DNA amplification techniques can be divided into three groups: target
amplification, probe amplification, and signal amplification, The targ
et amplification techniques offer the highest level of detection sensi
tivity, with single molecule detection possible in finely tuned system
s. This is followed closely by the probe amplification techniques, whi
ch can detect down to a few molecules of specific target sequence, Sig
nal amplification has greatly improved through the use of branched pro
bes and chemiluminescent detection and currently has a detection limit
of 1000 molecules, Each of these amplification options is being comme
rcialized in variety formats for use in the clinical laboratory, A des
cription of the amplification techniques, approaches to their automati
on, and the clinical problems they address is reviewed in this article
.