Abstract

(Abstracted from JAMA 2017;317(24):2545–2546) Chromosomal microarray analysis (CMA) has emerged as a robust means to detect chromosomal abnormalities including unbalanced chromosomal rearrangements, as well as smaller chromosomal abnormalities than those detectable by karyotype. Chromosomal microarray analysis has replaced conventional G-banded karyotyping due to its greater sensitivity and resolution; G-banding effectively identifies imbalances of DNA greater than 5 to 10 megabases (millions of base pairs), whereas CMA can detect genome-wide imbalances of more than 400 kilobases (thousands of base pairs).

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