PMID- 16491010 OWN - NLM STAT- MEDLINE DCOM- 20060606 LR - 20060221 IS - 1015-3837 (Print) IS - 1015-3837 (Linking) VI - 21 IP - 2 DP - 2006 TI - Correlation of abnormal rapid FISH and chromosome results from amniocytes for prenatal diagnosis. PG - 235-40 AB - Rapid fluorescence in situ hybridization (FISH) performed on 1,788 amniocenteses, using Aneuvision (Vysis) probes for chromosomes 13, 18, 21, X, and Y, over several years, yielded 115 cases with percentages of aneuploidy between 4 and 100%. All cases above 60% were confirmed to be positive by chromosome analysis. Fifteen of forty-one cases that would be considered inconclusive by generally accepted criteria (i.e. with less than 60% of cells with an abnormal signal pattern) revealed lower cutoffs to be positive when confirmed by chromosome analysis. For trisomy 21, 6 cases with percentages from 36 to 57% were positive; 4 of 7 cases with percentages from 22.5 to 33% were positive; 11 cases with percentages of 13% or less were negative. Similar trends were found for aneuploidies of 13, 18, X, and Y. However, the number of abnormal cases is still too small to determine definitive cutoffs in the <60% gray zone. An average of 57 metaphases was analyzed for cases with FISH percentages below 60%. Despite the wide range of abnormal FISH percentages for chromosomally positive cases, we found no examples of autosomal mosaicism in this series. Although sex chromosome mosaicism was cytogenetically evident in several cases, there was little direct correlation between cytogenetic and rapid FISH results. FISH results involving sex chromosomes were more frequently confounded by maternal cell contamination and other technical factors. CI - (c) 2006 S. Karger AG, Basel FAU - Wyandt, Herman E AU - Wyandt HE AD - Center for Human Genetics, Boston University School of Medicine, Boston, MA 02118, USA. hwyandt@bu.edu FAU - Tonk, Vijay S AU - Tonk VS FAU - Huang, Xin Li AU - Huang XL FAU - Evans, Arthur T AU - Evans AT FAU - Milunsky, Jeff M AU - Milunsky JM FAU - Milunsky, Aubrey AU - Milunsky A LA - eng PT - Clinical Trial PT - Journal Article PL - Switzerland TA - Fetal Diagn Ther JT - Fetal diagnosis and therapy JID - 9107463 SB - IM MH - Amniocentesis/*methods MH - Aneuploidy MH - Chromosome Disorders/*diagnosis MH - Chromosomes, Human, Pair 13 MH - Chromosomes, Human, Pair 18 MH - Chromosomes, Human, Pair 21 MH - Cytogenetic Analysis/*methods MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*standards MH - Interphase MH - Male MH - Metaphase MH - Predictive Value of Tests MH - Pregnancy MH - Sex Chromosome Aberrations EDAT- 2006/02/24 09:00 MHDA- 2006/06/07 09:00 CRDT- 2006/02/24 09:00 PHST- 2005/02/01 00:00 [received] PHST- 2005/04/08 00:00 [accepted] PHST- 2006/02/24 09:00 [pubmed] PHST- 2006/06/07 09:00 [medline] PHST- 2006/02/24 09:00 [entrez] AID - 89310 [pii] AID - 10.1159/000089310 [doi] PST - ppublish SO - Fetal Diagn Ther. 2006;21(2):235-40. doi: 10.1159/000089310.