基于Z分数的测试后风险作为积极预测值的替代风险指标,在积极的非侵入性产前查后具有积极的预测值
Emily Gaudet1, Fredrik Persson2, Matthew Saidel3
1St. Vincent Medical Center, Bridgeport, CT.
American journal of obstetrics and gynecology
|December 17, 2024
概括
非侵入性产前查使用正预测值 (PPV) 来报告结果. 然而,PPV对个体风险评估有局限性;基于Z分数的测试后风险被提出为更准确的替代方案.
科学领域:
- 产前诊断 在产前诊断
- 遗传学 遗传学是一种遗传学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 非侵入性产前查 (NIPS) 是检测常见的染色体形瘤的一个标准方法.
- 自2017年以来,NIPS报告经常包括积极的预测值 (PPV) 来帮助临床决策.
- PPV计算包括测定性能和按母亲年龄分类的状体患病率.
研究的目的:
- 检查NIPS中PPV的局限性,以进行个人风险评估.
- 为产前查中更准确和更具体的风险评估提出替代性指标.
主要方法:
- 在NIPS中分析PPV的计算和应用.
- 将PPV与基于Z分数的替代测试后风险指标进行比较.
主要成果:
- 对选阳性结果的PPV计算限制了其作为个体风险指标的准确性.
- PPV不会给一个个体怀孕带来特定的风险.
结论:
- 在NIPS中的PPV对个性化风险评估有固有的局限性.
- 基于Z分数的测试后风险被建议作为NIPS结果的更准确和更具体的替代指标.
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