非侵入性产前查对拷贝数变异的预测价值:一个队列研究和一个系统的元分析
Li Wen1, Yanzhen Zhang1, Jiye Gao1
1Department of Prenatal Diagnosis and Screening Center, Hangzhou Women's Hospital (Hangzhou Maternity and Child Health Care Hospital), Hangzhou, Zhejiang, China.
Expert review of molecular diagnostics
|July 4, 2023
概括
对复制数变异 (CNVs) 的非侵入性产前查 (NIPS) 具有约33%的积极预测值. 这凸显了对全基因组NIPS进行仔细的预测指导和测试后咨询的需要.
科学领域:
- 生殖遗传学 生殖遗传学
- 产前诊断 在产前诊断
- 基因组医学是一种基因组医学.
背景情况:
- 非侵入性产前查 (NIPS) 越来越多地用于检测胎儿染色体异常.
- 副本数变异 (CNVs) 是一种具有潜在临床影响的重要基因变异类别.
- 评估NIPS对CNV的诊断准确性对于临床实施至关重要.
研究的目的:
- 评估NIPS用于检测副本数变异 (CNV) 的诊断准确性.
- 通过系统性审查和元分析来确定NIPS对CNV的聚合正预测值 (PPV).
主要方法:
- 对NIPS的研究进行系统审查和元分析.
- 包括来自杭州妇女医院的数据和已发表的文献 (PubMed,EMBASE,科学网).
- 用于计算聚合PPV的随机效应模型.
主要成果:
- 分析包括29项研究,涉及2667名女性.
- 对于CNV,NIPS的聚合PPV为32.86% (95%CI [24.61-41.64]).
- 观察到很高的统计异质性;没有发现显著的出版偏差. 敏感性和特异性数据不足.
结论:
- 对于CNV,NIPS的积极预测值约为33%.
- 全基因组NIPS需要仔细考虑关于测试前咨询和测试后遗传咨询.
- 可能需要进一步的研究来提高NIPS对CNV的准确性和解释性.
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