Evidence map›Paper›PMID 42559979›Full record

ArticlePrenatal diagnosis2026

Comparison of Medium-Coverage Whole-Genome Sequencing and Chromosomal Microarray in Prenatal Testing of Absence of Heterozygosity.

Mengdie Zhang, Juan Li, Chunying Ren, Yaming Liu, Wuke Bian, Xiao Han, Mengru Wang, Xiaotian Chen, Yukun Hu, Meilin Kan and 1 more

Abstract readComparative Study
In one paragraph

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

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Mengdie ZhangMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.ORCID https://orcid.org/0009-0006-5849-4332
Juan LiMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Chunying RenMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yaming LiuMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Wuke BianMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xiao HanMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.ORCID https://orcid.org/0009-0001-4826-4561
Mengru WangMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Xiaotian ChenMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yukun HuMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Meilin KanMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Ling LiuMedical Genetic and Prenatal Diagnosis Center, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.ORCID https://orcid.org/0000-0003-0426-2414

Funding

This work was supported by the Henan Provincial Key Research and Development Program, "Technology Development and Clinical Application of New Generation Non-Invasive Precision Screening for High-Risk Pregnant Women," funded by the Department of Science and Technology of Henan Province.
6 · The paper itself

Abstract

objectiveAbsence of heterozygosity (AOH) is a clinically significant genomic feature often associated with uniparental disomy and parental consanguinity in the prenatal settings. Chromosomal microarray analysis (CMA) is commonly used for AOH detection, while sequencing-based approaches may provide complementary genomic information within a single assay. This study evaluated the performance of medium-coverage whole-genome sequencing (CNV-plus) for the detection of prenatal AOH.

methodsWe analyzed 45 prenatal samples (35-CMA-positive, 10-CMA-negative). Concordance between CNV-plus and CMA was assessed at regional, genome-wide, and sample levels, with particular emphasis on the effect of AOH segment size.

resultsCNV-plus detected 56 AOH regions compared with 65 by CMA, yielding 68 matched segments. Segment-level sensitivity was 86.8%, showing clear size dependence: 53.3% for 5-10 Mb regions and 96.2% for regions > 10 Mb. Genome-wide overlap was high (global Jaccard index = 0.871), although boundary resolution differed between methods. At the sample level, CNV-plus achieved 97.1% sensitivity and 100% specificity, with no significant difference from CMA.

conclusionsCNV-plus demonstrates good concordance with CMA for detecting larger AOH regions in prenatal samples and may serve as a complementary approach when considering its size-dependent performance.

Indexed as

Loss of HeterozygosityMicroarray AnalysisOligonucleotide Array Sequence AnalysisPrenatal DiagnosisWhole Genome SequencingFemaleHumansPregnancy

Identifiers

PMID42559979
PMCPMC13571803

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