Journal Overview

Prenatal Diagnosis is the Official Journal of the International Society for Prenatal Diagnosis.

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Promises, pitfalls and practicalities of prenatal whole exome sequencing

  •  10-19
  •  27 June 2017

Abstract

What's already known about this topic?

  • Using established cytogenetic and molecular techniques, prenatal genetic diagnosis is only possible in around 40% of dysmorphic fetuses.
  • Several small prenatal whole exome sequencing (WES) studies have successfully identified genetic diagnoses in fetuses with structural abnormalities when standard genetic testing was not diagnostic.
  • Although WES improves detection of clinically important variants, it also increases detection of incidental findings and variants of uncertain significance, which makes interpretation and counselling challenging.

What does this study add?

  • Our literature review identified a wide range of diagnosis rates, varying with inclusion criteria.
  • Prenatal WES improves diagnostic rates and understanding of genetic disorders in the prenatal period.
  • We discuss the challenges of prenatal WES including difficulties of fetal phenotyping, counselling and practical issues such as turnaround time, variant interpretation and cost.
  • We highlight the ethical, social and economic factors requiring consideration before widespread implementation of prenatal WES.

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Gestational age and maternal weight effects on fetal cell‐free DNA in maternal plasma

  •  662-666
  •  2 April 2013

Abstract

What's already known about this topic?

  • Previous literature indicates no significant change in average percentage of fetal cell-free DNA between 10 and 22 weeks when using Next-Generation Sequencing technology.

What does this study add?

  • This is the largest sample set reporting changes in percent fetal cell-free DNA in relation to maternal weight and gestational age.

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