We describe the application of multi-color fluorescence in situ hybrid
ization (FISH) in the characterization of a familial pericentric inver
sion. Using chromosome 12 short- and long-arm specific DNA probes, fas
t and reliable discrimination between normal and inversion chromosome
12 or recombinant inversion chromosome 12 was possible. FISH thus prov
ides a reliable means for prenatal detection of balanced or unbalanced
chromosome 12 rearrangements in this family. This approach is possibl
e for identification of similar chromosome rearrangements provided tha
t probes for the putatively involved chromosome region are available.