Evidence map›Paper›PMID 31321790›Full record

ArticlePrenatal diagnosis2019

Placental studies elucidate discrepancies between NIPT showing a structural chromosome aberration and a differently abnormal fetal karyotype.

Diane Van Opstal, Stefanie van Veen, Marieke Joosten, Karin E M Diderich, Lutgarde C P Govaerts, Joke Polak, Nicole van Koetsveld, Marjan Boter, Attie T J I Go, Dimitri N M Papatsonis and 3 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Prenatal diagnosis, 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
3.3field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

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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

13 authors at 2 institutions in 1 country.

Diane Van OpstalDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-3895-6775
Stefanie van VeenDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
Marieke JoostenDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
Karin E M DiderichDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
Lutgarde C P GovaertsDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
Joke PolakDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
Nicole van KoetsveldDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
Marjan BoterDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
Attie T J I GoDepartment of Obstetrics and Fetal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Dimitri N M PapatsonisDepartment of Obstetrics and Gynecology, Amphia Hospital, Breda, The Netherlands.
Krista PrinsenDepartment of Obstetrics and Fetal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Lies H HoefslootDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
Malgorzata I SrebniakDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID 0000-0003-3429-6156
Erasmus MC · NLAmphia Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePlacental cytogenetic studies may reveal the origin of discordant noninvasive prenatal testing (NIPT). We performed placental studies to elucidate discordances between NIPT showing a structural chromosome aberration and the fetus having a different chromosome aberration in three cases.

methodDiagnostic testing with genomic SNP microarray was performed in three cases with NIPT showing a duplication on 4q (case 1), a terminal deletion of 13q (case 2), and a terminal deletion of 15q (case 3). Placental studies involved SNP array analysis of cytotrophoblast and mesenchymal core of chorionic villi of four placental quadrants. Clinical follow-up was performed as well.

resultsAmniotic fluid revealed a different structural chromosome aberration than predicted by NIPT: a terminal 2q deletion (case 1), a segmental uniparental isodisomy of 13q (case 2), and a terminal duplication of 15q and of 13q (case 3). Placental studies revealed the aberration detected with NIPT in the cytotrophoblast, whereas the fetal karyotype was confirmed in the placental mesenchymal core.

conclusionOur study shows that targeted cytogenetic investigations for confirmation of NIPT showing a microscopically visible structural chromosome aberration should be avoided, since another aberration, even a submicroscopic one or one involving another chromosome, may be present in the fetus.

Indexed as

Chromosome AberrationsKaryotypeNoninvasive Prenatal TestingFemaleHumansPlacentaPregnancy

Identifiers

PMID31321790
PMCPMC6899775
OpenAlexW2963364516

What OpenQuestion holds

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LicenceCC BY
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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.