Cell-free DNA screening in twin pregnancies

Cell-free DNA (cfDNA) screening for fetal aneuploidies is clinically available and exhibits better performance than conventional serum screening tests. However, data on the clinical performance of cfDNA screening in twin pregnancies are limited. In this review, we summarized the clinical performance...

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Main Authors: Hye Yeon Boo, You Jung Han
Format: Article
Language:English
Published: Korean Society of Obstetrics and Gynecology 2024-03-01
Series:Obstetrics & Gynecology Science
Subjects:
Online Access:http://ogscience.org/upload/pdf/ogs-23135.pdf
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author Hye Yeon Boo
You Jung Han
author_facet Hye Yeon Boo
You Jung Han
author_sort Hye Yeon Boo
collection DOAJ
description Cell-free DNA (cfDNA) screening for fetal aneuploidies is clinically available and exhibits better performance than conventional serum screening tests. However, data on the clinical performance of cfDNA screening in twin pregnancies are limited. In this review, we summarized the clinical performance and evaluated the feasibility of cfDNA screening in twin pregnancies based on recent studies and recommendations. The performance of cfDNA screening for trisomy 21 in twin pregnancies is similar to that in singleton pregnancies. Specifically, cfDNA screening has a higher detection rate and lower false-positive rate compared with conventional serum screening. Consequently, recent international guidelines from several academic communities have recommended that cfDNA screening for aneuploidy in twin pregnancies could be considered. Moreover, twin pregnancies can present with specific conditions, such as different zygosities and vanishing twins; therefore, individualized counseling and management are required. Further clinical studies with more twin pregnancies are required for a more accurate analysis.
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spelling doaj.art-799e6eb9e7bb41a98029fba8de6e9ae72024-03-15T02:07:37ZengKorean Society of Obstetrics and GynecologyObstetrics & Gynecology Science2287-85722287-85802024-03-0167216016810.5468/ogs.231358806Cell-free DNA screening in twin pregnanciesHye Yeon Boo0You Jung Han1 Department of Obstetrics and Gynecology, CHA Ilsan Medical Center, Goyang, Korea Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, Seoul, KoreaCell-free DNA (cfDNA) screening for fetal aneuploidies is clinically available and exhibits better performance than conventional serum screening tests. However, data on the clinical performance of cfDNA screening in twin pregnancies are limited. In this review, we summarized the clinical performance and evaluated the feasibility of cfDNA screening in twin pregnancies based on recent studies and recommendations. The performance of cfDNA screening for trisomy 21 in twin pregnancies is similar to that in singleton pregnancies. Specifically, cfDNA screening has a higher detection rate and lower false-positive rate compared with conventional serum screening. Consequently, recent international guidelines from several academic communities have recommended that cfDNA screening for aneuploidy in twin pregnancies could be considered. Moreover, twin pregnancies can present with specific conditions, such as different zygosities and vanishing twins; therefore, individualized counseling and management are required. Further clinical studies with more twin pregnancies are required for a more accurate analysis.http://ogscience.org/upload/pdf/ogs-23135.pdfprenatal cfdna screeningtwin pregnanciesprenatal screeningprenatal diagnosis
spellingShingle Hye Yeon Boo
You Jung Han
Cell-free DNA screening in twin pregnancies
Obstetrics & Gynecology Science
prenatal cfdna screening
twin pregnancies
prenatal screening
prenatal diagnosis
title Cell-free DNA screening in twin pregnancies
title_full Cell-free DNA screening in twin pregnancies
title_fullStr Cell-free DNA screening in twin pregnancies
title_full_unstemmed Cell-free DNA screening in twin pregnancies
title_short Cell-free DNA screening in twin pregnancies
title_sort cell free dna screening in twin pregnancies
topic prenatal cfdna screening
twin pregnancies
prenatal screening
prenatal diagnosis
url http://ogscience.org/upload/pdf/ogs-23135.pdf
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