The presence of a de novo supernumerary marker chromosome (SMC) poses probl
ems in genetic counseling. The consequences of the additional chromosomal m
aterial may range from harmless to detrimental. As the composition of a SMC
cannot be deciphered by traditional banding analysis, sophisticated method
s are needed for their rapid and detailed analyses. A new strategy is prese
nted, which allows the elucidation of the composition of SMCs in one or two
hybridizations. One hybridization, termed AcroM-FISH, involves a newly gen
erated probe mix, which consists of painting probes for all acrocentric chr
omosomes, centromere probes for chromosomes 13/21, 14/22, 15, and a probe s
pecific for rDNA, each labeled with a specific combination of fluorochromes
. This probe mix is sufficient to characterize approximately 80% of all SMC
s. For the other 20% of SMCs, chromosomes can be analyzed in a second hybri
dization by multicolor karyotyping, for example, multiplex FISH (M-FISH), t
o check for the presence of cuchromatin of other chromosomes. The potential
of AcroM-FISH was tested in various applications.