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. 2017 Nov 10;2017(11):CD011767. doi: 10.1002/14651858.CD011767.pub2

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
  • Case‐control study (1:2) from a prospective cohort

  • 976 singleton pregnancies enrolled, 183 were analysed

High risk
  • Illumina HiSeq 2000 sequencer without multiplexing

  • In‐house test

  • FF measured

Z score of 3 Fetal karyotypea  
Benachi 2015 T21, T18, T13
  • Blinded retrospective study

  • 900 singleton or twin pregnancies enrolled, 886 were analysed

High risk
  • Illumina v3 flow‐cell on a HiSeq 1500 sequencer in 12‐plex

  • Commercial ‐ Laboratoire CERBA

  • FF measured

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
  • Nested case‐control study (1:4) from a prospective cohort (MELISSA)

  • 2882 singleton pregnancies enrolled, 503 for T21, 502 for T18, 501 for T13 and 489 for 45,X were analysed

High risk
  • Illumina HiSeq 2000 sequencer in 6‐plex

  • Commercial test ‐ Verinata

  • FF measured

Different cutpoints used for autosomes and SCAb Fetal karyotype  
Bianchi 2013 T21, T18, T13,
45,X
  • Retrospective study from stored plasma

  • 2882 singleton pregnancies enrolled, 113 were analysed

High risk
  • Illumina TrueSeq 3.0 sequencing chemistry

  • Commercial test ‐ Verinata

Different cutpoints used for autosomes and SCAb Fetal karyotype  
Bianchi 2014a T21, T18, T13
  • Blinded prospective cohort study

  • 2052 singleton pregnancies enrolled, 1952 for T21 and T18, and 1914 for T13 were analysed

High, low
and without
prior risk
  • Illumina HiSeq 2000 in 8‐plex

  • Commercial ‐ verifi® prenatal test

  • FF measured

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
  • Prospective cohort study

  • 10 singleton pregnancies enrolled, 9 were analysed

High risk
  • IIIumina Genome Analyzer IIx or HiSeq 2000 sequencer in multiplex

  • Commercial ‐ NIFTY™ test, BGI‐Shenzhen

  • FF measured

NR Fetal karyotype  
Canick 2012 T21, T18, T13
  • Case‐control study

  • 4664 pregnant women enrolled, 27 multifetal pregnancies were analysed

High risk
  • Illumina HiSeq 2000 sequencer in 4‐plex

  • Commercial test ‐ Sequenom, Inc.

  • FF measured

Z score of 3 Fetal karyotype  
Chen 2011 T18, T13
  • Nested case‐control study from prospective and retrospective cohorts

  • 392 singleton pregnancies enrolled, 289 were analysed

High risk
  • Illumina Genome Analyzer IIx in 2‐plex

  • Commercial test ‐ Sequenom, Inc.

Z score of 3 Fetal karyotype  
Chiu 2011 T21
  • Blinded case‐control study (1:5) from prospective and retrospective cohorts

  • 824 singleton pregnancies enrolled, 753 were analysed by 8‐plex method and 314 by 2‐plex method

Mostly high
(> 1/300)
and some intermediate
risk (between 1/300 and 1/1000)
  • Illumina Genome Analyzer II in 8‐plex and 2‐plex

  • Commercial test ‐ Sequenom, Inc.

  • FF measured

Z score of 3 Fetal karyotype  
Ehrich 2011 T21
  • Blinded case‐control study (1:11) from prospective cohort

  • 480 pregnant women enrolled, 449 were analysed

High risk
  • Illumina Genome Analyzer IIx sequencer in 4‐plex

  • Commercial test ‐ Sequenom, Inc.

  • FF measured

Z score of 2.5 Fetal karyotype  
Fiorentino 2016 T21, T18, T13
  • Blinded prospective cohort study

  • 7103 singleton pregnancies enrolled, 7082 were analysed

Mostly high risk
and without
prior risk
  • Illumina HiSeq 2500 sequencer in 15‐plex, SAFeR™ algorithm.

  • Commercial ‐ Genoma's prenatal test

  • FF measured

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
  • Prospective cohort study

  • 308 singleton pregnancies enrolled, 205 were analysed

High risk
  • IIIumina HiSeq 2000 sequencer

  • Commercial test ‐ BGI‐Shenzhen

NR Fetal karyotype  
Huang 2014 T21, T18
  • Blinded prospective cohort study

  • 189 twin pregnancies enrolled, 189 were analysed

High risk
  • IIIumina Genome Analyzer IIx or HiSeq 2000 sequencer

  • Commercial test ‐ BGI‐Shenzhen

L score of 1 and t score of 2.5 including warning zone Fetal karyotype  
Jeon 2014 T21, T18
  • Prospective cohort study

  • 155 singleton pregnancies enrolled, 155 were analysed

High risk
  • Ion Torrent PGM or HiSeq 2000 sequencers, 10 samples per Chip

  • Commercial test ‐ Genome Care

Z score of 2.566 for T21; 2.459 for T18. Fetal karyotype  
Jiang 2012 T21, T18, T13,
45,X, 47,XXY,
47, XYY
  • Prospective cohort study

  • 903 pregnant women enrolled, 903 were analysed

High risk
  • IIIumina Genome Analyzer IIx or HiSeq 2000 sequencer in multiplex

  • Commercial ‐ NIFTY™ test, BGI‐Shenzhen

  • FF measured

Different cutpoints used for autosomes and SCAb Fetal karyotype  
Johansen 2016 T21, T18, T13
  • Prospective cohort study

  • 375 singleton pregnancies enrolled, 173 were analysed

High risk
  • Ion Proton™ sequencer in 5‐plex

  • In‐house test

  • FF measured

Z score of 4 (unclassified if Z score is between 3 and 4) and WISECONDOR of 1% Fetal karyotype  
Ke 2015 T21, T18, T13
  • Prospective cohort study

  • 2340 singleton pregnancies enrolled, 2340 were analysed

High risk
  • High throughput sequencing platform

  • Commercial test ‐ BGI‐Shenzhen

T score of 3 Fetal karyotype or newborn outcome  
Kim 2016 T21
  • Blinded prospective cohort study

  • 101 pregnant women enrolled, 101 were analysed

High risk
  • Ion Proton™ sequencer in multiplex

  • Commercial test ‐ Genome Care

Z score of 2.10 for Ion Proton™ Fetal karyotype  
Lau 2012 T21, T18, T13,
45,X, 47,XXX, 47,XXY, 47,XYY
  • Blinded prospective cohort study

  • 108 singleton pregnancies enrolled, 108 were analysed

Mostly
high risk
  • IIIumina HiSeq 2000 sequencers in 12‐plex

  • Commercial ‐ NIFTY™ test, BGI‐Shenzhen

Different cutpoints used for autosomes and SCAb Fetal karyotype  
Lee 2015 T21, T18, T13
and SCA (no case found)
  • Blinded prospective cohort study

  • 93 singleton and multifetal pregnancies enrolled, 92 were analysed

High risk
  • Illumina MiSeq sequencer in 12‐plex or NextSeq sequencer in 96‐plex

  • Commercial test ‐ MomGuard™, LabGenomics

  • FF measured

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
  • Retrospective cohort, blinded case‐control study

  • 5321 pregnant women enrolled but 1222 were selected and 1166 were analysed

High risk
  • IIIumina HiSeq 2000 sequencer in 6‐plex or uniplex

  • Commercial test ‐ Sequenom, Inc.

  • FF measured

Different cutpoints used for autosomes and SCAb Fetal karyotype  
Liang 2013 T21, T18, T13,
45,X, 47,XXX, 47,XXY, 47,XYY
  • Blinded prospective cohort study

  • 435 singleton and twin pregnancies enrolled, 412 were analysed

High risk
  • Illumina HiSeq 2000 sequencer in 8‐plex or 12‐plex

  • Commercial test ‐ Berry Genomics Co. Ltd.

  • FF measured

Different cutpoints used for autosomes and SCAb Fetal karyotype  
Liu 2012 T21, T18, T13,
45,X, 47,XXX, 47,XXY, 47,XYY
  • Prospective cohort study

  • 153 pregnant women enrolled, 153 were analysed

High risk
  • Illumina HiSeq sequencer in multiplex.

Z score of 3 Fetal karyotype  
Ma 2016 T21, T18, T13
  • Blinded retrospective (archived samples) and prospective cohorts study

  • 10,598 singleton pregnancies enrolled, 10,579 were analysed

High and
low risk
  • Sequencing on BGISEQ‐1000 in 16 or 24‐plex

  • Commercial test ‐ BGI‐Shenzhen

Z score of 3 Fetal karyotype or postnatal follow‐up  
Mazloom 2013 45,X, 47,XXX, 47,XXY, 47,XYY
  • Blinded prospective cohort study

  • 1975 singleton pregnancies enrolled, 411 samples from the validation set were analysed

High risk
  • Illumina v3 flow‐cell on a HiSeq 2000 sequencer in 12‐plex

  • Laboratory test development by Sequenom, Inc.

  • FF measured

Different cutpoints used for the four SCAb Fetal karyotype  
Palomaki 2012 T21, T18, T13
  • Nested case‐control study (1:3)

  • 4664 pregnant women enrolled but 1988 singleton pregnancies were selected and 1971 were analysed

High risk
  • Illumina HiSeq 2000 sequencer in 4‐plex

  • Commercial test ‐ Sequenom, Inc.

  • FF measured

Z score of 3 for T21; 3.88 for T18; 7.17 for T13 Fetal karyotype  
Papageorghiou 2016a T21, T18, T13
  • Retrospective cohort, case‐control study (1:9)

  • 442 singleton and twin pregnancies enrolled, 426 singleton pregnancies were analysed

High risk
  • Ion Proton™ sequencer in 8‐plex

  • Commercial ‐ IONA® test, Premaitha Health (public limited company in UK)

  • FF measured

Likelihood ratio of 1 and maternal age‐adjusted probability risk score Fetal karyotype or medical record from birth  
Papageorghiou 2016b T21, T18, T13
  • Retrospective cohort, case‐control study (1:9)

  • 442 singleton and twin pregnancies enrolled, 11 twin pregnancies were analysed

High risk
  • Ion Proton™ sequencer in 8‐plex

  • Commercial ‐ IONA® test, Premaitha Health (public limited company in UK)

  • FF measured

Likelihood ratio of 1 and maternal age‐adjusted probability risk score Fetal karyotype or medical record from birth  
Poon 2016 T21, T18, T13
  • Retrospective cohort, blinded nested case‐control study

  • 242 singleton pregnancies enrolled, 241 were analysed

High risk
  • Ion Proton™ sequencer, IONA® software algorithm

  • Commercial ‐ IONA® test, Premaitha Health (public limited company in UK)

  • FF measured

NR (authors used the same gNIPT than Papageorghiou 2016a) Fetal karyotype  
Porreco 2014 T21, T18, T13,
45,X, 47,XXX, 47,XXY, 47,XYY
  • Blinded prospective cohort study

  • 4170 singleton pregnancies enrolled, 3322 for autosomes, 3278 for 45,X and 47,XXX and 3201 for 47,XXY and 47,XYY were analysed

High risk
  • Illumina HiSeq 2000 sequencer in 12‐plex

  • Commercial test ‐ Sequenom, Inc.

  • FF measured

Different cutpoints used for autosomes and SCAb Fetal karyotype or medical record from birth  
Sehnert 2011 T21, T18, T13,
45,X
  • Retrospective (archived samples) cohort study

  • 1014 singleton and multifetal pregnancies enrolled but only 47 singleton pregnancies in the test set were analysed in this review.

High risk
  • IIIumina Genome Analyzer IIx sequencer in uniplex

  • Commercial test ‐ Verinata

Different cutpoints used for autosomes and SCAb Fetal karyotype  
Shaw 2014 T21, T18, T13,
45,X, 47, XXX, 47,XXY, 47,XYY
  • Prospective cohort study

  • 201 singleton and multifetal pregnancies enrolled, 200 were analysed

High and
low risk
  • Illumina v2 HiSeq 2000 sequencer in 12‐plex

  • Commercial test ‐ Berry Genomics Co. Ltd.

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)
  • Blinded prospective cohort study

  • 1916 singleton pregnancies enrolled, 1741 were analysed

Without prior
risk
  • Illumina v2 HiSeq2000 in 12‐plex

  • Commercial test‐ Berry Genomics Co. Ltd.

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
  • Blinded prospective cohort study

  • 213 singleton pregnancies enrolled, 204 were analysed

High risk
  • Illumina v2 HiSeq 2000 sequencer in 12‐plex

  • Commercial test ‐ Berry Genomics Co. Ltd.

  • FF measured

Z score of 3 Fetal karyotype or neonatal clinical examination or both  
Stumm 2014 T21, T18, T13
  • Prospective cohort, blinded study for T21 and unblinded for T18 and T13

  • 522 singleton pregnancies enrolled, 472 were analysed

High risk
  • Illumina HiSeq 2000 sequencer in 12‐plex (DAP.21 algorithm without CG correction)

  • Commercial test ‐ LifeCodexx AG

  • FF measured

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
  • Prospective cohort study

  • 200 pregnant women enrolled, 200 were analysed

High risk
  • Ion Proton™ sequencer

  • In‐house test

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
  • Retrospective study

  • 918 singleton pregnancies enrolled, 901 were analysed

High risk
  • IIIumina Genome Analyzer IIx or HiSeq 2000 sequencer in 12‐plex

  • Commercial ‐ NIFTY™ test, BGI‐Shenzhen

  • FF measured

L score of 1 and t score of 2.5 Fetal karyotype or medical record from birth  
Tynan 2016 T21, T18, T13
  • Blinded retrospective cohort study

  • 1100 singleton pregnancies enrolled, 1048 were analysed

High and
without prior
risk
  • Illumina HiSeq 2000 or HiSeq 2500 sequencers in multiplex

  • Commercial ‐ VisibiliT™ test, Sequenom, Inc.

  • FF measured

risk score of 1% Fetal karyotype or medical record from birth  
Wang 2014 T21, T18, T13,
45,X
  • Prospective cohort study

  • 136 singleton pregnancies enrolled, 136 were analysed

High risk
  • Illumina HiSeq 2000 sequencer

  • Commercial ‐ NIFTY™ test, BGI‐Shenzhen

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
  • Prospective cohort study

  • 917 pregnant women enrolled, 917 were analysed

High risk
  • Illumina v2 HiSeq 2000 flow cell on a HiSeq sequencer

  • Commercial test ‐ Berry Genomics Co. Ltd

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)
  • Retrospective study

  • 5950 singleton pregnancies enrolled, 5530 were analysed

High, low
and without
prior risk
  • IIIumina Genome Analyzer IIx or HiSeq 2000 sequencer in 12‐plex

  • Commercial ‐ NIFTY™ test, BGI‐Shenzhen

  • FF measured

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)
  • Blinded prospective cohort study

  • 87 singleton pregnancies enrolled, 87 were analysed

High risk
  • Illumina HiSeq 2000 sequencer in 12‐plex

  • Commercial test ‐ Berry Genomics Co. Ltd.

Z score of 3 for T21 (no other cutpoint reported) Fetal or neonatal karyotype or neonatal clinical examination  
Zhou 2014a T21, T18, T13
  • Blinded prospective cohort study

  • 306 singleton pregnancies enrolled, 301 were analysed

High, low
and without
prior risk
  • IIIumina Genome Analyzer IIx or HiSeq 2000 sequencer in 12‐plex

  • Commercial ‐ NIFTY™ test, BGI‐Shenzhen

  • FF measured

L score of 1 and t score of 2.5 Fetal or neonatal karyotype or birth outcome  
Zhou 2014b T21, T18, T13
  • Blinded prospective cohort study

  • 7705 singleton pregnancies enrolled, 3950 were analysed

High, low
and without
prior risk
  • IIIumina Genome Analyzer IIx or HiSeq 2000 sequencer in 12‐plex

  • Commercial ‐ NIFTY™ test, BGI‐Shenzhen

  • FF measured

L score of 1 and t score of 2.5 Fetal or neonatal karyotype or birth outcome  
TMPS  
Ashoor 2012 T21, T18
  • Nested case‐control study (1:3) from a prospective cohort

  • 400 singleton pregnancies enrolled, 397 were analysed

High risk
  • DANSR assay (FORTE algorithm), Illumina HiSeq 2000 in 96‐plex

  • Commercial ‐ Harmony™ prenatal test, Ariosa Diagnostics, Inc.

NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) Fetal karyotype  
Ashoor 2013 T13
  • Blinded prospective cohort study

  • 2167 singleton pregnancies enrolled, 1949 were analysed

High and
low risk
  • DANSR assay (FORTE algorithm), Illumina HiSeq 2000 in 96‐plex

  • Commercial ‐ Harmony™ prenatal test, Ariosa Diagnostics, Inc.

  • FF measured

FORTE risk score of 1% Fetal karyotype or neonatal clinical examination  
Bevilacqua 2015 T21, T18, T13
  • Prospective cohort study

  • 515 multifetal pregnancies enrolled, 340 were analysed

  • Women with singleton pregnancies were excluded (incomplete 2 x 2 table).

High and without
prior risk
  • DANSR assay (FORTE algorithm), Illumina HiSeq 2000 in 96‐plex

  • Commercial ‐ Harmony™ prenatal test, Ariosa Diagnostics, Inc.

  • FF measured

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)
  • Blinded prospective cohort study

  • 333 singleton pregnancies enrolled, 312 were analysed

High and without
prior risk
  • DANSR assay (FORTE algorithm) or SNP‐based method

  • Commercial ‐ Panorama™ test, Natera, Inc. or Harmony™ prenatal test, Ariosa Diagnostics, Inc.

  • FF measured

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
  • Retrospective cohort study

  • 207 multifetal pregnancies enrolled, 192 twin pregnancies were analysed

Without prior
risk
  • DANSR assay (FORTE algorithm), Illumina HiSeq 2000 in 96‐plex

  • Commercial ‐ Harmony™ prenatal test, Ariosa Diagnostics, Inc.

  • FF measured

NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) Fetal karyotype  
Gil 2016 T21, T18, T13
  • Prospective cohort study

  • 11,692 singleton pregnancies enrolled, 3633 were analysed

High
and intermediate
riskc
  • DANSR assay (usually with FORTE algorithm)

  • Commercial ‐ Harmony™ prenatal test, Ariosa Diagnostics, Inc.

NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) Fetal or postnatal karyotype or neonatal clinical examination  
Hall 2014 T13
  • Case‐control study (1:3)/1000 singleton pregnancies enrolled, 64 were analysed.

High risk
  • SNP‐based method (NATUS algorithm), IIIumina Genome Analyzer IIx or HiSeq sequencer, 11,000 or 19,488‐plex targeted PCR

  • Commercial ‐ Natera's prenatal test

  • FF measured

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
  • Case‐control study from archived samples

  • 432 singleton pregnancies enrolled, 414 were analysed

High risk
  • DANSR assay (FORTE algorithm), Illumina HiSeq 2000 in 96‐plex

  • Commercial ‐ Harmony™ prenatal test, Ariosa Diagnostics, Inc.

  • FF measured

NR (usually Harmony™ prenatal test uses FORTE risk score of 1%) Fetal karyotype  
Jackson 2014 T21, T18, T13
  • Prospective cohort study

  • 1228 pregnant women enrolled, 1161 were analysed

High and
low risk
  • DANSR assay (FORTE algorithm)

  • Commercial ‐ Harmony™ prenatal test, Ariosa Diagnostics, Inc.

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
  • Prospective cohort study

  • 1968 singleton pregnancies enrolled, 685 were analysed

High and
without prior
risk
  • SNP‐based method (NATUS algorithm), IIIumina Genome Analyzer IIx or HiSeq sequencer, > 19,000‐plex targeted PCR

  • Commercial ‐ Natera's prenatal test

  • FF measured

NR Fetal karyotype or medical record from birth  
Nicolaides 2012 T21, T18
  • Retrospective study from archived plasma

  • 2230 singleton pregnancies enrolled, 1949 were analysed

Without prior
risk
  • DANSR assay (usually with FORTE algorithm)

  • Commercial ‐ Harmony™ prenatal test, Ariosa Diagnostics, Inc.

  • FF measured

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
  • Blinded prospective cohort study

  • 242 singleton pregnancies enrolled, 229 were analysed

High risk
  • SNP‐based method (NATUS algorithm), IIIumina Genome Analyzer IIx or HiSeq sequencer, 19,488‐plex targeted PCR

  • Commercial ‐ Natera's prenatal test

  • FF measured

NR Fetal karyotype  
Nicolaides 2014a 45,X, 47,XXX, 47,XXY, 47,XYY
  • Case‐control study (archived samples)

  • 177 singleton pregnancies enrolled, 172 were analysed

High risk
  • DANSR assay (FORTE algorithm), Illumina HiSeq 2000 in 96‐plex

  • Commercial ‐ Harmony™ prenatal test

  • FF measured

FORTE risk score of 1% Fetal karyotype  
Norton 2012 T21, T18
  • Blinded prospective cohort study

  • 4002 singleton pregnancies enrolled, 3080 were analysed

High risk
  • DANSR assay (FORTE algorithm), Illumina HiSeq 2000 in 96‐plex

  • Commercial test‐ Ariosa Diagnostics, Inc.

  • FF measured

FORTE risk score of 1% Fetal karyotype  
Norton 2015 T21, T18, T13
  • Blinded prospective cohort study

  • 18,955 singleton pregnancies enrolled, 15,841 were analysed

Without prior
risk
  • DANSR assay (FORTE algorithm)

  • Commercial ‐ Harmony™ prenatal test, Ariosa Diagnostics, Inc.

  • FF measured

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
  • Blinded prospective cohort study

  • 1064 singleton pregnancies enrolled, 963 were analysed

High and
low risk
  • SNP‐based method (NATUS algorithm), IIIumina Genome Analyzer IIx or HiSeq sequencer, 19,488‐plex targeted PCR

  • Commercial ‐ Natera's prenatal test

  • FF measured

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
  • Blinded prospective cohort study

  • 259 singleton pregnancies enrolled, 249 were analysed

High risk
  • SNP‐based method (NATUS algorithm), IIIumina Genome Analyzer IIx or HiSeq sequencer, 19,488‐plex targeted PCR

  • Commercial ‐ Natera's prenatal test

  • FF measured

Risk score of 1% Fetal karyotype  
Quezada 2015 T21, T18, T13
  • Prospective cohort study

  • 2905 singleton pregnancies enrolled, 2785 were analysed

Without prior
risk
  • DANSR assay (FORTE algorithm)

  • Commercial ‐ Harmony™ prenatal test

  • FF measured

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
  • Blinded prospective cohort study

  • 201 singleton pregnancies (with known SCA and euploid pregnancies) enrolled, 186 were analysed

High and
low risk
  • SNP‐based method (NATUS algorithm), IIIumina HiSeq sequencer, 19,488‐plex targeted PCR

  • Commercial ‐ Natera's prenatal test

  • FF measured

NR Fetal karyotype or genetic testing of cord blood, buccal, saliva or products of conception  
Sparks 2012a T21, T18
  • Case‐control study from a prospective cohort

  • 338 singleton pregnancies enrolled, 167 were analysed

High risk
  • DANSR assay (FORTE algorithm), Illumina HiSeq 2000 in 96‐plex

  • Commercial test‐ Ariosa Diagnostics, Inc.

  • FF measured

NR Fetal karyotype  
Verweij 2013 T21
  • Blinded prospective cohort study

  • 595 singleton pregnancies enrolled, 504 were analysed

High risk
  • DANSR assay (FORTE algorithm), Illumina HiSeq 2000 in 96‐plex

  • Commercial test‐ Ariosa Diagnostics, Inc.

  • FF measured

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).