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Cursul 19-Profilaxia bolilor genetice

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Alegerea testului in functie de rata de<br />

detectie (sensibilitatea)<br />

Trimester Screening Test Detection Rate<br />

1 st NT measurement 64-70%<br />

NT + PAPP-A, bhCG 82-87%<br />

2 nd Triple test 69%<br />

Quadruple test 81%<br />

1 st & 2 nd NT, PAPP-A, Quad test 94-96%<br />

PAPP-A quad test 85-88%<br />

Stepwise sequential<br />

(If 1 st test +, offer 2 nd ; & if 1 st test -, offer<br />

2 nd anyway)<br />

Contingent sequential<br />

(If 1 st test +, offer 2 nd ; if 1 st test –, stop)<br />

95%<br />

88-94%

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