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- W2010267502 abstract "Non-invasive prenatal testing (NIPT) through the analysis of cell free (cf)DNA is revolutionizing prenatal screening for fetal aneuploidy. Current methods used in clinical practice include shotgun massively parallel sequencing (s-MPS); targeted (t-MPS); and an approach that takes advantage of single nucleotide polymorphism (SNP) differences between mother and fetus. Efficacy of cfDNA testing for the common autosomal trisomies far exceeds that of conventional screening. Depending on the methodology used, reasons for discordancy between cfDNA results and fetal karyotype can include true fetal mosaicism, confined placental mosaicism, presence of a maternal karyotype abnormality, insufficient counting due to low fetal fraction, and a vanishing twin. Among the possible cfDNA strategies a Primary test has the highest performance but is expensive, while a Contingent cfDNA test can achieve high performance at a relatively low cost. Practicalities to be considered in the provision of testing include pretest counseling about the scope and accuracy of the testing, the interpretation of results when there is a low fetal fraction and follow-up studies for positive test results. The role of first trimester nuchal translucency measurement and conventional biochemical testing needs to be reassessed in the context of the use of cfDNA." @default.
- W2010267502 created "2016-06-24" @default.
- W2010267502 creator A5050037071 @default.
- W2010267502 creator A5054261808 @default.
- W2010267502 creator A5067552281 @default.
- W2010267502 date "2015-10-01" @default.
- W2010267502 modified "2023-10-03" @default.
- W2010267502 title "Cell-free DNA screening for fetal aneuploidy as a clinical service" @default.
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- W2010267502 doi "https://doi.org/10.1016/j.clinbiochem.2015.02.011" @default.
- W2010267502 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25732593" @default.
- W2010267502 hasPublicationYear "2015" @default.
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