A recent study found that a new non-invasive test for prenatal diagnosis yields equivalent results to the current standard procedures of trophoblast biopsy and amniocentesis.
The test, called TrophSEEK, uses next-generation sequencing technology to detect genetic abnormalities in fetal cells found in the mother’s blood.
What is trophoblast biopsy?
Trophoblast biopsy is a procedure that involves taking a small sample of tissue from the placenta, which is the organ that connects the fetus to the mother’s uterus.
The procedure is usually done between 11 and 14 weeks of pregnancy and is used to diagnose genetic disorders such as Down syndrome and cystic fibrosis. The cells are then analyzed for any abnormalities, and results are usually available within a week.
What is amniocentesis?
Amniocentesis is a procedure that involves taking a small sample of the amniotic fluid that surrounds the fetus.
The procedure is usually done between 15 and 20 weeks of pregnancy and is used to diagnose genetic disorders such as Down syndrome and cystic fibrosis. The cells are then analyzed for any abnormalities, and results are usually available within two to three weeks.
What is TrophSEEK?
TrophSEEK is a non-invasive test that can detect genetic abnormalities in fetal cells found in the mother’s blood.
The test uses next-generation sequencing technology to analyze fetal DNA, which can be detected in the mother’s blood as early as five weeks into pregnancy. The test can detect a range of genetic abnormalities, including chromosomal abnormalities, microdeletions, and single-gene disorders.
The study
The study, conducted by researchers at the University of California, San Francisco, compared the results of TrophSEEK to those of trophoblast biopsy and amniocentesis in 94 women who were at high risk for fetal genetic abnormalities.
The results showed that TrophSEEK had a detection rate of over 97% for all the genetic abnormalities tested, which was equivalent to the detection rate of both trophoblast biopsy and amniocentesis.
Furthermore, the study found that TrophSEEK had a lower false positive rate than the other two procedures.
This means that fewer women would receive a false positive result from the test, which can cause unnecessary anxiety and lead to more invasive procedures such as amniocentesis.
The benefits of TrophSEEK
TrophSEEK offers a number of benefits over the current standard procedures of trophoblast biopsy and amniocentesis. Firstly, it is non-invasive and carries no risk of harm to the fetus, which can provide peace of mind for expectant mothers.
Secondly, TrophSEEK can be performed earlier in pregnancy than either of the other two procedures, which can reduce the waiting time for results and allow for earlier decision-making about potential interventions. Finally, TrophSEEK has a lower false positive rate than the other two procedures, which can reduce unnecessary anxiety for expectant mothers.
Limitations of the study
While the study found that TrophSEEK had a detection rate equivalent to that of trophoblast biopsy and amniocentesis, there were some limitations to the study that should be considered.
Firstly, the study was conducted on a small sample size of 94 women, which may not be representative of the general population. Secondly, the study only looked at high-risk pregnancies, so it is unclear how well the test would perform in lower-risk pregnancies.
Finally, the study did not compare the cost-effectiveness of TrophSEEK to the other procedures, which could be an important factor for some healthcare systems.
Conclusion
The results of this study are promising for the use of TrophSEEK as a non-invasive alternative to the current standard procedures of trophoblast biopsy and amniocentesis for prenatal diagnosis.
The test offers a number of benefits, including earlier detection and a lower false positive rate, which can provide peace of mind for expectant mothers. However, further research is needed to validate the results on a larger sample size and to compare the cost-effectiveness of the different procedures.