A comprehensive performance analysis of sequence-based within-sample testing NIPT methods

PLoS One. 2023 Apr 14;18(4):e0284493. doi: 10.1371/journal.pone.0284493. eCollection 2023.

Abstract

Background: Non-Invasive Prenatal Testing is often performed by utilizing read coverage-based profiles obtained from shallow whole genome sequencing to detect fetal copy number variations. Such screening typically operates on a discretized binned representation of the genome, where (ab)normality of bins of a set size is judged relative to a reference panel of healthy samples. In practice such approaches are too costly given that for each tested sample they require the resequencing of the reference panel to avoid technical bias. Within-sample testing methods utilize the observation that bins on one chromosome can be judged relative to the behavior of similarly behaving bins on other chromosomes, allowing the bins of a sample to be compared among themselves, avoiding technical bias.

Results: We present a comprehensive performance analysis of the within-sample testing method Wisecondor and its variants, using both experimental and simulated data. We introduced alterations to Wisecondor to explicitly address and exploit paired-end sequencing data. Wisecondor was found to yield the most stable results across different bin size scales while producing more robust calls by assigning higher Z-scores at all fetal fraction ranges.

Conclusions: Our findings show that the most recent available version of Wisecondor performs best.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • DNA Copy Number Variations*
  • Female
  • Humans
  • Pregnancy
  • Prenatal Care
  • Prenatal Diagnosis* / methods
  • Sequence Analysis, DNA / methods
  • Whole Genome Sequencing

Grants and funding

This work is being funded by the Delft Data Science Center of the Delft University of Technology. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.