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Muscle Exome ExomeScan Priority When time is of the utmost importance. GenomeScan knows that in genetic testing, sometimes every day counts. With Next Generation Sequencing (NGS) we find the mutations that cause the patients’ clinical features. From DNA to report letter in 12 to 14 days! The ExomeScan Workflow ExomeScan Priority analyses the total exome of the patient. This identifies the exact mutation(s) responsible for the clinical features. Through our extremely streamlined procedure and priority access, you will receive the results within 12 to 14 days. To maximally increase the clinical detection rate, we ask for samples of both proband and parents (trio-sequencing). This allows for rapid detection of hereditary and de novo mutations. Per individual, over ten-thousands of variants are detected. In case of critically ill neonates there is often little information available to determine the d iagnosis. Moreover, there is no time to order multiple specific tests. Even with adult patients, a prompt diagnosis can be essential to save the patient’s life. After data-processing, a shortlist of suspect mutations is referenced to selected DNA variation databases. These databases contain all published mutations and their clinical features. Expert laboratory geneticists then identify the disease-causing mutation(s). You will receive the results in a clear report letter. Whole Exome Sequencing (WES) WES analyses the total genome, or protein-coding sequence. Most of the known disease causing genes lie within this part of the genome. Advantages of ExomeScan Priority Use ExomeScan Priority when: • • • • • No standard diagnostic test is available Previously performed tests do not result in a conclusive answer Clinical features are atypical or multi-interpretable Performance of multiple tests is time-consuming, and require ‘rare’ DNA The anamnesis does not point towards a known genetic disorder. A not yet identified gene mutation may be the cause • • • • • • Very efficient method Analysis of ~22.000 genes in one single test Turnaround time (TAT) is reduced only 12 to14 days High quality, equal to the regular ExomeScan procedure (TAT ~12 weeks) Experienced clinical laboratory specialists interpret the data You receive a comprehensive report letter containing the observed mutation(s) DAY 1-5 DAY 6-8 DAY 9-11 DAY 12-13 DAY 13-14 DNA isolation, QC, DNA sample prep Sequencing on NextSeq500 Data-analysis: filtering, alignment, trio variant analysis Review of pathogenicity of ~10.000 variants Interpretation and reporting by Laboratory Geneticists Primary data QC GenomeScan offers innovative NGS and microarray-based solutions for genetic research and diagnostics. Our disease-oriented genetic tests consist of the most up-to-date gene panels. www.genomescan.nl T +31 71 568 1050 E [email protected] Plesmanlaan 1d 2333 BZ Leiden The Netherlands