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B-Cell Lymphoma/Leukemia Monitoring — Minimal Residual Disease Detection, Bone Marrow, Flow Cytometry

Published: August 9, 2026Updated: August 16, 2026

A bone marrow flow cytometry test that looks for very small numbers of abnormal B cells after treatment for lymphoma or leukemia.

Quick summary

["This test checks whether abnormal B cells remain in the bone marrow after treatment."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
106952-5
Short code
BCell Lym LK monitor MRD det Mar FC
Synonyms
BCell Lym LK monitor MRD det Mar FC
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
86430
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This test uses flow cytometry to examine cells from a bone marrow sample. It can detect a very small population of abnormal B cells, a finding called minimal residual disease (MRD).

Why might I need this test?

It may be used during or after treatment for a B-cell lymphoma or leukemia to assess the response to therapy and help guide follow-up care. Results are interpreted with your diagnosis, treatment history, and other laboratory tests.

How is the test performed?

A clinician removes a small bone marrow sample, usually from the hip bone. A laboratory then analyzes the cells using flow cytometry, which identifies cells based on their surface and internal markers.

How do I prepare for the test?

Follow your care team's instructions about the biopsy. You may need blood tests beforehand, and local anesthetic or sedation may be used. Ask the clinician whether any medicines or recent treatments could affect the results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

If MRD is not detected, the results generally support a favorable treatment response, although no single finding determines the outcome by itself. Persistent MRD may suggest that abnormal B cells remain and may be associated with a higher risk of relapse. Interpretation depends on the specific disease, treatment, timing of the sample, and sensitivity of the laboratory method.

Short name

B-Cell Minimal Residual Disease Monitoring

Frequently asked questions

What does minimal residual disease mean?
It means a very small number of abnormal cells remain after treatment, even when standard testing does not detect them. Flow cytometry can identify these cells using their characteristic markers.
Does a positive MRD result mean the cancer has returned?
Not necessarily. It means abnormal B cells were detected in the sample, but the result must be interpreted alongside the disease status, treatment history, and other tests.
Is this the same as a routine complete blood count?
No. A complete blood count generally measures the number of blood cells, while this test examines bone marrow cells in detail to look for a small abnormal B-cell population.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy