Upgrade your blood cancer diagnostics now

January 5, 2025

1 Min Read

Traditional methods miss critical genetic signals that determine patient outcomes. Molecular testing detects disease at previously impossible levels — delivering earlier intervention, personalised treatment, and dramatically improved survival. Here's how to implement precision diagnostics today.

Deploy molecular assays that change outcomes

Implement testing that identifies:

  • BCR-ABL1 fusion (CML/ALL)—predict treatment response and adjust therapy in real-time

  • PML-RARA translocation (APL)—enable targeted therapy that transforms survival rates

  • JAK2 V617F mutation—guide myeloproliferative neoplasm treatment

Action: Audit current protocols and identify where molecular assays fill diagnostic gaps.

Adopt precision technologies

  • PCR/qPCR: Detect mutations and monitor disease burden in CML

  • NGS panels: Analyse multiple genes simultaneously to uncover novel mutations

  • Digital PCR: Achieve MRD detection for early relapse prediction

Related:Why your BCR-ABL results don't always add up

Action: Prioritise one technology upgrade this quarter based on your highest-volume malignancies.

Monitor continuously

  • Track deep molecular response in CML—correlates with long-term remission

  • Use MRD assessment in ALL to drive therapy intensification or transplant decisions

  • Establish regular molecular surveillance protocols

Action: Create standardised monitoring schedules for your top three malignancies within 60 days.

Standardise to scale

  • Adopt international guidelines (e.g., European LeukemiaNet)

  • Implement quality assurance across molecular testing workflows

  • Participate in external quality assessment programmes

Action: Conduct inter-lab comparison to identify and eliminate variability.

Integrate AI to accelerate decisions

  • Deploy AI platforms for variant interpretation and risk stratification

  • Automate workflows to reduce turnaround times

  • Leverage cloud solutions for real-time global collaboration

Action: Pilot one AI analytics tool within six months—measure impact on reporting speed and accuracy.

The call to action

Molecular diagnostics are the standard of care. Labs and clinicians who implement these technologies now will deliver measurably better outcomes.

Your move: Execute one action step this quarter. Patient survival depends on it.

Joowon Oh PureLab

Joowon Oh is the Consultant Physician and Lead of Genetics and Cytogenetics at PureLab. Read her full story on WHX Insights newspaper

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