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國際產前診斷學會新訊

2015 年國際產前診斷學會發表聲明

 

  • ​The following protocol options are currently considered appropriate:
    1. cfDNA screening as a primary test offered to all pregnant women.
    2. cfDNA secondary to a high risk assessment based on serum and ultrasound screening protocols
    (options 4-9 below).
    3. cf-DNA contingently offered to a broader group of women ascertained as having high
    or intermediate risks by conventional screening. Contingent provision of cfDNA, could also include a protocol in which women with very high risks are offered invasive prenatal diagnosis while those with intermediate risk are offered cfDNA.

  • When cfDNA screening is extended to microdeletion and microduplication syndromes or rare trisomies the testing should be limited to clinically significant disorders or welldefined severe conditions. There should be defined estimates for the detection rates, false-positive rates, and information about the clinical significance of a positive test for each disorder being screened.

NIPT 除了可作為高風險孕婦的另一項唐氏症篩檢的選擇,也可作為所有孕婦的第一道篩檢NIPT 用來檢測微小片段缺失、重複或是其他罕見染色體異常疾病,應僅限於臨床顯著病症或定義明確的疾病。每項篩檢的疾病,都必須要能夠明確的定義出該疾病的陽性預測率、偽陽性率以及臨床上陽性結果的意義。

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