Evidence map›Paper›PMID 30047171›Full record

ArticleJournal of clinical laboratory analysis2019

Detection of copy number variants using chromosomal microarray analysis for the prenatal diagnosis of congenital heart defects with normal karyotype.

Tingting Song, Shanning Wan, Yu Li, Ying Xu, Yinghui Dang, Yunyun Zheng, Chunyan Li, Jiao Zheng, Biliang Chen, Jianfang Zhang

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  3. Prevalence of chromosomal disorders in cases with congenital heart defect: registry-based study from Denmark between 2008 and 2018.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2023
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  12. Correspondence on "The prevalence of genetic diagnoses in fetuses with severe congenital heart defects" by Nisselrooij et al.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Tingting SongDepartment of Obstetrics and Gynecology, the first affiliated hospital of Air Force Medical University, Xi'an, China.
Shanning WanDepartment of Obstetrics and Gynecology, the first affiliated hospital of Air Force Medical University, Xi'an, China.
Yu LiDepartment of Obstetrics and Gynecology, the first affiliated hospital of Air Force Medical University, Xi'an, China.
Ying XuDepartment of Obstetrics and Gynecology, the first affiliated hospital of Air Force Medical University, Xi'an, China.
Yinghui DangDepartment of Obstetrics and Gynecology, the first affiliated hospital of Air Force Medical University, Xi'an, China.
Yunyun ZhengDepartment of Obstetrics and Gynecology, the first affiliated hospital of Air Force Medical University, Xi'an, China.
Chunyan LiDepartment of Obstetrics and Gynecology, the first affiliated hospital of Air Force Medical University, Xi'an, China.
Jiao ZhengDepartment of Obstetrics and Gynecology, the first affiliated hospital of Air Force Medical University, Xi'an, China.
Biliang ChenDepartment of Obstetrics and Gynecology, the first affiliated hospital of Air Force Medical University, Xi'an, China.
Jianfang ZhangDepartment of Obstetrics and Gynecology, the first affiliated hospital of Air Force Medical University, Xi'an, China.ORCID http://orcid.org/0000-0001-5074-4647
Xi'an Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the increasing availability of chromosomal microarray analysis (CMA) for congenital heart defect (CHD), genetic testing now faces new challenges due to results with uncertain clinical impact. Studies are needed to better define the penetrance of genetic variants. The aim of the study was to examine the association between CMA and CHDs in fetuses with normal karyotype.

methodsThis was a retrospective study of 190 fetuses with normal karyotype that underwent CMA after a diagnosis of CHD by fetal ultrasound. Invasive prenatal diagnosis was performed between January 2015 and December 2016 at the first affiliated hospital of Air Force Medical University.

resultsChromosomal microarray analysis detected pathogenic copy number variants (pCNVs) in 13/190 (6.84%) fetuses, likely pCNVs in 5/190 (2.63%), and variants of unknown significance (VOUS) in 14/190 (7.37%). Among those with pCNVs, none (0%) yielded a normal live birth. Among those with likely pCNVs, 2/5 (40.0%) yielded a live birth. Among the fetuses with VOUS, 10/14 (71.5%) yielded a live birth.

conclusionThese results highlight the usefulness of CMA for prenatal genetic diagnosis of fetuses with CHDs and normal karyotype. In fetuses with CHD, the application of CMA could increase the detection rate of pCNVs causing CHDs. In this study, some VOUS were likely pathogenic, but additional studies are necessary to confirm these findings.

Indexed as

AdultChromosomesDNA Copy Number VariationsFemaleGenetic TestingHeart Defects, CongenitalHumansKaryotypeKaryotypingOligonucleotide Array Sequence AnalysisPregnancyPrenatal DiagnosisUltrasonography, PrenatalYoung Adultchromosomal microarray analysiscongenital heart defectsprenatal diagnosisvariants of unknown significance

Identifiers

PMID30047171
PMCPMC6430372
OpenAlexW2883271054

What OpenQuestion holds

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Registered trials

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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.