hematologic specimens.
  • Assessment of event size, genomic content, and correlation with next-generation sequencing findings was conducted.
  • Analysis of newly diagnosed B-cell acute lymphoblastic leukemia (B-ALL) for CN-LOH frequency.
  • Nearly 50% of CN-LOH events were detected below the OGM detection threshold of 25 Mb, including clinically significant genes such as FLT3 and TP53.
  • Two-thirds of cases with CN-LOH contained pathogenic variants identified by NGS.
  • CN-LOH was infrequent in B-ALL, and most alterations were detectable by OGM, highlighting CMA's ongoing relevance in certain contexts.

Cite This Study

Marr et al. (2026) studied this question.

synapsesocial.com/papers/6a23bb9a71a5da9775e770c0https://doi.org/10.3390/cancers18111841
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