Table 5.
Pretest Counseling – Comparison of Important Aspects between Sex Chromosome and Autosomal Aneuploidy
Chance of a high-risk NIPT result | PPV | Maternal Condition | Mosaicism at CVS and true fetal aneuploidy | Phenotype of true positive | Prenatal diagnostic modality | |
---|---|---|---|---|---|---|
SCA | 0.3 – 0.6% | 20 – 50% | Maternal unrecognized SCA = 6 – 24% | 45,X - 16% | Majority undiagnosed during life Exception – 45,X - 70% | CVS- if NT > 3.0, or anomalies Amniocentesis – normal first trimester US |
Autosomal aneuploidy | 1.0 – 5.0% | Trisomy 21 - 50% (< 35 yo) - 80% (> 35 yo) |
Maternal cancer = 1/1,800 | T21 – 2% T18 – 4% T13 – 22% |
Majority, if not all, diagnosed as a newborn | CVS or amniocentesis |