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임상유전자검사 및 차세대 염기서열분석을 위한 임상병리사의 역할

The Role of Medical Technologists in Next-Generation Sequencing and Clinical Genetic Tests

  • 진현석 (호서대학교 임상병리학과) ;
  • 박상정 (호서대학교 임상병리학과) ;
  • 안미숙 (신촌세브란스병원 진단검사의학과) ;
  • 박상욱 (상지대학교 임상병리학과)
  • Hyun-Seok JIN (Department of Biomedical Laboratory Science, College of Life and Health Sciences, Hoseo University) ;
  • Sangjung PARK (Department of Biomedical Laboratory Science, College of Life and Health Sciences, Hoseo University) ;
  • Mi-Sook AHN (Department of Laboratory Medicine, Severance Hospital) ;
  • Sangwook PARK (Department of Biomedical Laboratory Science, College of Health and Medical Science, Sangji University)
  • 투고 : 2023.08.08
  • 심사 : 2023.08.28
  • 발행 : 2023.09.30

초록

코로나19가 창궐한 후 임상병리사(medical technologists, MT)가 병원에서 PCR 검사를 수행하고 있을 뿐만 아니라 차세대 염기서열분석(next-generation sequencing, NGS)도 수행한다는 사실을 일반적으로 알고 있다. 하지만, 많은 사람들은 유전자검사 분야에 대한 임상병리사의 업무로 의료법에 명시되어 있지 않다는 사실을 인지하지 못하고 있는 실태이다(MT 72.5%, N=200; 학생 62.8%, N=123). 이러한 이유로, NGS에 대한 임상병리사의 업무 적절성을 검증하기 위해서 온라인 설문지를 작성하도록 설계하여 설문조사 결과를 분석하였다. NGS가 포함된 유전분야에 대한 임상병리사의 업무범위에 대한 법제화가 필요하다(MT 99.5%, N=200, 학생 86.8%, N=123)고 나타났다. 그리고 임상병리사 국가면허시험 문제은행에 세포유전학 및 분자유전학 관련 임상유전학 문항이 모두 포함돼야 한다(MT 97.5%, N=200; 학생 72.3%, N=123)고 조사되었다. 이러한 조사를 바탕으로 임상병리학 분야의 발전을 위해 임상병리사와 학생 모두를 위한 유전자 교육 및 법제화를 위해 대한임상병리사협회는 교수협의회와 적극 협력할 필요가 있겠다.

Since the coronavirus disease-2019 (COVID-19) outbreak, it has been generally believed that a medical technologists (MTs) are supposed to perform polymerase chain reaction tests and next-generation sequencing (NGS) in the hospitals. However, many do not recognize that the duty of MT for clinical genetic testing has not been stated in the Medical Laws (72.5% for MT, N=200; 62.8% for students, N=123). In this regard, to evaluate the feasibility of MT's role for NGS genetic testing, we requested our subjects to fill out an online survey and analyzed the data. Among them, it shows that the scope of MT's role, including NGS performance should include clinical genetic testing (99.5% for MT, N=200; 86.8% for students, N=123). Also, questions on clinical genetics, which is associated with both cellular genetics and molecular genetic questions should be included in the National MT License Problem Bank (97.5% for MT; 71.4% for students). Based on these results, the Korean Association of Medical Technologists needs to cooperate synergically with the Academic Association of Biomedical Laboratory Science with respect to genetic education and legislation for the future benefit of both MTs and students.

키워드

과제정보

This research was supported by Korean Association of Medical Technologist in 2021.

참고문헌

  1. Green ED, Guyer MS; National Human Genome Research Institute. Charting a course for genomic medicine from base pairs to bedside. Nature. 2011;470:204-213. https://doi.org/10.1038/nature09764
  2. Olson MV. Human genetics: Dr Watson's base pairs. Nature. 2008;452:819-820. https://doi.org/10.1038/452819a
  3. Kim JI, Ju YS, Park H, Kim S, Lee S, Yi JH, et al. A highly annotated whole-genome sequence of a Korean individual. Nature. 2009;460:1011-1015. https://doi.org/10.1038/nature08211
  4. Ahn SM, Kim TH, Lee S, Kim D, Ghang H, Kim DS, et al. The first Korean genome sequence and analysis: full genome sequencing for a socio-ethnic group. Genome Res. 2009;19:1622-1629. https://doi.org/10.1101/gr.092197.109
  5. Scheller FW, Yarman A, Bachmann T, Hirsch T, Kubick S, Renneberg R, et al. Future of biosensors: a personal view. Adv Biochem Eng Biotechnol. 2014;140:1-28. https://doi.org/10.1007/10_2013_251
  6. Bayley H. Sequencing single molecules of DNA. Curr Opin Chem Biol. 2006;10:628-637. https://doi.org/10.1016/j.cbpa.2006.10.040
  7. Pervez MT, Hasnain MJU, Abbas SH, Moustafa MF, Aslam N, Shah SSM. A comprehensive review of performance of next-generation sequencing platforms. Biomed Res Int. 2022;2022:3457806. https://doi.org/10.1155/2022/3457806
  8. Health Insurance Review & Assessment Service. Approval authority to conduct next-generation sequencing (NGS)-based genetic panel tests in the first half of 2023 [Internet]. Ministry of Health and Welfare [cited 2023 August 5]. Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020002000100&brdScnBltNo=4&brdBltNo=10130&pageIndex=1&pageIndex2=1
  9. Wu WT, Li YJ, Feng AZ, Li L, Huang T, Xu AD, et al. Data mining in clinical big data: the frequently used databases, steps, and methodological models. Mil Med Res. 2021;8:44. https://doi.org/10.1186/s40779-021-00338-z
  10. Dall'Alba G, Casa PL, Abreu FP, Notari DL, de Avila E Silva S. A survey of biological data in a big data perspective. Big Data. 2022;10:279-297. https://doi.org/10.1089/big.2020.0383
  11. HIRA Big data development portal [Internet]. Ministry of Health and Welfare [cited 2023 August 5]. Available from: https://opendata.hira.or.kr/home.do
  12. Kim HS, Kang JH, Yang MG, Park CE, Shin KA, Kwon PS. Analysis of survey of interdisciplinary unification of biomedical laboratory science. Korean J Clin Lab Sci. 2018;50:289-296. https://doi.org/10.15324/kjcls.2018.50.3.289
  13. Khalil M, Bonfrate L, Di Ciaula A, Portincasa P; LEITvax Group^. Group^. Self-reported symptoms after COVID-19 vaccination. Distinct sex, age, and geographical outcomes in Lebanese and Italian cohorts. Intern Emerg Med. 2023;18:1463-1475. https://doi.org/10.1007/s11739-023-03321-9
  14. Brittain HK, Scott R, Thomas E. The rise of the genome and personalised medicine. Clin Med (Lond). 2017;17:545-551. https://doi.org/10.7861/clinmedicine.17-6-545
  15. Majumder MA, Guerrini CJ, McGuire AL. Direct-to-consumer genetic testing: value and risk. Annu Rev Med. 2021;72:151-166. https://doi.org/10.1146/annurev-med-070119-114727
  16. Mullins VA, Bresette W, Johnstone L, Hallmark B, Chilton FH. Genomics in personalized nutrition: can you "eat for your genes"? Nutrients. 2020;12:3118. https://doi.org/10.3390/nu12103118
  17. Webborn N, Williams A, McNamee M, Bouchard C, Pitsiladis Y, Ahmetov I, et al. Direct-to-consumer genetic testing for predicting sports performance and talent identification: consensus statement. Br J Sports Med. 2015;49:1486-1491. https://doi.org/10.1136/bjsports-2015-095343
  18. Lee GY, Han SN. Direct-to-consumer genetic testing in Korea: current status and significance in clinical nutrition. Clin Nutr Res. 2021;10:279-291. https://doi.org/10.7762/cnr.2021.10.4.279
  19. Lee J, Kwon KH. Development of customized inner beauty products and customized cosmetics apps according to the use of NRF2 through DTC genetic testing after the COVID-19 pandemic. J Cosmet Dermatol. 2022;21:2288-2297. https://doi.org/10.1111/jocd.14467
  20. The Korean Law Information Center. Enforcement decree of the medical service technologists, etc. act [Internet]. Ministry of Government Legislation [cited 2023 August 5]. Available from: https://www.law.go.kr/LSW/eng/lawEngBodyCompareInfoP.do?lsNm=%EC%9D%98%EB%A3%8C%EA%B8%B0%EC%82%AC%20%EB%93%B1%EC%97%90%20%EA%B4%80%ED%95%9C%20%EB%B2%95%EB%A5%A0%20%EC%8B%9C%ED%96%89%EB%A0%B9&lsId=004481&efYd=20181220&lsiSeq=205867&gubun=EngLs&ancYnChk=undefined