Diagnostic accuracy of random massively parallel sequencing for non-invasive prenatal detection of common autosomal aneuploidies: a collaborative study in Europe
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Diagnostic accuracy of random massively parallel sequencing for non-invasive prenatal detection of common autosomal aneuploidies: a collaborative study in Europe. / Stumm, Markus; Entezami, Michael; Haug, Karsten; Blank, Cornelia; Wüstemann, Max; Schulze, Bernt; Raabe-Meyer, Gisela; Hempel, Maja; Schelling, Markus; Ostermayer, Eva; Langer-Freitag, Sabine; Burkhardt, Tilo; Zimmermann, Roland; Schleicher, Tina; Weil, Bernd; Schöck, Ulrike; Smerdka, Patricia; Grömminger, Sebastian; Kumar, Yadhu; Hofmann, Wera.
In: PRENATAL DIAG, Vol. 34, No. 2, 02.2014, p. 185-91.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Diagnostic accuracy of random massively parallel sequencing for non-invasive prenatal detection of common autosomal aneuploidies: a collaborative study in Europe
AU - Stumm, Markus
AU - Entezami, Michael
AU - Haug, Karsten
AU - Blank, Cornelia
AU - Wüstemann, Max
AU - Schulze, Bernt
AU - Raabe-Meyer, Gisela
AU - Hempel, Maja
AU - Schelling, Markus
AU - Ostermayer, Eva
AU - Langer-Freitag, Sabine
AU - Burkhardt, Tilo
AU - Zimmermann, Roland
AU - Schleicher, Tina
AU - Weil, Bernd
AU - Schöck, Ulrike
AU - Smerdka, Patricia
AU - Grömminger, Sebastian
AU - Kumar, Yadhu
AU - Hofmann, Wera
N1 - © 2013 John Wiley & Sons, Ltd.
PY - 2014/2
Y1 - 2014/2
N2 - OBJECTIVE: The objective of this study is to validate the diagnostic accuracy of a non-invasive prenatal test for detecting trisomies 13, 18, and 21 for a population in Germany and Switzerland.METHODS: Random massively parallel sequencing was applied using Illumina sequencing platform HiSeq2000. Fetal aneuploidies were identified using a median absolute deviation based z-score equation. A bioinformatics algorithm based on guanine-cytosine normalization was applied after the data were unblinded. Results of massively parallel sequencing and invasive procedures were compared.RESULTS: Overall, 40/42 samples were correctly classified as trisomy 21-positive, including a translocation trisomy 21 [46,XY,der(13;21),+21] and a structural aberration of chromosome 21 [46,XX,rec(21)dup(21q)inv(21)(p12q21.1)] but not including a low percentage mosaic trisomy 21 [47,XY,+21/46,XY], [sensitivity: 95.2%; one-sided lower confidence limit: 85.8%]; 430/430 samples were correctly classified as trisomy 21-negative (specificity: 100%; one-sided lower CL: 99.3%). Using a new bioinformatics algorithm with guanine-cytosine normalization, detection of trisomy 21 was facilitated, and five of five trisomy 13 cases and eight of eight trisomy 18 cases were correctly identified.CONCLUSION: Our newly established non-invasive prenatal test allows detection of fetal trisomies 13, 18, and 21 with high accuracy in a population in Germany and Switzerland.
AB - OBJECTIVE: The objective of this study is to validate the diagnostic accuracy of a non-invasive prenatal test for detecting trisomies 13, 18, and 21 for a population in Germany and Switzerland.METHODS: Random massively parallel sequencing was applied using Illumina sequencing platform HiSeq2000. Fetal aneuploidies were identified using a median absolute deviation based z-score equation. A bioinformatics algorithm based on guanine-cytosine normalization was applied after the data were unblinded. Results of massively parallel sequencing and invasive procedures were compared.RESULTS: Overall, 40/42 samples were correctly classified as trisomy 21-positive, including a translocation trisomy 21 [46,XY,der(13;21),+21] and a structural aberration of chromosome 21 [46,XX,rec(21)dup(21q)inv(21)(p12q21.1)] but not including a low percentage mosaic trisomy 21 [47,XY,+21/46,XY], [sensitivity: 95.2%; one-sided lower confidence limit: 85.8%]; 430/430 samples were correctly classified as trisomy 21-negative (specificity: 100%; one-sided lower CL: 99.3%). Using a new bioinformatics algorithm with guanine-cytosine normalization, detection of trisomy 21 was facilitated, and five of five trisomy 13 cases and eight of eight trisomy 18 cases were correctly identified.CONCLUSION: Our newly established non-invasive prenatal test allows detection of fetal trisomies 13, 18, and 21 with high accuracy in a population in Germany and Switzerland.
KW - Adult
KW - Algorithms
KW - Amniocentesis
KW - Aneuploidy
KW - Chorionic Villi Sampling
KW - Chromosome Aberrations
KW - Chromosome Disorders/diagnosis
KW - Chromosomes, Human, Pair 13/genetics
KW - Chromosomes, Human, Pair 18/genetics
KW - Down Syndrome/diagnosis
KW - Female
KW - Germany
KW - High-Throughput Nucleotide Sequencing
KW - Humans
KW - Karyotyping
KW - Male
KW - Middle Aged
KW - Mosaicism
KW - Pregnancy
KW - Prenatal Diagnosis
KW - Sensitivity and Specificity
KW - Sequence Analysis, DNA
KW - Switzerland
KW - Trisomy/diagnosis
KW - Trisomy 13 Syndrome
KW - Trisomy 18 Syndrome
KW - Young Adult
U2 - 10.1002/pd.4278
DO - 10.1002/pd.4278
M3 - SCORING: Journal article
C2 - 24222400
VL - 34
SP - 185
EP - 191
JO - PRENATAL DIAG
JF - PRENATAL DIAG
SN - 0197-3851
IS - 2
ER -