Fluorescence In Situ Hybridization (FISH) is a molecular cytogenetic technique used to detect and localize the presence or absence of specific DNA sequences on chromosomes. It uses fluorescent probes that bind to targeted regions, offering quick and precise analysis of chromosomal abnormalities—especially useful when time or specificity is critical.

FISH is widely used in prenatal, postnatal, and oncology settings. Indications include:

Prenatal:

  • Rapid detection of common aneuploidies (Trisomy 13, 18, 21; X and Y)
  • Confirmatory testing after abnormal ultrasound or NIPT results
  • Clarification of marker chromosomes or mosaicism
  • Parental carriers of known structural rearrangements


Postnatal:

  • Suspected microdeletion syndromes (e.g., DiGeorge, Prader-Willi, Angelman)
  • Confirmation of structural chromosomal anomalies detected by karyotype
  • Evaluation of ambiguous genitalia or disorders of sex development

Oncology:

  • Identification of specific gene rearrangements in hematologic malignancies (e.g., BCR-ABL in CML, MYC in lymphoma)
  • Monitoring of residual disease or progression in cancer patients

FISH enables high-resolution detection of:
  • Aneuploidies in chromosomes 13, 18, 21, X, Y
  • Microdeletions and duplications (e.g., 22q11.2, 15q11.2, 7q11.23)
  • Structural abnormalities: translocations, inversions, deletions
  • Marker chromosomes
  • Gene fusions and amplifications in cancer


Note: FISH is highly specific but limited to the targeted region being probed. It does not offer genome-wide screening.

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: Heparin (green-top) vacutainer
    • Transport: Room temperature; deliver within 24 hours
    • Important: Do not refrigerate or delay transport
Benefits of FISH Testing

Rapid Turnaround:

  • Provides preliminary or confirmatory results in as little as 2–5 days, ideal for time-sensitive clinical decisions.


Targeted and Precise:

  • Offers high specificity for known chromosomal and gene-level abnormalities—especially useful in confirming diagnoses or monitoring treatment.


Complements Other Techniques:

  • Bridges the gap between karyotyping and molecular methods by confirming rearrangements and microdeletions at specific loci.


Oncology & Prenatal Versatility:

  • Highly adaptable for both prenatal aneuploidy detection and oncogenic rearrangement analysis.


Interpretable Reports:

  • Labassure provides clinically annotated reports with probe targets, observed signals, and diagnostic interpretation aligned with international guidelines.
Precision for clinicians. Clear, targeted answers for families.
FISH at Labassure brings speed and specificity to cytogenetic diagnostics—empowering clinicians with the focused answers they need, exactly when they need them.
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Aneuploidy 13, 18, 21, X, Y (Prenatal) - Amniotic Fluid
Aneuploidy 13, 18, 21, X, Y (Prenatal) - CVS
Aneuploidy 13, 18, 21, X, Y (Postnatal)
Aneuploidy 13, 18, 21, X, Y Plus Culture
Aneuploidy 13, 18, 21, X, Y (POC)
DiGeorge/Velocardiofacial
Breast Cancer: Her-2/new
Lung Cancer: ALK
Lung Cancer: ROS1