Evidence map›Paper›PMID 35997139›Full record

ArticlePrenatal diagnosis2022

Clinician-reported chorionicity and zygosity assignment using single-nucleotide polymorphism-based cell-free DNA: Lessons learned from 55,344 twin pregnancies.

Anna Wojas, Kimberly A Martin, Allyson Koyen Malashevich, Katelyn Hashimoto, Sheetal Parmar, Roseann White, Zachary Demko, Paul Billings, Russ Jelsema, Andrei Rebarber

Open access · hybridAbstract read
In one paragraph

Article in Prenatal diagnosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Association of zygosity and chorionicity with anatomical distribution of congenital malformations in twin pregnancies.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
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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 2 institutions in 1 country.

Anna WojasDepartment of Obstetrics, Gynecology, and Reproductive Science, Mt. Sinai, New York, NY, USA.
Kimberly A MartinNatera Inc, Austin, Texas, USA.
Allyson Koyen MalashevichNatera Inc, Austin, Texas, USA.
Katelyn HashimotoNatera Inc, Austin, Texas, USA.
Sheetal ParmarNatera Inc, Austin, Texas, USA.
Roseann WhiteNatera Inc, Austin, Texas, USA.
Zachary DemkoNatera Inc, Austin, Texas, USA.ORCID 0000-0001-8796-2381
Paul BillingsNatera Inc, Austin, Texas, USA.
Russ JelsemaNatera Inc, Austin, Texas, USA.
Andrei RebarberDepartment of Obstetrics, Gynecology, and Reproductive Science, Mt. Sinai, New York, NY, USA.ORCID 0000-0003-3528-9652
Natera (United States) · USMount Sinai Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrenatal chorionicity assessment relies on ultrasound, which can be confounded by many factors. Noninvasive assessment of zygosity is possible using single nucleotide polymorphism (SNP)-based cell-free DNA testing. Our objective was to determine the relationship between provider-reported chorionicity and SNP-cfDNA assignment of twin zygosity.

methodsAll twin pregnancy blood samples received by a reference laboratory between September 27, 2017 and September 8, 2021 were included. Chorionicity assignment was requested on the requisition, recorded as; monochorionic (MC), dichorionic, or "don't know". SNP-cfDNA zygosity results, monozygotic (MZ) or dizygotic (DZ), were correlated with chorionicity assignment.

results59,471 twin samples (median gestational age = 12.0 weeks at draw) were received and analyzed; 55,344 (93.1%) received zygosity assignment. SNP-cfDNA reported 16,673 (30.1%) MZ and 38,671 (69.9%) as DZ. Provider-reported chorionicity was compared to the zygosity assignment for each case. Of 6283 provider-reported MC twins, 318 (5.1%) were reported as DZ using SNP-cfDNA. CONCLUSION(S): One in 20 suspected MC twin pregnancies were reported as DZ using SNP-cfDNA. Approximately 30% of 55,344 twin pregnancies were found to be MZ, including cases where chorionicity was unknown. SNP-cfDNA zygosity assessment is a useful adjunct assessment for twin pregnancies, particularly those reported as MC or without determined chorionicity.

Indexed as

Cell-Free Nucleic AcidsPregnancy, TwinChorionFemaleHumansInfantPolymorphism, Single NucleotidePregnancyTwins, DizygoticTwins, MonozygoticCell-Free Nucleic Acids

Identifiers

PMID35997139
PMCPMC9541063
OpenAlexW4292696031

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.