When should myeloma genetic testing be done?

[Music] when should cytogenetic testing be done when i get the question about the genetic testing when can i do it again you need either be newly diagnosed or you need to be in relapse because the genetic testing is not just done on cells in your body the genetic testing is done on the myeloma cells so what we do for the genetic testing for instance when you're newly diagnosed we take out bone marrow the asparagus cells and when we aspirate cells it's a mixture of normal cells of your blood forming system of your hematopoietic system mixed with multiple myeloma cells so what we do first is we extract the multiple myeloma cells and do genetic testing on the myeloma cells so you can imagine if you are in complete remission it doesn't make sense and we don't have any myeloma cells in your bone marrow to do genetic testing on this so it only makes sense if we do genetic testing for instance fish or karyotyping in patients who are newly diagnosed with a tumor burn or when you have a relapse and you have a certain number of multiple myeloma cells in your bone marrow which we can use to apply for the testing