BCR/ABL is a dual-color double fusion probe designed to detect specific translocations of the ABL1 gene of chromosomal region 9q34.12 and the BCR gene of 22q11.23. Random rearrangements of t(9,22) (q34.1, q11) were found in approximately 90% of patients with chronic myelogenous leukemia (CML) and approximately 25% of acute lymphoblastic leukemia (ALL). Frequent translocations result in the production of the BCR/ABL gene fusion on chromosome 22. The gene product is a BCR/ABL protein with an abnormal tyrosine kinase activity. In normal cells, ABL kinase activity is well regulated by growth factors and other factors, while BCR/ABL proteins fusion result in sustained activation of downstream signaling pathways (Ras, Jak/Stat, and PI-3K). Fluorescence in situ hybridization (FISH) allows the identification of rearrangements that could not be detected by conventional nuclear types.