Association of non-invasive prenatal testing and chromosomal microarray analysis for prenatal diagnostics

Gynecol Endocrinol. 2014 Oct:30 Suppl 1:13-6. doi: 10.3109/09513590.2014.945770.

Abstract

The purposes of this study is to examine possibility to use combination of non-invasive prenatal testing (NIPT) and chromosomal microarray analysis (CMA) for prenatal diagnostics and their advantages between combined first-trimester screen with confirmation by karyotyping of CVS or amniocytes. A total of 1968 pregnant women, in this study, have undergone prenatal screening and/or diagnostic tests. NIPT is more suitable and efficient for the detection of aneuploidy. However, this test has limitations for detection deletions/duplications. Use of CMA for confirmation of some NIPT findings or as first test for women with ultrasound abnormalities can detect small imbalances in chromosomes. Combination of NIPT and CMA allows a higher prenatal detection of chromosomal abnormalities.

Keywords: Chromosomal microarray analysis; non-invasive prenatal test; prenatal diagnostics.

MeSH terms

  • Adult
  • Algorithms
  • Chromosome Aberrations / embryology*
  • Chromosomes, Human, Pair 13 / genetics
  • Chromosomes, Human, Pair 18 / genetics
  • Chromosomes, Human, Pair 21 / genetics
  • Chromosomes, Human, X / genetics
  • Chromosomes, Human, Y / genetics
  • Female
  • Humans
  • Microarray Analysis / methods*
  • Polymorphism, Single Nucleotide / genetics*
  • Pregnancy
  • Prenatal Diagnosis / methods*