Evidence map›Paper›PMID 31123319›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Chromosomal microarray vs. NIPS: analysis of 5541 low-risk pregnancies.

Lena Sagi-Dain, Lital Cohen Vig, Sarit Kahana, Shiri Yacobson, Tamar Tenne, Ifat Agmon-Fishman, Cochava Klein, Reut Matar, Lina Basel-Salmon, Idit Maya

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Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. 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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  11. Karyotyping and Chromosomal Microarray Analysis in Women Requesting Amniocentesis for Isolated Sonographic Soft Markers or Advanced Maternal Age.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2021
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  13. Clinical Application of Chromosomal Microarray Analysis in Pregnant Women with Advanced Maternal Age and Fetuses with Ultrasonographic Soft Markers.Medical science monitor : international medical journal of experimental and clinical research · 2021
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  19. Genetic diagnosis in the fetus.Journal of perinatology : official journal of the California Perinatal Association · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Lena Sagi-DainGenetics Institute, Carmel Medical Center, affiliated to the Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel. lena2303@gmail.com.ORCID http://orcid.org/0000-0002-0883-2130
Lital Cohen VigSchneider Children's Medical Center of Israel, Petah Tikva, Israel.
Sarit KahanaRecanati Genetics Institute, Beilinson Hospital, Rabin Medical Center, Petach Tikva, Israel.
Shiri YacobsonRecanati Genetics Institute, Beilinson Hospital, Rabin Medical Center, Petach Tikva, Israel.
Tamar TenneThe Genetics Institute, Meir Medical Center, Kfar Saba, Israel.
Ifat Agmon-FishmanRecanati Genetics Institute, Beilinson Hospital, Rabin Medical Center, Petach Tikva, Israel.
Cochava KleinRecanati Genetics Institute, Beilinson Hospital, Rabin Medical Center, Petach Tikva, Israel.
Reut MatarRecanati Genetics Institute, Beilinson Hospital, Rabin Medical Center, Petach Tikva, Israel.
Lina Basel-SalmonRecanati Genetics Institute, Beilinson Hospital, Rabin Medical Center, Petach Tikva, Israel.
Idit MayaRecanati Genetics Institute, Beilinson Hospital, Rabin Medical Center, Petach Tikva, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the diagnostic yield of chromosomal microarray (CMA) in pregnancies with normal ultrasound.

methodsThis retrospective cohort analysis included all pregnancies with normal ultrasound undergoing CMA testing between the years 2010 and 2016. We calculated the rate of detection of clinically significant CMA findings in the whole cohort and according to various indications.

resultsOf 5541 CMA analyses, clinically significant findings were yielded in 78 cases (1.4%). Of these, 31 (39.7%) variants could have theoretically been detected by karyotyping (e.g., sized above 10 Mb), and 28 (35.9%) by noninvasive prenatal screening aimed at five common aneuploidies. Of the 47 submicroscopic findings detectable by CMA only, the majority (37 cases, 78.7%) represented known recurrent syndromes. Detection of clinically significant CMA findings in women with no indication for invasive testing was 0.76% (21/2752), which was significantly lower compared with 1.8% in advanced maternal age group (41/2336), 2.8% in abnormal biochemical serum screening (6/211), and 4.1% (10/242) in fetuses with sonographic soft markers.

conclusionClinically significant CMA aberrations are detected in 1 of 71 pregnancies with normal ultrasound, and in 1 of 131 women with no indication for invasive testing. Thus, CMA might be recommended a first-tier test in pregnancies with normal ultrasound.

Indexed as

AneuploidyChromosome AberrationsChromosome DisordersCohort StudiesFemaleGenetic TestingHumansKaryotypingMicroarray AnalysisPregnancyPrenatal DiagnosisRetrospective StudiesUltrasonography, Prenatalchromosomal microarray analysiskaryotypelow-risk pregnanciesnoninvasive prenatal screeningprenatal diagnosis

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Registered trials

None linked

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.