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Table 1 Six listed discordant NIPT results (case numbers 1–6) among the nine confirmed abnormal NIPT results (case numbers 7–15)

From: Discordant circulating fetal DNA and subsequent cytogenetics reveal false negative, placental mosaic, and fetal mosaic cfDNA genotypes

Case number

NIPT

Karyotype

Phenotype

1

2 × 21,13,18, X

MaterniT21

Specificity: 99.6% [CI 99.2–99.6% for chromosome 18]

Amniocentesis

47,XX, +18

Affected newborn

Expired postpartum

2

Trisomy 18 [9W3D]

MaterniT21

Sensitivity: >99%

Repeat normal [22W]

Term Placenta: 46,XY

Normal newborn:

3

Trisomy 21 >99% harmony

Amniocentesis: 46,XY[18]/Fish[50]

Normal newborn

Blood: 46,XY

4

Trisomy 21 validated at 100%

Amniocentesis: 46,XY[28]

Placenta: 47,XY, +21[18]/46,XY[2]

Newborn Blood: 46,XY

5

Monosomy X

Ariosa 99%

 

Newborn blood: 45,X[1]/46,X,dup(X)(q13q21.3)[49]

6

Trisomy 21

Amniocentesis: 47,XY,t(5;9)(p15;q12)+21

 

Microarray: trisomy 21

Balanced t(5;9) not detected

7–11

Trisomy 18

47,X_, +18

 

12–15

Trisomy 21

47,X_, +12