Chromosome-selective sequencing of maternal plasma cell-free DNA for first-trimester detection of trisomy 21 and trisomy 18

Ghalia Ashoor, Argyro Syngelaki, Marion Wagner, Cahit Birdir, Kypros H. Nicolaides

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    Abstract

    OBJECTIVE: The purpose of this study was to assess the prenatal detection rate of trisomy 21 and 18 and the false-positive rate by chromosome-selective sequencing of maternal plasma cell-free DNA. STUDY DESIGN: Nested case-control study of cell-free DNA was examined in plasma that was obtained at 11-13 weeks before chorionic villous sampling from 300 euploid pregnancies, 50 pregnancies with trisomy 21, and 50 pregnancies with trisomy 18. Laboratory personnel were blinded to fetal karyotype. RESULTS: Risk scores for trisomy 21 and 18 were given for 397 of the 400 samples that were analyzed. In all 50 cases of trisomy 21, the risk score for trisomy 21 was >= 99%, and the risk score for trisomy 18 was = 99% in 47 cases, 98.8% in 1 case, 88.5% in 1 case, and 0.11% in 1 case. In 3 of the 300 euploid pregnancies (1%), no risk score was provided, because there was failed amplification and sequencing. In the remaining 297 cases, the risk score for trisomy 21 was
    Original languageEnglish
    Article number322.e1
    Pages (from-to)322.e1-322.e5
    JournalAmerican Journal of Obstetrics and Gynecology
    Volume206
    Issue number4
    Publication statusPublished - Apr 2012

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