Evidence map›Paper›PMID 41847758›Full record

ArticleJournal of medical screening2026

Cell-free DNA screening for sex chromosome aneuploidy in 67,099 pregnancies: A retrospective analysis.

Yiqing Yu, Yan Lü, Xiya Zhou, Yulin Jiang, Na Hao, Mengmeng Li, Xueting Yang, Juntao Liu, Qingwei Qi

Abstract read
In one paragraph

Article in Journal of medical screening, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Yiqing YuDepartment of Obstetrics and Gynecology, National Clinical Research Center for Women's Health and Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0009-0004-8458-365X
Yan LüDepartment of Obstetrics and Gynecology, National Clinical Research Center for Women's Health and Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0001-5180-922X
Xiya ZhouDepartment of Obstetrics and Gynecology, National Clinical Research Center for Women's Health and Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0002-7738-962X
Yulin JiangDepartment of Obstetrics and Gynecology, National Clinical Research Center for Women's Health and Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0002-6630-9989
Na HaoDepartment of Obstetrics and Gynecology, National Clinical Research Center for Women's Health and Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0001-7731-0929
Mengmeng LiDepartment of Obstetrics and Gynecology, National Clinical Research Center for Women's Health and Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0001-8537-9694
Xueting YangDepartment of Obstetrics and Gynecology, National Clinical Research Center for Women's Health and Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0001-8048-5965
Juntao LiuDepartment of Obstetrics and Gynecology, National Clinical Research Center for Women's Health and Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0001-9978-7031
Qingwei QiDepartment of Obstetrics and Gynecology, National Clinical Research Center for Women's Health and Obstetric and Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID 0000-0001-6072-982X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectivesTo evaluate the efficacy of non-invasive prenatal testing in detecting sex chromosome aneuploidies.MethodsA total of 67,099 pregnant women were recruited in this retrospective observational study at Peking Union Medical College Hospital; 300 cases at high risk of sex chromosome aneuploidies were screened and 36 cases refused invasive prenatal diagnosis after detailed prenatal genetic counselling. The clinical data and prenatal diagnosis results were collected.Results101 cases were in accordance with non-invasive prenatal testing results after invasive prenatal diagnosis: 95 cases had follow-up confirmation with abnormal sex aneuploidies (14 for monosomy X; 36 for 47, XXY; 22 for trisomy X and 23 for 47, XYY). The total positive predictive value was 38.26% (101/264). The accuracy of different Z scores was calculated, respectively, with positive predictive value ranging from 33.96% to 41.38% and a decreased sensitivity with rise of the Z score.ConclusionsNon-invasive prenatal testing is an effective screening method for sex chromosome trisomy, rather than monosomy X, with relatively high accuracy. Z score = 3 is an optimum risk threshold in sex chromosome aneuploidies.

Indexed as

AneuploidyCell-Free Nucleic AcidsPrenatal DiagnosisSex ChromosomesAdultFemaleGenetic TestingHumansPregnancyRetrospective StudiesSex Chromosome AberrationsCell-Free Nucleic Acidscell-free DNANon-invasive prenatal testingpositive predictive valueprenatal diagnosissex chromosome aneuploidy

Identifiers

PMID41847758
PMCPMC13490650

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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.