How to Read a Genetic Test Result (Positive / Negative / VUS)

Definition

A genetic test result falls into three main categories:

ResultWhat it meansWhat it does not mean
PositiveThe laboratory found a change in the gene, chromosome or protein of interest. It may confirm a diagnosis, indicate carrier status, or point to an increased riskNot every positive means "you are ill"; carrier status is also a positive result
NegativeThe laboratory did not find a change known to affect health or development.It does not mean "you are healthy", see below
Uncertain (VUS)A result that provides no useful information, covered below as a separate entry,

The limit of a negative result, the most commonly misunderstood point:

A negative result cannot prove that the person is definitely unaffected; the test may have missed the genetic change causing the disease, because many tests cannot detect all the genetic changes that can cause a particular disorder.

"Uninformative" result: This arises because of common DNA polymorphisms that are unrelated to health. Such a result cannot confirm or rule out a specific diagnosis and cannot show whether the person has an increased risk.

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