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Related Experiment Videos

Early genetic sonogram for Down syndrome detection.

Ray O Bahado-Singh1, Inanc Mendilcioglu, Minu Rowther

  • 1Department of Obstetrics, Yale University School of Medicine, New Haven, Conn, USA. bahandoro@ucmail.uc.edu

American Journal of Obstetrics and Gynecology
|November 20, 2002
PubMed
Summary

Early genetic sonography (14-16 weeks) offers superior Down syndrome detection compared to later mid-trimester scans. This method provides high sensitivity and accuracy, making it a valuable tool for early prenatal screening.

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Area of Science:

  • Prenatal diagnosis
  • Fetal medicine
  • Genetics

Background:

  • Down syndrome screening is crucial for prenatal care.
  • Mid-trimester genetic sonography is a common diagnostic tool.
  • Evaluating earlier sonographic markers can improve detection rates.

Purpose of the Study:

  • To assess the sensitivity of early genetic sonography (14-16 weeks) for Down syndrome detection.
  • To compare the diagnostic accuracy of early versus later mid-trimester sonography.
  • To evaluate early genetic sonography against established first-trimester screening methods.

Main Methods:

  • Sonographic markers including nuchal thickness, limb lengths, and fetal anatomy were assessed.
  • Logistic regression and gaussian algorithms were used for risk assessment.

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  • Sensitivity, false-positive rates, and ROC curves were calculated for comparison.
  • Main Results:

    • Early genetic sonography (14-16 weeks) demonstrated 100% detection of Down syndrome with a 21.2% false-positive rate.
    • At a 4.8% false-positive rate, early sonography had an 81.8% detection rate versus 61.6% for later scans.
    • Early sonography showed significantly higher diagnostic accuracy (AUC 0.962 vs 0.871).

    Conclusions:

    • Early genetic sonography (14-16 weeks) is highly sensitive and superior to later mid-trimester ultrasonography for Down syndrome detection.
    • This early screening method achieves diagnostic accuracy comparable to first-trimester nuchal translucency screening.
    • Genetic sonography in early mid-trimester offers a powerful tool for early Down syndrome diagnosis.