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triSure Traditional NIPT
Aneuploidies and microdeletion
Scope of different triSure packages based on American College of Medical Genetics and Genomics (ACMG) guideline (1)
Who should consider Traditional NIPT test?
- All pregnant women
ACMG Recommendation(1): At This Time, There Is Insufficient Evidence to Recommend Routine Screening for CNVs Other Than 22q11.2 Deletions (No Recommendation, Owing to Lack of Clinically Relevant Evidence and Validation)
At Gene Solutions, 22q11.2 deletion syndrome demonstrated a high positive predictive value (PPV) of 63.6%(2). In contrast, other microdeletions reported in external studies showed lower PPVs ranging from 0% to 21%(3), potentially leading to unnecessary diagnostic procedures and fetal loss(4).
Testing Scopes:
- Fetal Trisomies 21, 18, 13
- Fetal SCA (Sex Chromosome Aneuploidy): 45 Turner Syndrome (XO), 47 Triple X Syndrome (XXX), 47 Klinefelter Syndrome (XXY, XXXY), 47 Jacobs Syndrome (XYY)
- 22q11.2 Deletions (Di George Syndrome)
- Rare Autosomal Trisomies: 1-12, 12-17, 19-20, 22
References:
- (1) Dungan JS, et al.; ACMG Board of Directors. Noninvasive prenatal screening (NIPS) for fetal chromosome abnormalities in a general-risk population: An evidence-based clinical guideline of the American College of Medical Genetics and Genomics (ACMG). Genet Med. 2023.
- (2) Nguyễn, P. T. V., et al. Establishment and assessment of a non-invasive prenatal testing protocol for di george syndrome. Vietnam Medical Journal. 2024.
- (3) Petersen, et al. Positive Predictive Value Estimates for Cell-Free Noninvasive Prenatal Screening from Data of a Large Referral Genetic Diagnostic Laboratory. American Journal of Obstetrics and Gynecology. 2017.
- (4) Avram et al. Cell-Free Fetal DNA Screening for Detection of Microdeletion Syndromes: A Cost-Effectiveness Analysis. The Journal of Maternal-Fetal & Neonatal Medicine. 2021.