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. 2019 Feb 19;19(4):1–166.

Table 4:

Characteristics of Included Studies on NIPT Accuracy or Clinical Utility

Author, Year, Country N Study Design Inclusion Criteria Conditions Tested NIPT Method, Index Test Reference Standard(s) Study Funding
Comparative Studies
Bianchi et al, 2014,52 United States 2,052 Prospective, comparative Pregnant people ≥ 18 years old, ≥ 8 weeks’ gestation
Exclusion: people who had diagnostic testing within 2 weeks prior to enrolment, or had only NT ultrasound
Trisomies 21, 18, and 13 Verifi test, MPSS Fetal karyotype Neonate examination
Birth medical record
Illumina, Inc.
Langlois et al, 2017,54 Canada 1,165 Prospective, comparative Pregnant people ≥ 19 years old, singleton pregnancy, < 14 weeks’ gestation Trisomies 21, 18, and 13 Harmony test, targeted approach (DANSR) Fetal karyotype
Neonate examination
Birth medical record
Genome Canada, Quebec, British Columbia, and Alberta
Quebec ministry
Ariosa Diagnostics (arms’ length)
Norton et al, 2015,56 International 18,955 Prospective, comparative Pregnant people ≥ 18 years old, 10–14 weeks’ gestation
Exclusion: people who had a pregnancy loss, or chose to terminate with confirmatory diagnostic testing
Trisomies 21, 18, and 13, other aneuploidies Harmony test, targeted approach (DANSR) Fetal karyotype
Neonate examination
Birth medical record
Ariosa Diagnostics Perinatal Quality Foundation
Quezada et al, 2015,58 United Kingdom 2,905 Prospective, comparative Pregnant people 10–11 weeks’ gestation, singleton pregnancy, who had combined test Trisomies 21, 18, and 13 Harmony test, targeted approach (DANSR) Fetal karyotype Fetal Medicine Foundation
Song et al, 2013,59 China 1,916 Prospective, comparative Pregnant people < 35 years old, singleton pregnancies
No a priori risk of aneuploidy and undergoing routine prenatal screening
Trisomies 21, 18, and 13, sex chromosome aneuploidies Illumina HiSeq platform, MPSS Fetal karyotype
Cord blood
Birth medical record
Chinese National Key Technology Research and Development Program
Noncomparative Studies
del Mar Gil et al, 2014,53 United Kingdom 207 Retrospective, noncomparative Pregnant people without a priori risk, undergoing first-trimester screening, twin pregnancies, 11–13 weeks’ gestation Trisomies 21, 18, and 13 Harmony test, targeted approach (DANSR) Fetal karyotype Fetal Medicine Foundation
Ariosa Diagnostics (provided test and analysis only)
Nicolaides et al, 2012,55 United Kingdom 2,230 Retrospective, noncomparative Pregnant people 11–13.9 weeks’ gestation, singleton pregnancy, archived sample ≥ 2 mL Trisomies 21 and 18 Harmony test, targeted approach (DANSR) Fetal karyotype
Neonate examination
Fetal Medicine Foundation
Ariosa Diagnostics (provided test and analysis only)
Palomaki et al, 2017,57 United States 2,691 Prospective, noncomparative Pregnant people ≥ 10 weeks’ gestation, satisfy inclusion criteria for Panorama test Trisomies 21, 18, and 13, monosomy X Panorama test, targeted approach (single nucleotide polymorphism based) Fetal karyotype
Newborn karyotype and examination
Natera, Inc. (no involvement)

Abbreviations: DANSR, Digital Analysis of Selected Regions; MPSS, massively parallel shotgun sequencing; NIPT, noninvasive prenatal testing; NT, nuchal translucency.