遺傳檢驗科

學習遺傳性疾病的實驗室檢測:染色體核型與微陣列、單基因與全外顯子定序、產前與新生兒檢測、帶因者篩檢、變異致病性分類與檢測前後諮詢。

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適合哪些醫事職類

同一個主題,不同職業看到的題目與重點不同。以下是遺傳檢驗科各職類的學習焦點。

醫檢師

遺傳檢驗技術:細胞培養與中期染色體製備、G 帶染色與核型判讀、微陣列平台操作與 CNV 判定閾值、Sanger 定序與變異確認、NGS 建庫捕獲與覆蓋深度品管、WES/WGS 生物資訊流程與過濾條件、羊水與絨毛檢體處理與母源細胞污染排除、cfDNA 分離與胎兒分數計算、串聯質譜篩檢操作、重複序列擴增與粒線體異質性定量、ClinVar/gnomAD 資料庫比對、方法驗證與品保

醫師

遺傳檢驗判讀:核型與微陣列異常的臨床意義、CNV 與 VUS 的判讀策略、單基因病定序結果與表型對應、WES/WGS 的診斷率與次要發現處置、產前診斷適應症與侵入性檢查風險、NIPT 的偵測率與陽性預測值限制、新生兒篩檢陽性追診、帶因篩檢的殘餘風險溝通、遺傳性癌症基因的風險管理、ACMG/AMP 致病性分級應用、藥物基因體與用藥調整、罕病診斷路徑

護理師

檢測前後諮詢與採檢:遺傳檢測知情同意與檢測前說明、家族史與家系圖收集、羊膜穿刺與絨毛採樣的術前準備與術後觀察、NIPT 採血時機與失敗重抽、新生兒篩檢採血時機與濾紙血片品質、檢測結果告知的情緒支持與家屬轉介、次要發現與 VUS 的溝通配合、遺傳資訊隱私與家族揭露議題、帶因篩檢的伴侶追蹤安排、遺傳諮詢門診協調與後續追蹤

涵蓋的學習主題

共 14 個主題。展開可看每個主題的學習重點與依據的指引。

依據的臨床指引

本科別的學習內容依下列指引與文獻整理,著作權屬各原權利人。

  1. ACGS Best Practice Guidelines for Constitutional Karyotype Analysis and Targeted Chromosome Analysis v1.0|ACGS|2024
  2. ACMG Standards and Guidelines for constitutional cytogenomic microarray analysis+ Technical standards for the interpretation and reporting of constitutional copy-number variants: joint consensus of ACMG and ClinGen|ACMG/ACMG + ClinGen|2013/2020
  3. Practice Guidelines for Targeted Next Generation Sequencing Analysis and Interpretation + Practice Guidelines for Sanger Sequencing Analysis and Interpretation|ACGS/CMGS|2015/2016
  4. Exome and genome sequencing for pediatric patients with congenital anomalies or intellectual disability: an evidence-based clinical guideline of the ACMG + Whole-genome sequencing in health care: Recommendations of the ESHG|ACMG/ESHG|2021/2013
  5. Amniocentesis and Chorionic Villus Sampling — Green-top Guideline No. 8 (5th ed) + ISUOG Practice Guidelines: invasive procedures for prenatal diagnosis|RCOG/ISUOG|2021/2016
  6. Position statement from the ISPD on the use of non-invasive prenatal testing for detection of fetal chromosomal conditions in singleton pregnancies|ISPD|2023
  7. ISNS General Guidelines for Neonatal Bloodspot Screening 2025 + Liquid Chromatography–Tandem Mass Spectrometry in Newborn Screening Laboratories|ISNS/Int J Neonatal Screening|2025/2022
  8. Screening for autosomal recessive and X-linked conditions during pregnancy and preconception: a practice resource of the ACMG|ACMG|2021
  9. EMQN best practice guidelines for genetic testing in hereditary breast and ovarian cancer + ACGS best practice guidelines for genetic testing and diagnosis of Lynch syndrome|EMQN/ACGS|2024/2016
  10. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of ACMG and AMP+ ACGS Best Practice Guidelines for Variant Classification in Rare Disease 2024 v1.2|ACMG + AMP/ACGS|2015/2024
  11. Cascade counselling and testing. Recommendations of the ESHG + Opportunistic genomic screening. Recommendations of the ESHG|ESHG|2026/2021
  12. Standardizing CYP2D6 Genotype to Phenotype Translation: Consensus Recommendations from CPIC and DPWG + CPIC Guideline for CYP2D6, ADRB1, ADRB2, ADRA2C, GRK4, GRK5 Genotypes and Beta-Blocker Therapy|CPIC + DPWG/CPIC|2020/2024
  13. Best Practice Guidelines for the Molecular Diagnosis of Mitochondrial Disease + Practice Guidelines for Molecular Diagnosis of Fragile X Syndrome|ACGS/ACGS/CMGS|2020/2014
  14. Recommendations for whole genome sequencing in diagnostics for rare diseases + Phenotype-driven approaches to enhance variant prioritization and diagnosis of rare disease|ESHG / EuroGentest/Human Mutation|2022/2022

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