Molecular Oncology services provided by Pantai Premier Pathology

Molecular Oncology services provided by Pantai Premier Pathology

Pantai Premier Pathology has distinguished itself as a leader in molecular oncology by the breadth and depth of service to support pathologists and oncologists in making diagnoses, assessing prognoses, and discovering opportunities for targeted therapy & other treatment option as per suggested in NCCN Guidelines and other reputable oncology organizations.

 

Molecular oncology service in PPP comprises of single gene assays, multi-gene panels and comprehensive genomic profiling. With testing methods like FISH, IHC, PCR, and NGS are available in-house. With this comprehensive range of tests, accompanied with the clarity and personalization of the consultations, it allows an integrated approach to the case, maximizes yield from small specimens, and minimizes turnaround time.

 

Our single genes molecular testing is to help physician in deciding fast and actionable treatment options, like BRCA 1 & 2 for Olaparib chemotherapy on breast, ovarian and prostate cancer. Same goes to PDL-1 sp142 testing for breast cancer immunotherapy treatment.

 

Besides single genes testing, PPP have come-up with our own actionable panel testing, which comprises of biomarkers that have treatment suggestion which is most commonly requested by physicians. For example, Lung Cancer Panel which consist of EGFR, ALK, ROS1, KRAS, BRAF, and PDL1.

 

Besides solid tumour molecular testing, PPP also offers a broad collection of comprehensive, targeted and single gene liquid biopsy assays for solid tumor cancer like T790M for Lung Cancer and hematologic malignancies. Our goal is to provide all patients access to testing in a timely manner to ensure efficient diagnosis and disease progression monitoring.

 

Next-Generation Sequencing (NGS) & Advancing Precision Oncology in PPP

While it began as a revolutionary research tool a decade ago, NGS is now the method of choice for simultaneous genomic profiling of multiple cancer markers.  For hospitals, the advantages of NGS over traditional methods are indisputable in terms of time savings, tissue perservation, and a precision oncology approach to patient care.

 

Comprehensive Genomic Profiling (CGP)

Our pan-cancer analysis using next-generation sequencing assay includes 523 genes involved in solid tumor development and progression. This panel provides broad coverage of actionable markers supported by clinical guidelines and on-going clinical trials.

Biomarkers detected are implicated in a variety of tumor types including bladder, brain/CNS, breast, cervical, colorectal, endometrial, esophageal, gastric, head and neck, kidney, liver, lung, melanoma, ovarian, pancreatic, prostate, stomach, and thyroid.

Clinical applications of our CGP NGS:

  • Identifying targetable alterations to guide treatment decision
  • Monitoring disease status
  • Detecting potential resistance to therapy and its cause

Flow Cytometry Service

Flow Cytometery Service

“The high-performance flow cytometer designed to support routine clinical assays and with exceptional consistency and standardization”.

 

“The flow crossmatch market may be one of the smallest, but standardization has the potential to have one of the greatest clinical impacts. It’s the little things that make a big difference in healthcare.”

– Dr. Robert Bray, Emory University, Atlanta, GA

 

Introduction

  • Flow cytometry is a widely used method for analyzing the expression of cell surface and intracellular molecules, characterizing and defining different cell types in a heterogeneous cell population, assessing the purity of isolated subpopulations and analyzing cell size and volume.
  • It is predominantly used to measure fluorescence intensity produced by fluorescent-labeled antibodies detecting proteins, or ligands that bind to specific cell-associated molecules.

 

The Advantages

  • A single sample, no matter how rare, can show an essential difference.
  • Multicolor analysis provides more answers from a single tube and decreases cost by reducing the number of tubes and reagents required to reach a diagnosis.
  • Runs at rates up to 35,000 events per second, sample carryover ≤ 0.05%.
  • Acquires a large number of events rapidly; useful for rare populations.
  • There is no limit on events acquired.
  • Outstanding resolution at all flow rates.
  • Enables faster detection without compromising quality.
  • Improvement in stain index of 8-190% across all parameters.
  • Better separation enables faster analysis and easier gating.
  • Higher sensitivity makes dim and rare populations easier to resolve.

 

What benefit to Our Clinician

  • This next-generation flow cytometer enables standardization and collaboration through consistent results and unique assay portability and sharing capabilities.
  • Its standardization helps maximize compatibility, interoperability, repeatability and quality that will enable you to maximize clinical performance and ensure accurate as well as reliable results.
  • It has high-performance, highly sensitive flow cytometer excels at assays with dim or rare cell populations, and is available in multiple configurations for flexibility that can adapt to your changing clinical needs.

 

Intended Used

Our Flow Cytometry Service is intended for immunophenotyping using up to 6 colours, and is useful in the diagnosis and monitoring of:

  • Acute & Chronic Leukemia,
  • Myelodysplastic Syndrome (MDS),
  • Lymphoproliferation,
  • Plasma cell disorders
  • and Paroxysmal nocturnal hemoglobinuria (PNH).

 

References:

  1. FACSLyric Flow Cytometer Brochure
  2. https://www.accessdata.fda.gov/cdrh_docs/reviews/K170974.pdf