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Related Experiment Videos

Increased nuchal translucency with normal karyotype.

Athena P Souka1, Constantin S Von Kaisenberg, Jonathan A Hyett

  • 1Harris Birthright Research Centre for Fetal Medicine, King's College, London University, London, UK.

American Journal of Obstetrics and Gynecology
|April 23, 2005
PubMed
Summary

Increased fetal nuchal translucency (NT) is linked to chromosomal issues. However, without aneuploidy, NT measurements above 3.5 mm indicate higher risks for adverse perinatal outcomes.

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Area of Science:

  • Prenatal diagnosis
  • Fetal medicine
  • Genetics

Background:

  • Increased fetal nuchal translucency (NT) thickness during early gestation (11-14 weeks) is a recognized indicator of chromosomal abnormalities, such as trisomy 21.
  • Nuchal thickening, even without aneuploidy, is clinically significant due to its association with adverse perinatal outcomes stemming from various fetal anomalies.

Purpose of the Study:

  • To analyze the clinical relevance of fetal nuchal translucency (NT) measurements in predicting perinatal outcomes.
  • To determine the NT threshold associated with increased risk of adverse outcomes in the absence of aneuploidy.

Main Methods:

  • Retrospective analysis of NT measurements in fetuses between 11 and 14 weeks' gestation.
  • Correlation of NT thickness with chromosomal status and perinatal outcomes.

Related Experiment Videos

  • Assessment of risk based on NT measurement thresholds.
  • Main Results:

    • Aneuploidy is a common association with increased NT thickness.
    • In the absence of aneuploidy, a statistically significant increase in perinatal risk is observed when NT measurements exceed 3.5 mm (99th percentile).
    • The risk of adverse outcomes increases exponentially with greater NT measurements.

    Conclusions:

    • Fetal NT measurement is a valuable screening tool for chromosomal abnormalities and adverse perinatal outcomes.
    • NT measurements above 3.5 mm, even without aneuploidy, warrant close monitoring for potential fetal malformations and adverse outcomes.
    • A normal mid-gestation ultrasound (20-22 weeks) following initial NT screening significantly reduces the risk of adverse perinatal outcomes and developmental delay.