Update on noninvasive prenatal testing: A review based on current worldwide research.
Osamu SamuraPublished in: The journal of obstetrics and gynaecology research (2020)
Eight years have passed since noninvasive prenatal testing (NIPT) was clinically evaluated and data on NIPT for trisomy 21, 18 and 13 were collected. The data revealed that NIPT is more accurate than conventional first-trimester screening. However, there is still insufficient data regarding the clinical use of NIPT results in detecting sex chromosome aneuploidies or whole-genome regions. NIPT is already being used as a clinical screening method globally. However, it is an unconfirmed diagnostic test and the results must be interpreted with caution as they may yield false negatives, false positives or inconclusive results. Therefore, the aim of this review is to highlight the current status of information, including the different methodologies, shortcomings and implications, regarding NIPT after its adoption worldwide. It is important to include genetic counseling when implementing NIPT. Going forward, the knowledge obtained to date, including the associated shortcomings, must be considered in evaluating the effectiveness of NIPT in detecting genetic abnormalities.
Keyphrases
- electronic health record
- pregnant women
- randomized controlled trial
- big data
- healthcare
- systematic review
- current status
- copy number
- genome wide
- data analysis
- mass spectrometry
- high resolution
- single cell
- smoking cessation
- dna methylation
- hepatitis c virus
- human immunodeficiency virus
- quality improvement
- men who have sex with men