4. Characteristics of included studies by type of gNIPT.
Study ID | Target condition(s) |
Study design and participants |
Prior risk | Index test details | Cutpoint | Reference standard | Comparator |
MPSS | |||||||
Alberti 2015 | T21 |
|
High risk |
|
Z score of 3 | Fetal karyotypea | |
Benachi 2015 | T21, T18, T13 |
|
High risk |
|
Z score of 3 for T21; 3.95 for T18 and T13 | Fetal karyotype or neonatal clinical examination | |
Bianchi 2012 | T21, T18, T13, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
Different cutpoints used for autosomes and SCAb | Fetal karyotype | |
Bianchi 2013 | T21, T18, T13, 45,X |
|
High risk |
|
Different cutpoints used for autosomes and SCAb | Fetal karyotype | |
Bianchi 2014a | T21, T18, T13 |
|
High, low and without prior risk |
|
NCV of 4; resequenced if NCV is between 3 and 4 | Fetal or postnatal karyotype, neonatal clinical examination or medical record from birth | Standard screening (T21 only with mixed cutpoints) which include first‐trimester combined test or a second‐trimester result (quadruple, serum integrated, fully integrated, or sequential). |
Bijok 2014 | T21, T18, T13 |
|
High risk |
|
NR | Fetal karyotype | |
Canick 2012 | T21, T18, T13 |
|
High risk |
|
Z score of 3 | Fetal karyotype | |
Chen 2011 | T18, T13 |
|
High risk |
|
Z score of 3 | Fetal karyotype | |
Chiu 2011 | T21 |
|
Mostly high (> 1/300) and some intermediate risk (between 1/300 and 1/1000) |
|
Z score of 3 | Fetal karyotype | |
Ehrich 2011 | T21 |
|
High risk |
|
Z score of 2.5 | Fetal karyotype | |
Fiorentino 2016 | T21, T18, T13 |
|
Mostly high risk and without prior risk |
|
NCV of 4; aneuploidy suspected if NCV is between 3 and 4 | Fetal karyotype or neonatal clinical examination | |
Hou 2012 | T21, T18, T13, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
NR | Fetal karyotype | |
Huang 2014 | T21, T18 |
|
High risk |
|
L score of 1 and t score of 2.5 including warning zone | Fetal karyotype | |
Jeon 2014 | T21, T18 |
|
High risk |
|
Z score of 2.566 for T21; 2.459 for T18. | Fetal karyotype | |
Jiang 2012 | T21, T18, T13, 45,X, 47,XXY, 47, XYY |
|
High risk |
|
Different cutpoints used for autosomes and SCAb | Fetal karyotype | |
Johansen 2016 | T21, T18, T13 |
|
High risk |
|
Z score of 4 (unclassified if Z score is between 3 and 4) and WISECONDOR of 1% | Fetal karyotype | |
Ke 2015 | T21, T18, T13 |
|
High risk |
|
T score of 3 | Fetal karyotype or newborn outcome | |
Kim 2016 | T21 |
|
High risk |
|
Z score of 2.10 for Ion Proton™ | Fetal karyotype | |
Lau 2012 | T21, T18, T13, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
Mostly high risk |
|
Different cutpoints used for autosomes and SCAb | Fetal karyotype | |
Lee 2015 | T21, T18, T13 and SCA (no case found) |
|
High risk |
|
Z score of 4 (intermediate risk if Z score is between 2.5 and 4) for T21 and T18; 2.8 for T13 (intermediate risk if Z score is between 1.9 and 2.8) | Fetal or neonatal karyotype | |
Lefkowitz 2016 | T21, T18, T13, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
Different cutpoints used for autosomes and SCAb | Fetal karyotype | |
Liang 2013 | T21, T18, T13, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
Different cutpoints used for autosomes and SCAb | Fetal karyotype | |
Liu 2012 | T21, T18, T13, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
Z score of 3 | Fetal karyotype | |
Ma 2016 | T21, T18, T13 |
|
High and low risk |
|
Z score of 3 | Fetal karyotype or postnatal follow‐up | |
Mazloom 2013 | 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
Different cutpoints used for the four SCAb | Fetal karyotype | |
Palomaki 2012 | T21, T18, T13 |
|
High risk |
|
Z score of 3 for T21; 3.88 for T18; 7.17 for T13 | Fetal karyotype | |
Papageorghiou 2016a | T21, T18, T13 |
|
High risk |
|
Likelihood ratio of 1 and maternal age‐adjusted probability risk score | Fetal karyotype or medical record from birth | |
Papageorghiou 2016b | T21, T18, T13 |
|
High risk |
|
Likelihood ratio of 1 and maternal age‐adjusted probability risk score | Fetal karyotype or medical record from birth | |
Poon 2016 | T21, T18, T13 |
|
High risk |
|
NR (authors used the same gNIPT than Papageorghiou 2016a) | Fetal karyotype | |
Porreco 2014 | T21, T18, T13, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
Different cutpoints used for autosomes and SCAb | Fetal karyotype or medical record from birth | |
Sehnert 2011 | T21, T18, T13, 45,X |
|
High risk |
|
Different cutpoints used for autosomes and SCAb | Fetal karyotype | |
Shaw 2014 | T21, T18, T13, 45,X, 47, XXX, 47,XXY, 47,XYY |
|
High and low risk |
|
Different cutpoints used for autosomes and SCAb | Fetal karyotype or medical record from birth | |
Song 2013 | T21, T18, T13, 45,X, 47,XXX, 47, XXY, 47,XYY (SCA data not shown in this review) |
|
Without prior risk |
|
Z score of 3 | Fetal or postnatal karyotype or medical record from birth | Triple test for T21 and T18 (cutpoint of 1 in 270). |
Song 2015 | T21, T18, T13, 45,X, 47,XXX, 47,XYY |
|
High risk |
|
Z score of 3 | Fetal karyotype or neonatal clinical examination or both | |
Stumm 2014 | T21, T18, T13 |
|
High risk |
|
MAD‐based Z score of 3 for T21; 3.2 for T18; 3.9 for T13 | Fetal karyotype | |
Sukhikh 2015 | T21, T18, T13, 45,X |
|
High risk |
|
T score of 5 for T21 and T18; 4 for T13; 0.04 Chrom. X and 0.04 Chrom. Y for 45,X | Fetal karyotype | |
Sung‐Hee 2015 | T21, T18, T13, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
L score of 1 and t score of 2.5 | Fetal karyotype or medical record from birth | |
Tynan 2016 | T21, T18, T13 |
|
High and without prior risk |
|
risk score of 1% | Fetal karyotype or medical record from birth | |
Wang 2014 | T21, T18, T13, 45,X |
|
High risk |
|
NR | Fetal or neonatal karyotype or clinical examination at 42 days after birth or both | |
Wang 2015a | T21, T18, T13, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
Z score of 3 for T21, T18 and T13; ‐3 for Chrom. X and 3 for Chrom. Y for sex Chrom. classification. | Fetal karyotype or clinical follow‐up to 6 months from birth | |
Yao 2014 | T21, T18, T13 and SCA (SCA data not shown in this review) |
|
High, low and without prior risk |
|
Different cutpoints used for autosomes and SCAb | Fetal karyotype or clinical follow‐up | |
Zhang 2016 | T21, T18, 45,X, 47,XXX (SCA data not shown in this review) |
|
High risk |
|
Z score of 3 for T21 (no other cutpoint reported) | Fetal or neonatal karyotype or neonatal clinical examination | |
Zhou 2014a | T21, T18, T13 |
|
High, low and without prior risk |
|
L score of 1 and t score of 2.5 | Fetal or neonatal karyotype or birth outcome | |
Zhou 2014b | T21, T18, T13 |
|
High, low and without prior risk |
|
L score of 1 and t score of 2.5 | Fetal or neonatal karyotype or birth outcome | |
TMPS | |||||||
Ashoor 2012 | T21, T18 |
|
High risk |
|
NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) | Fetal karyotype | |
Ashoor 2013 | T13 |
|
High and low risk |
|
FORTE risk score of 1% | Fetal karyotype or neonatal clinical examination | |
Bevilacqua 2015 | T21, T18, T13 |
|
High and without prior risk |
|
NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) | Fetal or neonatal karyotype | |
Comas 2015 | T21, T18, T13, 45,X, 47,XXX, 47, XXY, 47,XYY (SCA data not shown in this review) |
|
High and without prior risk |
|
Harmony™ prenatal test: NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) Panorama™ test: NR | Fetal karyotype or neonatal clinical examination | |
del Mar Gil 2014 | T21, T18, T13 |
|
Without prior risk |
|
NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) | Fetal karyotype | |
Gil 2016 | T21, T18, T13 |
|
High and intermediate riskc |
|
NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) | Fetal or postnatal karyotype or neonatal clinical examination | |
Hall 2014 | T13 |
|
High risk |
|
NR | Fetal karyotype or genetic testing of cord blood, buccal, saliva or products of conception | |
Hooks 2014 | 45,X, 47,XXX, 47, XXY, 47,XYY |
|
High risk |
|
NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) | Fetal karyotype | |
Jackson 2014 | T21, T18, T13 |
|
High and low risk |
|
NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) | Fetal karyotype or medical record from birth | |
Korostelev 2014 | T21, T18, T13, 45,X, 47,XXX, 47, XXY, 47,XYY |
|
High and without prior risk |
|
NR | Fetal karyotype or medical record from birth | |
Nicolaides 2012 | T21, T18 |
|
Without prior risk |
|
Risk score of 1% | Fetal karyotype or neonatal clinical examination | First‐trimester combined test (cutpoint of 1 in 150). |
Nicolaides 2013 | T21, T18, T13, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
NR | Fetal karyotype | |
Nicolaides 2014a | 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
FORTE risk score of 1% | Fetal karyotype | |
Norton 2012 | T21, T18 |
|
High risk |
|
FORTE risk score of 1% | Fetal karyotype | |
Norton 2015 | T21, T18, T13 |
|
Without prior risk |
|
NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) | Fetal or postnatal karyotype, neonatal clinical examination or medical record from birth | First‐trimester combined test (cutpoint of 1 in 270 for T21 and 1 in 150 for T18 and T13). |
Pergament 2014 | T21, T18, T13, 45,X |
|
High and low risk |
|
NR | Fetal karyotype or genetic testing of cord blood, buccal, saliva or products of conception or birth outcome | |
Persico 2016 | T21, T18, 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High risk |
|
Risk score of 1% | Fetal karyotype | |
Quezada 2015 | T21, T18, T13 |
|
Without prior risk |
|
NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) | Fetal or postnatal karyotype, neonatal clinical examination or medical record from birth | First‐trimester combined test (cutpoint of 1 in 100 for T21). |
Samango‐Sprouse 2013 | 45,X, 47,XXX, 47,XXY, 47,XYY |
|
High and low risk |
|
NR | Fetal karyotype or genetic testing of cord blood, buccal, saliva or products of conception | |
Sparks 2012a | T21, T18 |
|
High risk |
|
NR | Fetal karyotype | |
Verweij 2013 | T21 |
|
High risk |
|
FORTE risk score of 1% | Fetal karyotype |
45,X: Turner syndrome, 47,XXX: triple X syndrome, 47,XXY: Klinefelter syndrome, DANSR: digital analysis of selected regions, FF: fetal fraction DNA, FORTE: fetal‐fraction optimised risk of trisomy evaluation, MAD: Median absolute deviation, MPSS: massively parallel shotgun sequencing, NATUS: Next‐generation Aneuploidy Test Using SNPs, NCV: normalised chromosome value, SCA: sex chromosome aneuploidy, SNP: single‐nucleotide polymorphism,TMPS: targeted massively parallel sequencing, T21: trisomy 21, T18: trisomy 18 and T13: trisomy 13.
aFetal karyotype include traditional banding techniques, spectral karyotype, fluorescence in situ hybridisation, array comparative genomic hybridisation or quantitative fluorescence polymerase chain reaction.
bDifferent cutpoints used for autosomes or SCA as follows:
Bianchi 2012: NCV of 4 (aneuploidy suspected if NCV is between 2.5 and 4) for T21, T18, and T13; NCV for Chrom. X of ‐4 and NCV for Chrom. Y of 2.5 for 45,X; NCV for Chrom. X of 4 and NCV for Chrom. Y of 2.5 for 47,XXX; NCV for Chrom. X between ‐2.5 and 2.5 and NCV for Chrom. Y > 33 for 47,XXY; NCV for Chrom. X of ‐4 and NCV for Chrom. Y of 4 for 47,XYY with NCV for Chrom. Y is two times greater than expected NCV Chrom. X.
Bianchi 2013: NCV of 4 (aneuploidy suspected if NCV is between 3 and 4) for T21, T18, and T13; NCV for Chrom. X of ‐3 and NCV for Chrom. Y of 3 for 45,X.
Jiang 2012: t score of 3 and logarithmic LR of 1 for T21, T18 and T13; if female fetus, t score of ‐2.5 for 45,X and 47,XXX; t score of 2.5 combined with estimation of fetal ccfDNA concentration by Chrom. X and Y independently for 47,XXY and 47,XYY.
Lau 2012: Z score of 3 for T21, T18 and T13; if female fetus, Z score for Chrom. X of ‐3 for 45,X; if female fetus, Z score for Chrom. X of 3 for 47,XXX; if male fetus, Z score for Chrom. Y of 3 for 47,XXY.
Lefkowitz 2016: Z score of 3 for T21; Z score of 3.95 for T18 and T13; Z scores for SCA see Mazloom 2013.
Liang 2013: Z score of 3 for T21; 5.91 for T18; 5.72 for T13; ± 2.91 for Chrom. X and ± 3 for Chrom. Y for sex chromosome classification.
Mazloom 2013: Z score of 3.5 for 47,XXX (non‐reportable regions between 2.5 and 3.5); Z score of ‐3.5 for 45,X (non‐reportable regions between ‐2.5 and ‐3.5); Z score of ‐3.5 for 47,XYY with Chrom. Y representation; between ‐3.5 and 3.5 for 47,XXY with Chrom. Y representation.
Porreco 2014: Z score of 3 for T21; Z score of 3,95 for T18 and T13; Z score of 3.5 for 47,XXX (non‐reportable regions between 2.5 and 3.5); Z score of ‐3.5 for 45,X (non‐reportable regions between ‐2.5 and ‐3.5); Z score of ‐3.5 for 47,XYY with Chrom. Y representation; Z score between ‐3.5 and 3.5 for 47,XXY with Chrom. Y representation.
Sehnert 2011: NCV of 4 (unclassified if NCV is between 2.5 and 4) for T21, T18, and T13; NCV for Chrom. Y of ‐2.0 SDs from the mean of male samples and NCV for Chrom. X of ‐3.0 SDs from the mean of female samples for sex chromosome classification.
Shaw 2014: Z score of 3 for T21, T18, and T13; Z score of ‐3 for Chrom. X and 3 for Chrom. Y for sex chromosome classification.
Yao 2014: T score of 2.5 for T21, T18 and T13; if female fetus, T score for Chrom. X of ‐2.5 for 45,X and 2.5 for 47,XXX; if male fetus, T score for Chrom. X of 2.5 combined with estimation of fetal ccfDNA concentration by Chrom. X (expected value of zero) for 47,XXY; if male fetus, T score for Chrom. X of 2.5 and R‐value (the ratio of the fetal DNA fraction estimated by chromosome Y to that estimated by chromosome X) between 1.8 and 2.2 for 47,XYY.
cPregnant women with a first‐trimester combined test selected for their risk of fetal aneuploidy (cutpoint of 1 in 100 for high risk and 1 in 101 to 1 in 2500 for intermediate risk).