Evidence map›Paper›PMID 41883021›Full record

Observational studyUltrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology2026

Single-cell-based non-invasive screening for fetal pathogenic microimbalances using maternal blood: comparison with invasive prenatal diagnosis.

T Stampalija, C Forcato, F R Grati, P Volpe, V De Robertis, C Izzi, E Bertucci, I Fabietti, A Novelli, S Ornaghi and 14 more

Abstract readMulticenter StudyComparative StudyObservational Study
In one paragraph

Observational study in Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

24 authors.

T Stampalija *Unit of Fetal Medicine and Prenatal Diagnosis, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.ORCID 0000-0002-9080-3848
C Forcato *Reproductive Precision Medicine Unit, Menarini Silicon Biosystems, Castel Maggiore (Bologna), Italy.
F R GratiReproductive Precision Medicine Unit, Menarini Silicon Biosystems, Castel Maggiore (Bologna), Italy.
P VolpeFetal Medicine Unit, Di Venere Hospital, Bari, Italy.ORCID 0000-0001-5133-2580
V De RobertisFetal Medicine Unit, Di Venere Hospital, Bari, Italy.ORCID 0000-0003-0196-0671
C IzziClinical Genetics Unit, ASST-Spedali Civili Brescia, Brescia, Italy.
E BertucciPrenatal Medicine Center, Obstetrics and Gynecology Unit, Department of Medical and Surgical Sciences for Mothers, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
I FabiettiFetal and Perinatal Medicine and Surgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
A NovelliLaboratory of Medical Genetics, Translational Cytogenomics Research Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-9037-4297
S OrnaghiDepartment of Obstetrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
L PasquiniFetal Medicine Unit, Department for Woman and Child Health, Careggi University Hospital, Florence, Italy.ORCID 0000-0002-6733-7658
E BevilacquaDepartment of Women and Child Health, Women Health Area, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy.ORCID 0000-0002-9791-9552
D PaladiniFetal Medicine and Surgery, Istituto IRCCS Giannina Gaslini, Genova, Italy.ORCID 0000-0002-5102-6062
T GhiDepartment of Medicine and Surgery, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy.
D LattuadaDepartment of Mother and Child, Obstetrics Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
M DoriReproductive Precision Medicine Unit, Menarini Silicon Biosystems, Castel Maggiore (Bologna), Italy.
D MercatelliReproductive Precision Medicine Unit, Menarini Silicon Biosystems, Castel Maggiore (Bologna), Italy.
A Dal MolinReproductive Precision Medicine Unit, Menarini Silicon Biosystems, Castel Maggiore (Bologna), Italy.ORCID 0000-0001-6281-9589
G BusonReproductive Precision Medicine Unit, Menarini Silicon Biosystems, Castel Maggiore (Bologna), Italy.
C BolognesiReproductive Precision Medicine Unit, Menarini Silicon Biosystems, Castel Maggiore (Bologna), Italy.
A DoffiniReproductive Precision Medicine Unit, Menarini Silicon Biosystems, Castel Maggiore (Bologna), Italy.
T J MusciReproductive Precision Medicine Unit, Menarini Silicon Biosystems, Castel Maggiore (Bologna), Italy.
E FerrazziDepartment of Mother and Child, Obstetrics Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID 0000-0001-5243-0537
Collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePathogenic or likely pathogenic copy-number variants (p/lpCNVs) are a significant cause of perinatal morbidity and mortality. Current prenatal screening based on cell-free DNA (cfDNA) fails to detect the majority of microimbalances (microdeletions/microduplications), leaving a significant residual risk of undetected chromosomal abnormalities. This study evaluated the clinical performance of a novel single-cell-sequencing-based non-invasive prenatal testing (scsbNIPT) method utilizing circulating extravillous trophoblasts (cEVTs) for the detection of fetal p/lpCNVs, particularly microimbalances < 8 Mb.

methodsThis was a prospective, blinded, observational multicenter cohort study of 1390 high-risk pregnant women undergoing prenatal invasive diagnostic testing between November 2021 and December 2023. A 20-mL maternal blood sample was collected from each subject between 11 + 0 and 22 + 6 weeks' gestation prior to invasive sampling. cEVTs were isolated and subjected to whole-genome sequencing, using a proprietary workflow. scsbNIPT results were compared with standard invasive prenatal diagnostic results obtained by karyotyping and/or chromosomal microarray analysis.

resultsscsbNIPT showed a sensitivity of 92.9% (95% CI, 76.5-99.1%) and a specificity of 98.2% (95% CI, 97.0-99.0%) for the detection of genome-wide microimbalances measuring ≥ 300 kb to < 8 Mb. The sensitivity for p/lpCNVs ≥ 300 kb in pregnancies screened at 11 + 0 to 14 + 6 weeks was 100% (95% CI, 83.9-100%). For trisomy 21, the sensitivity of scsbNIPT was 98.0% (95% CI, 92.9-99.8%) and the specificity was 99.7% (95% CI, 99.0-99.9%).

conclusionsThis study demonstrates the scientific validity and clinical utility of scsbNIPT for the non-invasive detection of genome-wide fetal p/lpCNVs, particularly microimbalances, with high sensitivity and a resolution comparable to that of chromosomal microarray analysis. scsbNIPT may offer more complete screening for genome-wide p/lpCNVs, markedly lowering the residual risk early in pregnancy compared with existing cfDNA-based methods. © 2026 Menarini Silicon Biosystems. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

Indexed as

DNA Copy Number VariationsMaternal Serum Screening TestsNoninvasive Prenatal TestingPrenatal DiagnosisSingle-Cell AnalysisAdultCell-Free Nucleic AcidsExtravillous TrophoblastsFemaleHumansPregnancyPregnancy, High-RiskProspective StudiesSensitivity and SpecificityCell-Free Nucleic Acidscirculating extravillous trophoblastclinically relevant CNVclinical utilityDNA‐based first‐trimester screeningfetal microimbalancegenome‐wide screeningintentional screeningresidual risksingle‐cell NIPTsingle‐cell sequencing

Identifiers

PMID41883021
PMCPMC13040114

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.