Fetal nuchal translucency: ultrasound screening for chromosomal defects in first trimester of pregnancy
OBJECTIVE--To examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype. DESIGN--Prospective screening study. SETTING--The Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London. SUBJECTS--82...
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| Published in | BMJ Vol. 304; no. 6831; pp. 867 - 869 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
British Medical Journal Publishing Group
04.04.1992
British Medical Association BMJ Publishing Group Ltd BMJ Publishing Group LTD |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0959-8138 0959-8146 1468-5833 1756-1833 |
| DOI | 10.1136/bmj.304.6831.867 |
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| Abstract | OBJECTIVE--To examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype. DESIGN--Prospective screening study. SETTING--The Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London. SUBJECTS--827 fetuses undergoing first trimester karyotyping by amniocentesis or chorionic villus sampling. MAIN OUTCOME MEASURE--Incidence of chromosomal defects. RESULTS--The incidence of chromosomal defects was 3% (28 of 827 cases). In the 51 (6%) fetuses with nuchal translucency 3-8 mm thick the incidence of chromosomal defects was 35% (18 cases). In contrast, only 10 of the remaining 776 (1%) fetuses were chromosomally abnormal. CONCLUSION--Fetal nuchal translucency > or = 3 mm is a useful first trimester marker for fetal chromosomal abnormalities. |
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| AbstractList | OBJECTIVE--To examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype. DESIGN--Prospective screening study. SETTING--The Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London. SUBJECTS--827 fetuses undergoing first trimester karyotyping by amniocentesis or chorionic villus sampling. MAIN OUTCOME MEASURE--Incidence of chromosomal defects. RESULTS--The incidence of chromosomal defects was 3% (28 of 827 cases). In the 51 (6%) fetuses with nuchal translucency 3-8 mm thick the incidence of chromosomal defects was 35% (18 cases). In contrast, only 10 of the remaining 776 (1%) fetuses were chromosomally abnormal. CONCLUSION--Fetal nuchal translucency > or = 3 mm is a useful first trimester marker for fetal chromosomal abnormalities. Objective—To examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype. Design—Prospective screening study. Setting—The Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London. Subjects—827 fetuses undergoing first trimester karyotyping by aminocentesis or chorionic villus sampling. Main outcome measure—Incidence of chromosomal defects. Results—The incidence of chromosomal defects was 3% (28 of 827 cases). In the 51 (6%) fetuses with nuchal translucency 3-8 mm thick the incidence of chromosomal defects was 35% (18 cases). In contrast, only 10 of the remaining 776 (1%) fetuses were chromosomally abnormal. Conclusion—Fetal nuchal translucency ≥3 mm is a useful first trimester marker for fetal chromosomal abnormalities. To examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype. Prospective screening study. The Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London. 827 fetuses undergoing first trimester karyotyping by amniocentesis or chorionic villus sampling. Incidence of chromosomal defects. The incidence of chromosomal defects was 3% (28 of 827 cases). In the 51 (6%) fetuses with nuchal translucency 3-8 mm thick the incidence of chromosomal defects was 35% (18 cases). In contrast, only 10 of the remaining 776 (1%) fetuses were chromosomally abnormal. Fetal nuchal translucency > or = 3 mm is a useful first trimester marker for fetal chromosomal abnormalities. To examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype.OBJECTIVETo examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype.Prospective screening study.DESIGNProspective screening study.The Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London.SETTINGThe Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London.827 fetuses undergoing first trimester karyotyping by amniocentesis or chorionic villus sampling.SUBJECTS827 fetuses undergoing first trimester karyotyping by amniocentesis or chorionic villus sampling.Incidence of chromosomal defects.MAIN OUTCOME MEASUREIncidence of chromosomal defects.The incidence of chromosomal defects was 3% (28 of 827 cases). In the 51 (6%) fetuses with nuchal translucency 3-8 mm thick the incidence of chromosomal defects was 35% (18 cases). In contrast, only 10 of the remaining 776 (1%) fetuses were chromosomally abnormal.RESULTSThe incidence of chromosomal defects was 3% (28 of 827 cases). In the 51 (6%) fetuses with nuchal translucency 3-8 mm thick the incidence of chromosomal defects was 35% (18 cases). In contrast, only 10 of the remaining 776 (1%) fetuses were chromosomally abnormal.Fetal nuchal translucency > or = 3 mm is a useful first trimester marker for fetal chromosomal abnormalities.CONCLUSIONFetal nuchal translucency > or = 3 mm is a useful first trimester marker for fetal chromosomal abnormalities. |
| Audience | Professional |
| Author | Azar, G. Marks, K. Mansur, C. Nicolaides, K. H. Byrne, D. |
| AuthorAffiliation | Harris Birthright Research Centre for Fetal Medicine, King's College Hospital Medical School, London |
| AuthorAffiliation_xml | – name: Harris Birthright Research Centre for Fetal Medicine, King's College Hospital Medical School, London |
| Author_xml | – sequence: 1 givenname: K. H. surname: Nicolaides fullname: Nicolaides, K. H. – sequence: 2 givenname: G. surname: Azar fullname: Azar, G. – sequence: 3 givenname: D. surname: Byrne fullname: Byrne, D. – sequence: 4 givenname: C. surname: Mansur fullname: Mansur, C. – sequence: 5 givenname: K. surname: Marks fullname: Marks, K. |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5518028$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/1392745$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1007/BF00432399 10.1016/0028-2243(89)90206-2 10.1111/j.1471-0528.1985.tb01446.x 10.3109/00016348409155537 10.1002/pd.1970070412 10.1002/pd.1970101004 |
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| References | Reuss, A.; Pijpers, L.; van Swaaij, E.; Jahoda, M.G.J.; Wladimiroff, J.W. (ref_9) 1987; 26 Nicolaides, K.H.; Azar, G.B.; Sni'ders, R.J.M.; Gosden, C. (ref_2) Pons, J.C.; Diallo, A.A.; Eydoux, P.; Rais, S.; Doumerc, S.; Frydman, R.; Papiernik, E. (ref_10) 1989; 33 der Putte SCJ, Van (ref_4) 1977; 376 Cullen, M.T.; Gabrielli, S.; Green, J.J.; Rizzo, N.; Mahoney, M.J.; Salafia, C. (ref_12) 1990; 10 Dallapiccola, B.; Zelante, L.; Perla, G.; Villani, G. (ref_7) 1984; 4 Byrne, D.; Marks, K.; Azar, G.; Nicolaides, K. (ref_3) 1991; 1 Gustavii, B.; Edvall, H. (ref_6) 1984; 63 Reuss, A.; Pijpers, L.; Schampers, P.T.F.M.; Wladimiroff, J.W.; Sachs, E.S. (ref_8) 1987; 7 Bronshtein, M.; Rottem, S.; Yoffe, N.; Blumenfeld, Z. (ref_11) 1989; 161 Azar, G.B.; Snijders, R.J.A.M.; Gosden, C.; Nicolaides, K.H. (ref_1) Nicolaides, K.H.; Rodeck, C.H.; Lange, I.; Watson, J.; Gosden, C.M.; Miller, D. (ref_5) 1985; 92 1611361 - BMJ. 1992 May 23;304(6838):1384 |
| References_xml | – volume: 376 start-page: 233 year: 1977 ident: ref_4 article-title: Lymphatic malformation in human fetuses publication-title: l'irchowrs Arch [A] doi: 10.1007/BF00432399 – ident: ref_1 article-title: Fetal nuchal cystic hygromata: associated malformations and chromosomal defects. Fetal Diagn Ther – volume: 33 start-page: 141 year: 1989 ident: ref_10 article-title: Chorionic villus sampling after first trimester diagnosis of fetal cystic hygroma colli publication-title: EurJ Obstet Gynecol Reprod Biol doi: 10.1016/0028-2243(89)90206-2 – volume: 26 start-page: 271 year: 1987 ident: ref_9 article-title: Firsttrimester diagnosis of recurrence of cystic hygroma using a transvaginal ultrasound transducer. Case report. Eur J7 Obstet Gynecol Reprod Biol – volume: 92 start-page: 671 year: 1985 ident: ref_5 article-title: Fetoscopy in the assessment of unexplained fetal hydrops publication-title: Br J Obstet Gvnaecol doi: 10.1111/j.1471-0528.1985.tb01446.x – volume: 63 start-page: 377 year: 1984 ident: ref_6 article-title: First-trimester diagnosis of cystic nuchal hygroma publication-title: Acta Obstet Gvnecol Scand doi: 10.3109/00016348409155537 – volume: 161 start-page: 78 year: 1989 ident: ref_11 article-title: First trimester and early second trimester diagnosis of nuchal cystic hygroma by transvaginal sonography: diverse prognosis of the septated from the non-septated lesion. Am3r Obstet Gynecol – volume: 7 start-page: 299 year: 1987 ident: ref_8 article-title: rhe importance of tchorionic villus sampling after first trimester diagnosis of cystic hygroma publication-title: Prenat Diagn doi: 10.1002/pd.1970070412 – volume: 1 start-page: 234 year: 1991 ident: ref_3 article-title: Randomized study of early amniocentesis versus chorionic villus sampling at 10-13 weeks' gestation: technical and cytogenic comparison of 650 patients publication-title: Ultrasound in Obstetrics and Gynecologv – volume: 10 start-page: 643 year: 1990 ident: ref_12 article-title: Diagnosis and significance of cystic hygroma in the first trimester publication-title: Prenat Diagn doi: 10.1002/pd.1970101004 – ident: ref_2 article-title: Fetal nuchal edema: associated malformations and chromosomal defects. Fetal Diagn Ther – volume: 4 start-page: 383 year: 1984 ident: ref_7 article-title: Prenatal diagnosis of recurrence of cystic hygroma with normal chromosomes – reference: 1611361 - BMJ. 1992 May 23;304(6838):1384 |
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| Snippet | OBJECTIVE--To examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype.... Objective—To examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype. Design—Prospective... To examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype. Prospective screening study.... To examine the significance of fetal nuchal translucency at 10-14 weeks' gestation in the prediction of abnormal fetal karyotype.OBJECTIVETo examine the... |
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