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. 2017 Apr 3;49(4):470–477. doi: 10.1002/uog.15964

Table 5.

Fetal fraction (FF) estimates in six twin pregnancies with confirmed trisomy 21 and at least one male fetus, included in Clinical Study B

Fetal karyotype (Twin A/B) FF by X (%) FF by Chr 21 (%) Source of FF Correlation with clinical findings
XY/XY + 21 31.9 12.0 FF by X is from Twins A and B
FF by Chr 21 is from Twin B
Expectation: higher FF by X*
Finding: higher FF by X
XY/XY + 21 13.5 6.4 FF by X is from Twins A and B
FF by Chr 21 is from Twin B
Expectation: higher FF by X*
Finding: higher FF by X
XX/XY + 21 11.3 4.8 Both FF measurements are from Twin B Expectation: similar FF
Finding: higher FF by X
XX/XY + 21 6.7 7.2 Both FF measurements are from Twin B Expectation: similar FF
Finding: similar FF
XY/XX + 21 6.6 9.6 FF by X is from Twin A
FF by Chr 21 is from Twin B
Expectation: FF within 1.5 of each other§
Finding: FF within 1.5 of each other
XX/XY + 21 15.1 14.8 Both FF measurements are from Twin B Expectation: similar FF
Finding: similar FF
*

FF by X is combined contribution from both twins and FF by chromosome (Chr) 21 is only from affected twin.

Because both FF measurements are from same twin, we would expect similar values for each method.

Originally triplet pregnancy with one demise at around 6 weeks; if the demised twin was male, without trisomy 21, this could account for higher FF by X.

§

Studies in literature have reported FF of individual twins to differ by up to two‐fold15, 16.