Strategy | Contingent cfDNA screening | Reflex cfDNA screening | Primary cfDNA screening | |||
---|---|---|---|---|---|---|
Risk cut-off(s) of eFTS | 1 in 1000 | 1 in 1000 | 1 in 1000 | 1 in 50 and 1 in 1000 | ||
cfDNA screening technology | Sequencing | Sequencing | RCA/Imaging solution | RCA/Imaging solution | Sequencing | RCA/Imaging solution |
# eFTS positive | 11,250 | 11,250 | 11,250 | 11,250 (a) | – | – |
# cfDNA screening | 11,250 | 11,250 | 11,250 | 9850 | 100,000 | 100,000 |
# cfDNA screening high risk | 253 (b) | 247 (c) | 254 (c) | 82 (c) | 354 (b) | 356 (c) |
# cfDNA screening no-call result | 135 (d) | 371 (e) | 56 (e) | 49 (e) | 1200 (d) | 500 (e) |
# patient receiving GC | 11,250 (f) | 618 (g) | 311 (g) | 1532 (h) | 1554 (g) | 856 (g) |
# GC session | 11,443 (i) | 618 (g) | 311 (g) | 1532 (h) | 1554 (g) | 856 (g) |
# PND (cfDNA screening high risk) | 253 | 247 | 254 | 1482 (j) | 354 | 356 |
# PND (cfDNA screening high risk/no-call) | 388 | 618 | 311 | 1532 | 1554 | 856 |
# Expected T21 | 260 | 260 | 260 | 260 | 260 | 260 |
# T21 diagnosed through PND (cfDNA screening high risk) | 242 | 236 | 243 | 246 (k) | 254 | 256 |
# T21 diagnosed through PND (cfDNA screening high risk/no-call) | 245 | 245 | 245 | 246 | 257 | 257 |
# T21 eFTS negative | 13 | 13 | 13 | 13 | – | – |
# T21 cfDNA screening low risk | 2 | 2 | 2 | 1 | 3 | 3 |
# T21 cfDNA screening no-call | 3 | 8 | 1 | 0 | 3 | 1 |
# T21 missed by eFTS or cfDNA screening | 15 | 15 | 15 | 14 | 3 | 3 |
# T21 livebirth | 9 | 9 | 9 | 8 | 2 | 2 |
# Procedure related fetal loss | 0 | 1 | 0 | 4 | 4 | 2 |
DR (cfDNA screening high risk) | 92.2% | 91.0% | 93.6% | 94.6% | 97.7% | 98.5% |
FPR (cfDNA screening high risk) | 0.01% | 0.01% | 0.01% | 1.24% | 0.10% | 0.10% |
Overall DR (all cfDNA screening no-call have a PND) | 94.1% | 94.1% | 94.1% | 94.7% | 99.0% | 99.0% |
Overall FPR (all cfDNA screening no-call have a PND) | 0.14% | 0.37% | 0.07% | 1.29% | 1.30% | 0.60% |