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The New Genetics: Paradigm Shifts in Prenatal Diagnosis

The New Genetics: Paradigm Shifts in Prenatal Diagnosis

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NIPT<br />

• Very high specificity and sensitivity<br />

• Detection Rates<br />

• Down syndrome: >99% (0.2% FPR)<br />

• Trisomy 18: 97-100% (≤0.2% FPR)<br />

• Trisomy 13: 79-92% (1.0% FPR)<br />

* Detection rates and FPR vary slightly between labs<br />

• Results<br />

• Typically reported as “positive” or “negative”<br />

• Some labs dist<strong>in</strong>guish between results close to or distant from<br />

the cut-off<br />

• Results close to the cut-off would have less confidence<br />

• Some labs classify those results as “unclassifiable,” some<br />

would place results on a cont<strong>in</strong>uum scale<br />

• Confirmatory test<strong>in</strong>g via CVS or amniocentesis is<br />

recommended for positive results

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