Chromosomal Microarray (CMA) is an advanced molecular genetic test that detects submicroscopic chromosomal abnormalities—also known as copy number variations (CNVs)—which are not visible by conventional karyotyping. CMA offers a high-resolution genome-wide analysis of DNA, making it a first-tier diagnostic tool for a wide range of genetic conditions.

Download Brochure
A Chromosomal Microarray (CMA) is often recommended in the following scenarios:

Prenatal Indications:

  • Abnormal ultrasound findings during pregnancy
  • Increased nuchal translucency or structural anomalies
  • Recurrent pregnancy loss or intrauterine fetal demise (IUFD)
  • Positive results from non-invasive prenatal testing (NIPT)
  • Parental chromosomal rearrangements or known genetic history
  • Products of Conception (POC) analysis following miscarriage or stillbirth to determine genetic cause and recurrence risk

Postnatal Indications:

  • Unexplained developmental delay or intellectual disability
  • Autism spectrum disorder (ASD)
  • Multiple congenital anomalies
  • Seizures of unknown cause
  • Dysmorphic facial or physical features

CMA identifies a wide spectrum of chromosomal changes including:
  • Deletions: Missing pieces of chromosomes
  • Duplications: Extra pieces of chromosomes
  • Unbalanced translocations
  • Aneuploidies (gains/losses of entire chromosomes)
  • Regions of homozygosity (ROH) or consanguinity indicators
  • Mosaicism (depending on level and region)

Prenatal Samples

  • Amniotic Fluid
    • Collected via amniocentesis (15–20 weeks gestation)
    • Volume: 15–20 ml
    • Container: Sterile screw-capped container (no fixatives)
    • Transport: Room temperature; deliver within 24 hours
    • Important: Do not refrigerate, centrifuge, or freeze
  • Chorionic Villi (CVS)
    • Collected via chorionic villus sampling (11–14 weeks gestation)
    • Amount: 10–20 mg of tissue
    • Container: Sterile container with normal saline or transport medium
    • Transport: Room temperature; deliver within 24 hours
    • Important: Do not use preservatives or fixatives
  • Products of Conception (POC)
    • Collected from fetal tissue post-miscarriage or stillbirth
    • Preferred Sample: Placental/fetal tissue (avoiding maternal decidua)
    • Amount: Minimum 20–30 mg of fresh tissue
    • Container: Sterile container with normal saline or transport medium
    • Transport: Room temperature; deliver within 24 hours
    • Important: Avoid formalin or any fixative


Postnatal Samples

  • Peripheral Blood
    • Used for testing children or adults with developmental or congenital disorders
    • Volume: 3–5 ml
    • Container: EDTA (purple-top) vacutainer
    • Transport: Room temperature; deliver within 24 hours
    • Important: Do not refrigerate or delay transport

Benefits of CMA Testing

Higher Diagnostic Yield – Detects subtle genomic changes missed by karyotyping

  • CMA offers significantly greater resolution compared to traditional karyotyping, enabling detection of submicroscopic deletions and duplications—also known as copy number variations (CNVs)—that are often responsible for developmental delays, congenital anomalies, and pregnancy losses. This enhanced sensitivity leads to a diagnostic yield of up to 15–20% in unexplained neurodevelopmental and prenatal abnormality cases, far exceeding the 3–5% yield of conventional cytogenetics.

Early Intervention – Enables timely clinical decisions in prenatal and pediatric cases

  • By identifying clinically relevant genomic imbalances early in the diagnostic process, CMA allows clinicians to initiate timely interventions—whether through multidisciplinary care planning, targeted investigations, or early therapeutic support. In prenatal settings, this enables more informed pregnancy management, and in pediatric cases, it accelerates access to specialized services and developmental therapies.

Guides Genetic Counseling – Supports family planning and risk evaluation

  • CMA results provide essential information for genetic counseling, helping families understand the cause of a condition, recurrence risks, and reproductive options. The test also helps clarify whether a genetic change is inherited or de novo, informing family member testing and long-term planning.

Supports Personalized Care – Facilitates targeted treatments and management plans

  • By offering precise genomic insights, CMA helps tailor clinical management based on the specific genetic etiology. Whether guiding referrals, informing medication choices, or influencing developmental assessments, this test plays a central role in implementing precision medicine across various specialties including neurology, pediatrics, obstetrics, and reproductive health.

Clinically Validated Technology – Recommended by international guidelines (ACMG, ACOG)

Higher Diagnostic Yield

  • CMA is endorsed by major professional bodies such as the American College of Medical Genetics and Genomics (ACMG) and the American College of Obstetricians and Gynecologists (ACOG) as the first-tier test for evaluating developmental delay, intellectual disability, autism spectrum disorder, and congenital anomalies. Its proven clinical utility makes it a standard of care in both postnatal and prenatal genetic diagnostics.
Designed for clinicians. Understandable for families.
At Labassure, we go beyond detection—we deliver clinically meaningful interpretations to support confident decision-making. Every chromosomal microarray report is carefully curated by our expert genetics team to ensure clarity, accuracy, and clinical relevance.
Need Help Deciding?
If you're unsure whether CMA is right for you or your patient, our team of certified genetic counselors is here to guide you.
CMA in Peripheral Blood (HD)
CMA in Amniotic Fluid (HD)
CMA in Chorionic Villus Sample (HD)
CMA in Product of Conception (HD)
CMA in Peripheral Blood (LD)
CMA in Amniotic Fluid (LD)
CMA in Chorionic Villus Sample (LD)
CMA in Product of Conception (LD)
CMA in Peripheral Blood (LD)
CMA in Amniotic Fluid (LD)
CMA in Chorionic Villus Sample (LD)
CMA in Product of Conception (LD)