PMID- 17430982 OWN - NLM STAT- MEDLINE DCOM- 20070803 LR - 20070518 IS - 1360-9947 (Print) IS - 1360-9947 (Linking) VI - 13 IP - 6 DP - 2007 Jun TI - FastFISH: technique for ultrarapid fluorescence in situ hybridization on uncultured amniocytes yielding results within 2 h of amniocentesis. PG - 355-9 AB - Rapid aneuploidy detection methods allow prenatal diagnosis results to be released within 48 h, but not on the same day as the invasive test. We aimed to develop a rapid fluorescence in situ hybridization (FISH) method (FastFISH) that releases accurate results on the same day as amniocentesis. FastFISH was optimized to be completed within 2 h of sample collection using CEP and LSI probes for chromosomes 13, 18, 21, X, Y and DiGeorge syndrome (DGS). The technique was tested on 100 consecutive amniotic fluid samples in a blinded study. It was also validated as a 1-day molecular genetic test on three representative fetal tissue samples: chorionic villus, amniotic fluid and fetal blood. In the blinded study, FastFISH results were ready within 2 h of sample collection. Of the 100 amniotic fluid samples, 49 male and 50 female fetuses were identified. One fetus was 47, XXY (Klinefelter syndrome). Three fetuses had trisomy 21. One fetus suspected of DGS by ultrasound was identified as normal. Results of FastFISH analyses in all 100 cases were concordant with their karyotypes (100% accuracy; lower 95% CI, 97.05%). In the 1-day test validation, all results were released on the same day and were concordant with their respective karyotypes. FastFISH allows results to be released on the same day as amniocentesis. It represents the necessary development for a 1-day prenatal diagnosis service. FAU - Choolani, M AU - Choolani M AD - Diagnostic Biomarker Discovery Laboratory, Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, 5 Lower Kent Ridge Road, 119074 Singapore. obgmac@nus.edu.sg FAU - Ho, S S Y AU - Ho SS FAU - Razvi, K AU - Razvi K FAU - Ponnusamy, S AU - Ponnusamy S FAU - Baig, S AU - Baig S FAU - Fisk, N M AU - Fisk NM FAU - Biswas, A AU - Biswas A CN - Rapid Molecular Testing in Prenatal Diagnosis Group LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070412 PL - England TA - Mol Hum Reprod JT - Molecular human reproduction JID - 9513710 SB - IM MH - Adult MH - *Amniocentesis MH - Amniotic Fluid/*cytology MH - *Aneuploidy MH - Chromosome Disorders/*diagnosis MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Karyotyping MH - Male MH - Middle Aged MH - Pregnancy MH - Sensitivity and Specificity MH - Time Factors EDAT- 2007/04/14 09:00 MHDA- 2007/08/04 09:00 CRDT- 2007/04/14 09:00 PHST- 2007/04/14 09:00 [pubmed] PHST- 2007/08/04 09:00 [medline] PHST- 2007/04/14 09:00 [entrez] AID - gam016 [pii] AID - 10.1093/molehr/gam016 [doi] PST - ppublish SO - Mol Hum Reprod. 2007 Jun;13(6):355-9. doi: 10.1093/molehr/gam016. Epub 2007 Apr 12.