Evidence map›Paper›PMID 39568677›Full record

ArticleFrontiers in genetics2024

Clinical application of chromosome microarray analysis and karyotyping in prenatal diagnosis in Northwest China.

ShuYuan Xue, YuTong Liu, LiXia Wang, Le Zhang, Bozhen Chang, GuiFeng Ding, PengGao Dai

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Article in Frontiers in genetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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8citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

ShuYuan XueThe College of Life Sciences, Northwest University, Xi'an City, Shanxi, China.
YuTong LiuCollege of Public Health, Xinjiang Medical University, Ürümqi, Xinjiang Uygur Autonomous Region, China.
LiXia WangPrenatal Diagnosis Center, Urumqi Maternal and Child Healthcare Hospital, Ürümqi City, Xinjiang Uygur Autonomous Region, China.
Le ZhangPrenatal Diagnosis Center, Urumqi Maternal and Child Healthcare Hospital, Ürümqi City, Xinjiang Uygur Autonomous Region, China.
Bozhen ChangPrenatal Diagnosis Center, Urumqi Maternal and Child Healthcare Hospital, Ürümqi City, Xinjiang Uygur Autonomous Region, China.
GuiFeng Ding *Department of Obstetrics, Urumqi Maternal and Child Healthcare Hospital, Ürümqi City, Xinjiang Uygur Autonomous Region, China.
PengGao Dai *The College of Life Sciences, Northwest University, Xi'an City, Shanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Karyotyping and chromosome microarray analysis (CMA) are the two main prenatal diagnostic techniques currently used for genetic testing. We aimed to evaluate the value of chromosomal karyotyping and CMA for different prenatal indications. Methods: A total of 2084 amniocentesis samples from pregnant women who underwent prenatal diagnosis from 16 to 22 + 6 weeks of gestation between January 2021 and December 2022 were retrospectively collected. The pregnant women were classified according to different prenatal diagnostic indications and underwent CMA and karyotype analysis. Clinical data were collected, and the results of the CMA and karyotype analysis were statistically analyzed to compare the effects of the two diagnostic techniques. Results: The total detection rate of abnormal chromosomes was significantly higher using CMA than karyotype analysis. The detection rate of abnormal chromosomes using CMA was significantly higher than that using karyotyping for ultrasound abnormalities, high-risk serologic screening, adverse pregnancy history, positive noninvasive prenatal test (NIPT) screening, and ultrasound abnormalities combined with adverse pregnancy history indications. Among the fetuses with inconsistent results between the two testing methods, 144 had an abnormal CMA but a normal karyotype, with the highest percentage of pregnant women with ultrasound abnormalities at 38.89% (56/144). CMA had the highest detection rate for structural abnormalities combined with soft-index abnormalities among all ultrasound abnormalities. The highest detection rate of copy number variants in the group of structural abnormalities in a single system was in the genitourinary system (3/29, 10.34%). Conclusion: CMA can improve the detection rate of chromosomal abnormalities in patients with ultrasound abnormalities, high-risk serologic screening, adverse maternal history, positive NIPT screening, and ultrasound abnormalities combined with adverse maternal history and can increase the detection rate of chromosomal abnormalities in karyotypic normality by 6.91% (144/2,084), this result is higher than similar studies. However, karyotype analysis remains advantageous over CMA regarding balanced chromosomal rearrangement and detection of low-level chimeras, and the combination of the two methods is more helpful in improving the detection rate of prenatal chromosomal abnormalities.

Indexed as

chromosomal microarraycopy number variantkaryotypeprenatal diagnosisultrasonography

Identifiers

PMID39568677
PMCPMC11576268

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