Validation and Clinical Use of the Non-Invasive Prenatal Test “Veracity”

V. Gnetetskaya
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Abstract

Cell-free DNA has been utilized as a novel analyse for the development of non-invasive approaches to prenatal genetic testing using different methodologies [1-4]. Following the publication of a number of major research and clinical studies that revealed high accuracy to detect fetal aneuploidies, the use of noninvasive prenatal testing (NIPT) has been widely adopted in clinical practice. NIPT technologies provide significant improvements over conventional invasive prenatal testing and consequently, international bodies endorse NIPT as a routine screening option [5,6]. This has resulted in many institutions adopting NIPT within the scope of standard of care for autosomal and sex chromosomal aneuploidy detection (SCA). Mother and Child Clinic is a primary clinical centre certified by the Russian Ministry of Health and specialises in screening and diagnosing prenatal chromosomal aneuploidies. NIPT has been offered as a prenatal screening option in our clinic since (May 2017). This study aims to summarize the NIPT results and clinical performance of NIPT in the detection of trisomy 13,18,21 and SCAs using the Veracity non-invasive prenatal test in a cohort of 1382 samples among mixed-risk participants. In this report we convey a complete and robust clinical picture of the performance of Veracity under routine NIPT testing conditions and describe examples of unique clinical cases.
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无创产前检查“准确性”的验证与临床应用
无细胞DNA已被用作一种新的分析方法,用于开发使用不同方法进行产前基因检测的非侵入性方法[1-4]。随着一些主要研究和临床研究的发表,这些研究表明检测胎儿非整倍体的准确性很高,无创产前检测(NIPT)在临床实践中被广泛采用。与传统的侵入性产前检测相比,NIPT技术提供了显著的改进,因此,国际机构认可NIPT作为一种常规筛查选择[5,6]。这导致许多机构在常染色体和性染色体非整倍体检测(SCA)的标准护理范围内采用NIPT。母婴诊所是俄罗斯卫生部认证的初级临床中心,专门筛查和诊断产前染色体非整倍体。自2017年5月起,NIPT已在我们的诊所作为产前筛查选项提供。本研究旨在总结在混合风险参与者中1382个样本的队列中,使用Verdacity非侵入性产前测试检测13、18、21三体和SCAs的NIPT结果和NIPT的临床表现。在本报告中,我们介绍了Verity在常规NIPT测试条件下的完整而稳健的临床表现,并描述了独特临床病例的例子。
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