Comparison of 12 assays for detecting hCG and related molecules in urine samples from Down syndrome pregnancies.

Abstract:

:Urine is a new medium for Down syndrome testing. In an effort to determine the best type of human chorionic gonadotropin (hCG)-related immunoassay for urine testing, we examined 14 Down syndrome and 91 unaffected pregnancy urine samples with 12 established assays. The assays included (a) those that detect hCG beta-core fragment only; (b) those that detect beta-core fragment with less than 18 per cent free beta-subunit cross-reactivity; (c) that which equally detects free beta-subunit and beta-core fragment; and (d) those that detect hCG, free beta-subunit, or combinations thereof. The seven type a and b assays had the highest sensitivity for Down syndrome. The median MOM for Down syndrome was 5.93 (range 4.73-7.53). At a 10 per cent false-positive rate, the median observed detection rate was 93 per cent (range 79-100 per cent) and the median predicted detection rate was 85 per cent (range 69-96 per cent). The assays that did not mainly detect beta-core fragment (types c and d) had poorer screening performance. The median MOM for Down syndrome was 2.70 (range 2.16-3.63 MOM). At a 10 per cent false-positive rate, the median observed detection rate was 50 per cent (range 36-64 per cent) and the median predicted detection rate was 37 per cent (range 21-62 per cent). We infer that the assays that only detect beta-core fragment, or beta-core fragment with minor free beta-subunit cross-reactivity (types a and b), are the better urine-based tests for Down syndrome screening.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Cole LA,Kellner LH,Isozaki T,Palomaki GE,Iles RK,Walker RP,Ozaki M,Canick JA

doi

10.1002/(sici)1097-0223(199707)17:7<607::aid-pd118

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

607-14

issue

7

eissn

0197-3851

issn

1097-0223

pii

10.1002/(SICI)1097-0223(199707)17:7<607::AID-PD118

journal_volume

17

pub_type

杂志文章,多中心研究
  • Prenatal diagnosis of tyrosinase-negative oculocutaneous albinism by an electron microscopic dopa reaction test of fetal skin.

    abstract::An electron microscopic DOPA reaction test of fetal skin was used for the prenatal diagnosis of tyrosinase-negative oculocutaneous albinism (OCA). The subject was a 34-year-old Japanese woman in her second pregnancy. Her first child, born in 1982, had been previously examined and confirmed to have tyrosinase-negative ...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970140605

    authors: Shimizu H,Ishiko A,Kikuchi A,Akiyama M,Suzumori K,Nishikawa T

    更新日期:1994-06-01 00:00:00

  • Abnormal abdominal situs: what and how should we look for?

    abstract:BACKGROUND:Prenatal management of abnormal abdominal situs is challenging since prognosis is highly variable depending on the associated malformations. METHODS:The authors report on two cases of ambiguous abdominal situs. Prenatal management included specialized ultrasound examination of fetal anatomy and heart, amnio...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1401

    authors: Salomon LJ,Baumann C,Delezoide AL,Oury JF,Pariente D,Sebag G,Garel C

    更新日期:2006-03-01 00:00:00

  • Early prenatal sonographic diagnosis of neuropathic arthrogryposis multiplex congenita with osseous heterotopia.

    abstract::A prenatal diagnosis of arthrogryposis multiplex congenita (AMC) has been carried out on a 19-week-old fetus by means of echography. The ultrasonographic characteristics were unnatural position of the four limbs associated with articular anomalies together with absence of active fetal movements. A therapeutic interrup...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970130514

    authors: Gullino E,Abrate M,Zerbino E,Bricchi G,Rattazzi PD

    更新日期:1993-05-01 00:00:00

  • Prenatal detection of interstitial 18p11.31-p11.22 microduplications: Phenotypic diversity and literature review.

    abstract:INTRODUCTION:Pure duplication of chromosome 18p is rare, with clinical phenotypes ranging from normal or slight abnormalities to various degrees of mental retardation. It remains difficult to establish a clear genotype-phenotype correlation. METHODS:Chromosomal karyotyping analysis was performed on cultured amniotic f...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章,评审

    doi:10.1002/pd.5553

    authors: Wang R,Zhang H,Li L,Yue F,Jiang Y,Li S,Liu R

    更新日期:2019-11-01 00:00:00

  • Genetic considerations in the prenatal diagnosis of overgrowth syndromes.

    abstract::Large (>90%) for gestational age (LGA) fetuses are usually identified incidentally. Detection of the LGA fetus should first prompt the provider to rule out incorrect dates and maternal diabetes. Once this is done, consideration should be given to certain overgrowth syndromes, especially if anomalies are present. The o...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章,评审

    doi:10.1002/pd.2319

    authors: Vora N,Bianchi DW

    更新日期:2009-10-01 00:00:00

  • A second case of intrauterine growth retardation and primary hypospadias associated with a trisomy 22 placenta but with biparental inheritance of chromosome 22 in the fetus.

    abstract::We report a case of severe intrauterine growth retardation (IUGR) and hypospadias in association with trisomy 22 diagnosed following chorionic villus sampling (CVS). Subsequent analysis of amniotic fluid cultures showed a normal male karyotype, 46,XY. As a previous case had been reported with similar abnormalities, in...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.260

    authors: Bryan J,Peters M,Pritchard G,Healey S,Payton D

    更新日期:2002-02-01 00:00:00

  • Decision making during the prenatal diagnostic procedure. A questionnaire and interview study of 211 women participating in prenatal diagnosis.

    abstract::Counselling in connection with prenatal diagnosis (PND) is a common task for the obstetrician and the midwife. However, the decision making processes of pregnant women are not completely known, for instance, the questions of women's autonomy, the decision on how to act in the case of an abnormal test, and the partner'...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970080404

    authors: Sjögren B,Uddenberg N

    更新日期:1988-05-01 00:00:00

  • Syndromic associations with congenital anomalies of the fetal thorax and abdomen.

    abstract::Anomalies of the thorax and abdomen can be found in a number of genetic syndromes. Whilst it may not be possible to make a definitive diagnosis before birth, knowledge of the potential associations can be useful for the prenatal diagnostician when examining the fetus and counselling the parents. In this article, we de...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章,评审

    doi:10.1002/pd.2023

    authors: Hurst J,Firth HV,Chitty LS

    更新日期:2008-07-01 00:00:00

  • First-trimester free beta (hCG) screening for Down syndrome.

    abstract::Maternal serum free beta (hCG) levels are elevated (median 2.20 MOM) in the first trimester of pregnancy in 38 Down syndrome cases as compared with appropriate controls. This observation may form the basis for its use as a marker in screening for Down syndrome in the first trimester. Altered levels of the free beta an...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970130704

    authors: Macri JN,Spencer K,Aitken D,Garver K,Buchanan PD,Muller F,Boue A

    更新日期:1993-07-01 00:00:00

  • Prediction of neonatal respiratory distress in pregnancies complicated by fetal lung masses.

    abstract:OBJECTIVE:The objective of this article is to evaluate the utility of fetal lung mass imaging for predicting neonatal respiratory distress. METHOD:Pregnancies with fetal lung masses between 2009 and 2014 at a single center were analyzed. Neonatal respiratory distress was defined as intubation and mechanical ventilatio...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.5002

    authors: Girsen AI,Hintz SR,Sammour R,Naqvi A,El-Sayed YY,Sherwin K,Davis AS,Chock VY,Barth RA,Rubesova E,Sylvester KG,Chitkara R,Blumenfeld YJ

    更新日期:2017-03-01 00:00:00

  • Reduction of sera requirements in amniotic fluid cell culture.

    abstract::Reduction in serum requirement for culture of primary human amniotic fluid cells can be achieved by the addition of 10 growth-promoting factors to the nutrient medium. This supplemented medium preserves cell types normally found in amniotic fluid cell cultures supplemented with 20-30 per cent fetal bovine serum. The v...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970050502

    authors: Chang HC,Jones OW

    更新日期:1985-09-01 00:00:00

  • Prenatal diagnosis of congenital myasthenia with arthrogryposis in a myasthenic mother.

    abstract::We studied two children born to a myasthenic mother. The first child, a female, had multiple flexion contractures. She died 1 h after birth. In the second pregnancy, 3 years later, ultrasonographic examination at 20 weeks showed decreased fetal movements and multiple flexion contractures. The pregnancy was interrupted...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章,评审

    doi:10.1002/pd.1970110104

    authors: Stoll C,Ehret-Mentre MC,Treisser A,Tranchant C

    更新日期:1991-01-01 00:00:00

  • Estimates for the sensitivity and false-positive rates for second trimester serum screening for Down syndrome and trisomy 18 with adjustment for cross-identification and double-positive results.

    abstract::Second trimester screening for fetal Down syndrome and trisomy 18 is available through separate protocols that combine the maternal age-specific risk and the analysis of maternal serum markers. We have determined the extent to which additional Down syndrome affected pregnancies may be identified through trisomy 18 scr...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:

    authors: Benn PA,Ying J,Beazoglou T,Egan JF

    更新日期:2001-01-01 00:00:00

  • Sonographic features of ileal duplication cyst at 12 weeks.

    abstract::Enteric duplication cyst is a congenital abnormality that is believed to arise from abnormal recanalization of the bowel during embryogenesis. Previous reports suggest that the condition may be suspected prenatally by sonographic demonstration of an intra-abdominal cystic mass in the second and third trimesters. We pr...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.468

    authors: Chen M,Lam YH,Lin CL,Chan KW,Hui PW,Tang MH,Lee CP,Khong PL

    更新日期:2002-12-01 00:00:00

  • Pericentric inversion of chromosome 19: prenatal diagnosis and genetic counselling.

    abstract::During prenatal diagnosis for advanced maternal age, a pericentric inversion of a chromosome 19 was detected in a male fetus. The inversion was familial, transmitted to the fetus by the phenotypically normal mother. The pregnancy resulted in a term birth of a phenotypically normal male infant. Inversion 19 appears to ...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970060111

    authors: Tharapel AT,Ward JC,Wiggins L,Wilroy RS Jr

    更新日期:1986-01-01 00:00:00

  • Prenatal detection of congenital heart disease in a low risk population undergoing first and second trimester screening.

    abstract:OBJECTIVES:The prenatal detection rate of congenital heart disease (CHD) is low compared with other fetal malformations. Our aim was to evaluate the prenatal detection of CHD in Eastern Denmark. METHODS:Fetuses and infants diagnosed with CHD in the period 01.01.2008-31.12.2010 were assessed regarding prenatal detectio...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.4525

    authors: Jørgensen DE,Vejlstrup N,Jørgensen C,Maroun LL,Steensberg J,Hessellund A,Jørgensen FS,Larsen T,Shalmi AC,Skibsted L,Zingenberg H,Ekelund C,Tabor A

    更新日期:2015-04-01 00:00:00

  • Factors affecting the clinical use of non-invasive prenatal testing: a mixed methods systematic review.

    abstract::Non-invasive prenatal testing has been in clinical use for a decade; however, there is evidence that this technology will be more widely applied within the next few years. Guidance is therefore required to ensure that the procedure is offered in a way that is evidence based and ethically and clinically acceptable. We ...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章,评审

    doi:10.1002/pd.4094

    authors: Skirton H,Patch C

    更新日期:2013-06-01 00:00:00

  • Learning in medicine: chorionic villus sampling.

    abstract::Operator experience is considered to influence the safety and success of medical procedures. We performed a retrospective survey to assess learning curves in chorionic villus sampling (CVS). Data of 2081 consecutive women, in whom CVS was carried out in a tertiary care university hospital for prenatal diagnosis, were ...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:

    authors: Wijnberger LD,van der Schouw YT,Christiaens GC

    更新日期:2000-03-01 00:00:00

  • Simple ultrasonic diagnosis of osteogenesis imperfecta type II in early second trimester.

    abstract::Osteogenesis imperfecta (OI) Type II was diagnosed accurately in an at-risk fetus at 16 weeks gestation by real-time sonography. The most important findings were shortening, deformity and possibly fracture in the long bones particularly the femurs. Ultrasonic visualization of these signs in a fetus at risk will provid...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970040314

    authors: Ghosh A,Woo JS,Wan CW,Wong VC

    更新日期:1984-05-01 00:00:00

  • RhD status of a fetus at risk for haemolytic disease with a discrepant maternal DNA-based RhD genotype.

    abstract::The cloning of the RHD gene has made it possible to determine the RhD status of fetuses at risk for haemolytic disease due to RhD iso-immunization using amniotic fluid or chorionic villi-derived DNA and the polymerase chain reaction. However, some Rh haplotypes are associated with false-positive or negative DNA-based ...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0223(199905)19:5<424::aid-pd562

    authors: Denomme GA,Akoury H,Sermer M,Kelton JG

    更新日期:1999-05-01 00:00:00

  • Prenatal detection of a de novo terminal inverted duplication 4p in a fetus with the Wolf-Hirschhorn syndrome phenotype.

    abstract:OBJECTIVES:To present the prenatal diagnosis of a de novo terminal inversion duplication of the short arm of chromosome 4 and a review of the literature. CASE:An amniocentesis for chromosome analysis was performed at 33 weeks' gestation because ultrasound examination showed a female fetus with multiple abnormalities c...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1154

    authors: Beaujard MP,Jouannic JM,Bessières B,Borie C,Martin-Luis I,Fallet-Bianco C,Portnoï MF

    更新日期:2005-06-01 00:00:00

  • Alpha-fetoprotein in fetal serum, amniotic fluid, and maternal serum.

    abstract::In order to gain more insight into the association between alpha-fetoprotein (AFP) and fetal chromosomal disorders, especially Down's syndrome, we measured AFP in fetal serum, amniotic fluid, and maternal serum at cordocentesis. We compared the concentration and gradient of AFP in these three compartments. Our data co...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970110820

    authors: Van Lith JM,Beekhuis JR,Van Loon AJ,Mantingh A,De Wolf BT,Breed AS

    更新日期:1991-08-01 00:00:00

  • Prenatal diagnosis of fetal heart failure in twin reversed arterial perfusion syndrome.

    abstract::Diagnosis of twin reversed arterial perfusion (TRAP) syndrome is a rare fetal anomaly that can be misdiagnosed on prenatal ultrasound. We confirmed the use of colour-flow Doppler for prenatal diagnosis of TRAP syndrome and used serial fetal echocardiography for non-invasive evaluation of the fetus. A patient with twin...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/1097-0223(200008)20:8<615::aid-pd855>3.0.c

    authors: Osborn P,Gross TL,Shah JJ,Ma L

    更新日期:2000-08-01 00:00:00

  • Ultrasound features of congenital listeriosis--a case report.

    abstract::We present a case of congenital listeriosis in a twin pregnancy. Presentation was prompted by decreased fetal movements and an ultrasound examination which demonstrated features similar to those observed in an adult with inflammatory conditions of the bowel, namely, small amounts of ascites, dilated loops of bowel and...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0223(1998100)18:10<1075::aid-pd

    authors: Quinlivan JA,Newnham JP,Dickinson JE

    更新日期:1998-10-01 00:00:00

  • Periconceptional use of folic acid amongst women of advanced maternal age.

    abstract::Between February 1994 and February 1997 a group of 881 women completed a questionnaire on the use of folic acid. During the study period the percentage of women who had been informed about the benefits of folic acid rose from 41 per cent to 90 per cent and the percentage taking supplementation rose from 18 per cent to...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:

    authors: Brandenburg H,Traas MA,Laudy J,Ursem N,Westerveld AM,Wladimiroff JW

    更新日期:1999-02-01 00:00:00

  • Enrichment of circulating trophoblasts from maternal blood using laminar microscale vortices.

    abstract:OBJECTIVE:Enrichment of circulating trophoblasts (CTs) from maternal blood at week 11-13 of gestation, using laminar microscale vortices, and evaluation of the performance of the VTX-1 Liquid Biopsy System in terms of CT recovery and purity. METHOD:Eight mililiter of blood was collected from 15 pregnant women and proc...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.5901

    authors: Vander Plaetsen AS,Weymaere J,Tytgat O,Buyle M,Deforce D,Van Nieuwerburgh F

    更新日期:2021-01-12 00:00:00

  • Cervical teratoma: prenatal diagnosis and long-term follow-up.

    abstract::Cervical teratomas are rare tumours which are the result of abnormal prenatal development. They are usually detected at birth, but can occasionally remain silent until adulthood. Obstruction of the airway is the major challenge in the neonatal period. Prenatal diagnosis allows for early consultation with paediatric su...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:

    authors: Kerner B,Flaum E,Mathews H,Carlson DE,Pepkowitz SH,Hixon H,Graham JM Jr

    更新日期:1998-01-01 00:00:00

  • First-trimester sonographic diagnosis of distal urethral atresia with megalourethra in VACTERL association.

    abstract::Congenital megalourethra is a rare disorder. We present an early case diagnosed in the first trimester. Prenatal ultrasound showed a megalourethra with a normal fetal bladder, hyperechogenic cystic right kidney and single umbilical artery. After termination of pregnancy, necropsy confirmed all sonographic findings and...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.328

    authors: Krapp M,Geipel A,Germer U,Krokowski M,Gembruch U

    更新日期:2002-05-01 00:00:00

  • Prenatal diagnosis of Dandy-Walker malformation in a family displaying X-linked inheritance.

    abstract::The diagnosis of Dandy-Walker malformation was made on the ultrasonographic evaluation of a 33-week male fetus. Pedigree analysis revealed a family history of isolated Dandy-Walker malformation in three other males, suggesting an X-linked recessive inheritance pattern. ...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970130203

    authors: Cowles T,Furman P,Wilkins I

    更新日期:1993-02-01 00:00:00

  • Crown-rump length audit plots with the use of operator-specific PAPP-A and β-hCG median MoM.

    abstract:OBJECTIVE:Audit the crown-rump length (CRL) measurements taken at 11 to 13 weeks scan, using operator-specific median multiples of the median (MoM) for pregnancy-associated plasma protein-A (PAPP-A) and free β-human chorionic gonadotropin (β-hCG) plots, to identify deviations potentially related to a systematic CRL bia...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.4996

    authors: Sabria J,Guirado L,Miró I,Gómez-Roig MD,Borrell A

    更新日期:2017-03-01 00:00:00