Evidence map›Paper›PMID 30818867›Full record

ArticleMedical sciences (Basel, Switzerland)2019

Chromosomal Microarray Analysis versus Karyotyping in Fetuses with Increased Nuchal Translucency.

Rita Cicatiello, Piero Pignataro, Antonella Izzo, Nunzia Mollo, Lucia Pezone, Giuseppe Maria Maruotti, Laura Sarno, Gabriella Sglavo, Anna Conti, Rita Genesio and 1 more

Abstract read
In one paragraph

Article in Medical sciences (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Collaborative efforts to improve genetic testing in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  4. Review
  5. Cystic Hygroma: A Grave and Thought Provoking Entity.Journal of obstetrics and gynaecology of India · 2022
    Article
  6. Review
  7. Article
  8. Article
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

11 authors.

Rita CicatielloDept. Molecular Medicine and Medical Biotechnology, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. rita.cicatiello@unina.it.
Piero PignataroDept. Molecular Medicine and Medical Biotechnology, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. piero.pignataro@gmail.com.
Antonella IzzoDept. Molecular Medicine and Medical Biotechnology, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. antonella.izzo@unina.it.
Nunzia MolloDept. Molecular Medicine and Medical Biotechnology, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. nunzia.mollo@unina.it.
Lucia PezoneDept. Molecular Medicine and Medical Biotechnology, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. pezonel87@gmail.com.
Giuseppe Maria MaruottiMaternal-child Department, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. gm.mar@tiscali.it.
Laura SarnoMaternal-child Department, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. laura.sarno@unina.it.
Gabriella SglavoMaternal-child Department, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. gabriella.sglavo@unina.it.
Anna ContiDept. Molecular Medicine and Medical Biotechnology, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. anconti@unina.it.
Rita GenesioDept. Molecular Medicine and Medical Biotechnology, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. rgenesio@unina.it.
Lucio NitschDept. Molecular Medicine and Medical Biotechnology, School of Medicine, University of Naples Federico II, 80131 Naples, Italy. nitsch@unina.it.

Funding

Regione Campania POR Campania FSE 2007-2013; Campania FSE 2014-2020Regione Campania Project CREME
6 · The paper itself

Abstract

We have carried out a retrospective study of chromosome anomalies associated with increased nuchal translucency (NT) in order to compare yield rates of karyotype, chromosome microarray analysis (CMA), and non-invasive prenatal testing (NIPT) in this condition. Presenting with increased NT or cystic hygroma ≥3.5 mm as an isolated sign, 249 fetuses underwent karyotype and/or CMA from 11 to 18 gestational weeks. Karyotype and fluorescence in situ hybridization (FISH) analyses detected 103 chromosomal anomalies including 95 aneuploidies and eight chromosomal rearrangements or derivatives. Further, seven pathogenic copy number variants (CNV), five likely pathogenic CNVs, and 15 variants of unknown significance (VOUS) were detected by CMA in fetuses with normal karyotype. Genetic testing is now facing new challenges due to results with uncertain clinical impacts. Additional investigations will be necessary to interpret these findings. More than 15% of the anomalies that we have diagnosed with invasive techniques could not be detected by NIPT. It is therefore definitely not recommended in the case of ultrasound anomalies. These results, while corroborating the use of CMA in fetuses with increased NT as a second tier after rapid aneuploidy testing, do not suggest a dismissal of karyotype analysis.

Indexed as

chromosome microarray analysisnon-invasive prenatal testingnuchal translucencyprenatal diagnosis

Identifiers

PMID30818867
PMCPMC6473420

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