Evidence map›Paper›PMID 23215555›Full record

Trial reportThe New England journal of medicine2012

Chromosomal microarray versus karyotyping for prenatal diagnosis.

Ronald J Wapner, Christa Lese Martin, Brynn Levy, Blake C Ballif, Christine M Eng, Julia M Zachary, Melissa Savage, Lawrence D Platt, Daniel Saltzman, William A Grobman and 14 more

4 registry-linked trialsOpen access · bronzeAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in The New England journal of medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 518 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
518citing papers in PubMed, 8 pooled it
112.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01279733 completednot on this map

Prenatal Cytogenetic Diagnosis by Array-Based Copy Number Analysis

TypeobservationalSponsorColumbia UniversityRan2008 to 2011Enrolled4,450ConditionsGenetic DiseasesArmsMicroarray analysis
NCT02160938 completednot on this mapstarted 2013, after this paper: background citation

Prenatal Cytogenetic Diagnosis by Array-Based Copy Number Analysis: Follow-Up

Typeobservational_patient_registrySponsorColumbia UniversityRan2013 to 2018Enrolled184ConditionsGenetic DiseasesArms3-year follow-up
NCT02381457 completednot on this mapstarted 2015, after this paper: background citation

SNP-based Microdeletion and Aneuploidy RegisTry

Typeobservational_patient_registrySponsorNatera, Inc.Ran2015 to 2020Enrolled20,960Conditions22q11 Deletion Syndrome, DiGeorge Syndrome, Trisomy 21, Trisomy 18
NCT04814563 unknown statusnot on this mapstarted 2021, after this paper: background citation

Evaluation of the Contribution of Comparative Genomic Hybridization Compared to Karyotype for the Detection of Genetic Abnormalities According to Ultrasound Call Signs in Prenatal Screening: the Cohort of the Nancy Multidisciplinary Center for Prenatal Diagnosis From 2012 to 2018

TypeobservationalSponsorCentral Hospital, Nancy, FranceRan2021 to 2021Enrolled830ConditionsComparative Genomic Hybridization
3 · Its place in the literature

Who cites it

518 citing papers in PubMed, 8 syntheses or guidelines pooled it, 1,410 citations in OpenAlex.

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  17. Clinical utility of chromosomal microarray analysis in prenatal diagnosis of fetuses with ultrasound soft markers: A retrospective single-center comparative study with karyotyping.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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458 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 12 institutions in 1 country.

Ronald J WapnerDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY 10032, USA. rw2191@mail.cumc.columbia.edu
Christa Lese Martin
Brynn Levy
Blake C Ballif
Christine M Eng
Julia M Zachary
Melissa Savage
Lawrence D Platt
Daniel Saltzman
William A Grobman
Susan Klugman
Thomas Scholl
Joe Leigh Simpson
Kimberly McCall
Vimla S Aggarwal
Brian Bunke
Odelia Nahum
Ankita Patel
Allen N Lamb
Elizabeth A Thom
Arthur L Beaudet
David H Ledbetter
Lisa G Shaffer
Laird Jackson
Baylor College of Medicine · USEmory University · USSignature Research (United States) · USColumbia University Irving Medical Center · USGeorge Washington University · USAmerican Institute of Ultrasound in Medicine · USDrexel University · USFlorida International University · USMontefiore Medical Center · USNorthwestern University · USSanta Fe Institute · USSequenom (United States) · US

Funding

Prenatal Genetic Diagnosis by Genomic Sequencing: A Prospective EvaluationR01HD055651 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Wendy K Chung, Vaidehi Jobanputra · 2007 to 2026
$16.5M
Multidisciplinary Clinical and Translational Science (MCTS) Program (UL1)UL1TR000150 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LLOYD-JONES, DONALD M · 2012 to 2013
$10.1M
CNV Atlas of Human DevelopmentRC2HD064525 · NICHD · EMORY UNIVERSITY · PI LEDBETTER, DAVID H., WAPNER, RONALD · 2009 to 2010
$3.4M
NCATS NIH HHS UL1 TR000150NICHD NIH HHS R01 HD055651NICHD NIH HHS R01HD05565101NICHD NIH HHS R01HD055651-03S1NICHD NIH HHS RC2 HD064525NICHD NIH HHS RC2HD064525
6 · The paper itself

Abstract

backgroundChromosomal microarray analysis has emerged as a primary diagnostic tool for the evaluation of developmental delay and structural malformations in children. We aimed to evaluate the accuracy, efficacy, and incremental yield of chromosomal microarray analysis as compared with karyotyping for routine prenatal diagnosis.

methodsSamples from women undergoing prenatal diagnosis at 29 centers were sent to a central karyotyping laboratory. Each sample was split in two; standard karyotyping was performed on one portion and the other was sent to one of four laboratories for chromosomal microarray.

resultsWe enrolled a total of 4406 women. Indications for prenatal diagnosis were advanced maternal age (46.6%), abnormal result on Down's syndrome screening (18.8%), structural anomalies on ultrasonography (25.2%), and other indications (9.4%). In 4340 (98.8%) of the fetal samples, microarray analysis was successful; 87.9% of samples could be used without tissue culture. Microarray analysis of the 4282 nonmosaic samples identified all the aneuploidies and unbalanced rearrangements identified on karyotyping but did not identify balanced translocations and fetal triploidy. In samples with a normal karyotype, microarray analysis revealed clinically relevant deletions or duplications in 6.0% with a structural anomaly and in 1.7% of those whose indications were advanced maternal age or positive screening results.

conclusionsIn the context of prenatal diagnostic testing, chromosomal microarray analysis identified additional, clinically significant cytogenetic information as compared with karyotyping and was equally efficacious in identifying aneuploidies and unbalanced rearrangements but did not identify balanced translocations and triploidies. (Funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development and others; ClinicalTrials.gov number, NCT01279733.).

Indexed as

Chromosome AberrationsKaryotypingOligonucleotide Array Sequence AnalysisAdultChromosome DisordersChromosomes, HumanDown SyndromeFemaleFetal DiseasesGenetic TestingHumansKaryotypeMaternal AgePregnancyPrenatal DiagnosisUltrasonography, Prenatal

Identifiers

PMID23215555
PMCPMC3549418
OpenAlexW2144967747

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.