整合NIPT和超声检测胎儿非整倍体和异常。

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Wiku Andonotopo, Muhammad Adrianes Bachnas, Adhi Pribadi, Muhammad Alamsyah Azis, Muhammad Ilham Aldika Akbar, Ernawati, I Nyoman Hariyasa Sanjaya, Anak Agung Gede Putra Wiradnyana, Dudy Aldiansyah, Julian Dewantiningrum, Mochammad Besari Adi Pramono, John Wantania, Sri Sulistyowati, Milan Stanojevic, Asim Kurjak
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引用次数: 0

摘要

利用无细胞胎儿DNA (cfDNA)的无创产前检测(NIPT)的出现改变了早期染色体异常检测的格局。当与高分辨率超声成像配对时,它为产前诊断建立了一个强大的框架。本研究探讨将NIPT结果与详细的超声标记相结合,以增强对染色体和胎儿结构异常的识别。来自190例病例的数据显示,cfDNA的有效率为91.58 % (cfDNA≥4 %),非整倍体的检出率为4.74 %。该调查深入研究了三体、单体和身体畸形的主要发现,并以最先进的诊断基准为基础。颈部透明度(NT)、颅面特征和心脏不规则性等标记与遗传结果一起分析。这种综合策略显著提高了诊断精度,为个性化产前护理和管理铺平了道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Integrating NIPT and ultrasound for detecting fetal aneuploidies and abnormalities.

The advent of non-invasive prenatal testing (NIPT) utilizing cell-free fetal DNA (cfDNA) has transformed the landscape of early chromosomal anomaly detection. When paired with high-resolution ultrasound imaging, it establishes a robust framework for prenatal diagnostics. This study explores the efficacy of merging NIPT findings with detailed ultrasound markers to enhance the identification of both chromosomal and structural fetal abnormalities. Data from 190 cases demonstrated a cfDNA efficacy rate of 91.58 % (cfDNA ≥4 %) and a detection rate of 4.74 % for aneuploidies. The investigation delves into key findings for trisomies, monosomies, and physical malformations, backed by state-of-the-art diagnostic benchmarks. Markers such as nuchal translucency (NT), craniofacial characteristics, and cardiac irregularities were analyzed alongside genetic results. This integrative strategy significantly refines diagnostic precision, paving the way for personalized prenatal care and management.

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来源期刊
Journal of Perinatal Medicine
Journal of Perinatal Medicine 医学-妇产科学
CiteScore
4.40
自引率
8.30%
发文量
183
审稿时长
4-8 weeks
期刊介绍: The Journal of Perinatal Medicine (JPM) is a truly international forum covering the entire field of perinatal medicine. It is an essential news source for all those obstetricians, neonatologists, perinatologists and allied health professionals who wish to keep abreast of progress in perinatal and related research. Ahead-of-print publishing ensures fastest possible knowledge transfer. The Journal provides statements on themes of topical interest as well as information and different views on controversial topics. It also informs about the academic, organisational and political aims and objectives of the World Association of Perinatal Medicine.
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