A proficiency test (PT) composed of two frozen tissue specim…

A proficiency test (PT) composed of two frozen tissue specimens was received in the molecular laboratory. The specimens were to be tested for the detection of a gene mutation that is part of the laboratory’s current test menu. Because one technologist was off that day and the other staff members were occupied with a large number of patient samples, the supervisor decided to test the two specimens using a modified assay being developed in the laboratory. Because this method was in development, the results of the test were checked against sequencing analysis performed in a blinded manner at a partner institution. The results of the test were recorded on the proficiency documents, signed by the supervisor, and reported to the PT testing agency. When the report from the proficiency agency was received, the laboratory results were consistent with results from other participating laboratories. The laboratory director, however, refused to sign the results.  Why would the laboratory director not accept the proficiency test results? 

T-cell receptor gene rearrangements were analyzed by PCR usi…

T-cell receptor gene rearrangements were analyzed by PCR using forward and reverse primers complementary to the Vγ1 and Jγ1 regions, respectively, of the T-cell receptor gene region. The products were separated by polyacrylamide gel electrophoresis and bands visualized using ethidium bromide. The lane corresponding to the patient had a sharp band. All controls were acceptable. How is this result interpreted?