Table 5

Cutoff values for “false BCR-ABL+ cells,” as reported in previous studies, by the use of I-FISH

ReferencesProbe usedCutoffSamples
Dewald et al, 199819  D-FISH Not identified* 35 normal subjects 
Buño et al, 199820  D-FISH 0.8% PBL from 10 patients without any malignant hematologic disorder and BM from 10 normal bone marrow transplant donors 
Chomel et al, 2000 D-FISH 1% PBL or BM from 5 patients with hematologic disorders other than CML 
Le Gouill et al, 200022  ES 1.2% 14 BM from AML or BCR/ABL myeloproliferative syndrome patients and 10 PBL from healthy donors 
Chase et al, 200035  DCDF 1% Not specified 
Primo et al, 200336  ES 0.9%§ 20 BCR/ABL BM samples 
Raanani et al, 200426  ES 1% Not specified 
El-Zimaity et al, 200437  ES 1.2% 20 normal control samples 
ReferencesProbe usedCutoffSamples
Dewald et al, 199819  D-FISH Not identified* 35 normal subjects 
Buño et al, 199820  D-FISH 0.8% PBL from 10 patients without any malignant hematologic disorder and BM from 10 normal bone marrow transplant donors 
Chomel et al, 2000 D-FISH 1% PBL or BM from 5 patients with hematologic disorders other than CML 
Le Gouill et al, 200022  ES 1.2% 14 BM from AML or BCR/ABL myeloproliferative syndrome patients and 10 PBL from healthy donors 
Chase et al, 200035  DCDF 1% Not specified 
Primo et al, 200336  ES 0.9%§ 20 BCR/ABL BM samples 
Raanani et al, 200426  ES 1% Not specified 
El-Zimaity et al, 200437  ES 1.2% 20 normal control samples 

Landstrom et al,27  in a study of Ph+ CML, used a cutoff of 0.6%, citing Dewald et al.19 

AML indicates acute myeloid leukemia; D-FISH, dual FISH (from Q-Biogene); DCDF, dual-color dual-fusion (from Vysis-Abbott); ES, extra-signal FISH (from Vysis-Abbott); BM, bone marrow; PBL, peripheral blood.

*

“Based on 200 nuclei, the mean percentage of false-positive cells was 0.25 ± 0.39. The normal cutoff for 6000 nuclei (for each of 3 normal specimens) was 0.079%.”

Mean + 3 SD.

“Although in experienced hands with good quality preparations the technique can give a very low false positive rate of 0.1%-0.2%, in practice we prefer to use cutoff rate of 1% because accuracy is seriously compromised by several factors, including slide quality and operator experience.”

§

Mean + 2SD.

“Because the FISH (ES) method has false positive rate of 1%, results were considered negative when < 1% of interphases nuclei were positive for BCR-ABL double-labeled probes.”

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