Evidence map›Paper›PMID 35441737›Full record

ArticleJournal of clinical laboratory analysis2022

Chromosomal microarray in postnatal diagnosis of congenital anomalies and neurodevelopmental disorders in Serbian patients.

Dijana Perovic, Tatjana Damnjanovic, Biljana Jekic, Marija Dusanovic-Pjevic, Milka Grk, Ana Djuranovic, Milica Rasic, Ivana Novakovic, Nela Maksimovic

Abstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

9 authors.

Dijana PerovicFaculty of Medicine, Institute of Human Genetics, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0003-1077-2373
Tatjana DamnjanovicFaculty of Medicine, Institute of Human Genetics, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0003-0479-0620
Biljana JekicFaculty of Medicine, Institute of Human Genetics, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0001-6745-5403
Marija Dusanovic-PjevicFaculty of Medicine, Institute of Human Genetics, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0002-3564-2623
Milka GrkFaculty of Medicine, Institute of Human Genetics, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0002-7534-9608
Ana DjuranovicFaculty of Medicine, Institute of Human Genetics, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0002-8144-4433
Milica RasicFaculty of Medicine, Institute of Human Genetics, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0002-3269-7872
Ivana NovakovicFaculty of Medicine, Institute of Human Genetics, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0003-0202-0673
Nela MaksimovicFaculty of Medicine, Institute of Human Genetics, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0002-5815-573X

Funding

Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja 175091
6 · The paper itself

Abstract

backgroundArray-based genomic analysis is a gold standard for the detection of copy number variations (CNVs) as an important source of benign as well as pathogenic variations in humans. The introduction of chromosomal microarray (CMA) has led to a significant leap in diagnostics of genetically caused congenital malformations and neurodevelopmental disorders, with an average diagnostic yield of 15%. Here, we present our experience from a single laboratory perspective in four years' postnatal clinical CMA application.

methodsDNA samples of 430 patients with congenital anomalies and/or neurodevelopmental disorders were analyzed by comparative genome hybridization using oligonucleotide-based microarray platforms. Interpretation of detected CNVs was performed according to current guidelines. The detection rate (DR) of clinically significant findings (pathogenic/likely pathogenic CNVs) was calculated for the whole cohort and isolated or combined phenotypic categories.

resultsA total of 140 non-benign CNVs were detected in 113/430 patients (26.5%). In 70 patients at least one CNV was considered clinically significant thus reaching a diagnostic yield of 16.3%. The more complex the phenotype, including developmental delay/intellectual disability (DD/ID) as a prevailing feature, the higher the DR of clinically significant CNVs is obtained. Isolated congenital anomalies had the lowest, while the "dysmorphism plus" category had the highest diagnostic yield.

conclusionIn our study, CMA proved to be a very useful method in the diagnosis of genetically caused congenital anomalies and neurodevelopmental disorders. DD/ID and dysmorphism stand out as important phenotypic features that significantly increase the diagnostic yield of the analysis.

Indexed as

DNA Copy Number VariationsNeurodevelopmental DisordersChildChromosome AberrationsDevelopmental DisabilitiesHumansOligonucleotide Array Sequence AnalysisSerbiachromosomal microarraycongenital anomaliescopy number variationsdetection rateneurodevelopmental disorders

Identifiers

PMID35441737
PMCPMC9169173

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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.