Prenatal microarray comparative genomic hybridization: Experience from the two first years of activity at the Lyon university-hospital - 24/03/17
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Abstract |
Objectives |
This study aims to describe how microarray comparative genomic hybridization (aCGH) has shifted to become a prenatal diagnosis tool at the Lyon university-hospital.
Materials and methods |
This retrospective study included all patients who were referred in the 3 pluridisciplinary centers for prenatal diagnosis of the Lyon university-hospital and who received a prenatal aCGH between June 2013 and June 2015. aCGH was systematically performed in parallel with a karyotype, using the PréCytoNEM array design.
Results |
A total of 260 microarrays were performed for the following indications: 249 abnormal ultrasounds (95.8%), 7 characterizations of chromosomal rearrangements (2.7%), and 4 twins with no abnormal ultrasounds (1.5%). With a resolution of 1 mega base, we found 235 normal results (90.4%), 23 abnormal results (8.8%) and 2 non-returns (0.8%). For the chromosomal rearrangements visible on the karyotype, aCGH identified all of the 12 unbalanced rearrangements and did not identify the 2 balanced rearrangements. Among the fetuses with normal karyotypes, 11 showed abnormal microarray results, corresponding to unbalanced cryptic chromosomal rearrangements (4.2%).
Conclusion |
Transferring aCGH to a prenatal diagnosis at the Lyon university-hospital has increased the detection rate of chromosomal abnormalities by 4.2% compared to the single karyotype.
Le texte complet de cet article est disponible en PDF.Keywords : Prenatal diagnosis, Microarray comparative genomic hybridization, Abnormal ultrasounds, Characterization of chromosomal rearrangements
Abbreviations : aCGH, CNV, CPDPN, DNA, FISH, IUGR, kb, Mb, MTOP, qPCR, VOUS
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Vol 46 - N° 3
P. 275-283 - mars 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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