PMID- 30328630 OWN - NLM STAT- MEDLINE DCOM- 20190819 LR - 20190819 IS - 1097-0223 (Electronic) IS - 0197-3851 (Linking) VI - 38 IP - 13 DP - 2018 Dec TI - Interest of chromosomal microarray analysis in the prenatal diagnosis of fetal intrauterine growth restriction. PG - 1111-1119 LID - 10.1002/pd.5372 [doi] AB - OBJECTIVE: The aim of this study is to evaluate the diagnostic utility of prenatal diagnosis using the chromosomal microarray analysis (CMA) for fetuses presenting with isolated or associated intrauterine growth restriction (IUGR). METHOD: We retrospectively included all fetuses with IUGR referred for prenatal testing and studied by rapid fluorescence in situ hybridization (FISH), karyotype, and CMA. RESULTS: Among the 162 IUGR fetuses (78 associated and 84 isolated IUGR) included, 15 had an abnormal FISH result: 10 associated and five isolated fetal IUGRs. Among the 143 fetuses studied by CMA, 10 (7%) presented pathogenic copy number variations (CNVs). All 10 were in the associated fetal IUGR group (10/65 or 15.4%; 95% confidence interval [CI]: 8.4%-26.2%) versus 0/78 in the isolated fetal IUGR group (95% CI: 0%-5.6%). Six fetuses (4.2%) carried variants of unknown significance (VOUS) (three associated and three isolated fetal IUGRs). CONCLUSION: Our study highlights the added value of CMA in the case of associated fetal IUGR with an incremental yield of 6.1% (4/65) over karyotyping. No pathogenic CNVs were reported in the isolated fetal IUGR group. More studies must be conducted to determine when and whether CMA would be wisely indicated in this population. CI - (c) 2018 John Wiley & Sons, Ltd. FAU - Brun, Stephanie AU - Brun S AUID- ORCID: 0000-0001-5923-4846 AD - Centre Alienor d'Aquitaine Maternity, CHU Bordeaux, Bordeaux, France. FAU - Pennamen, Perrine AU - Pennamen P AD - Service de Genetique Medicale, CHU Bordeaux, Bordeaux, France. FAU - Mattuizzi, Aurelien AU - Mattuizzi A AD - Centre Alienor d'Aquitaine Maternity, CHU Bordeaux, Bordeaux, France. FAU - Coatleven, Frederic AU - Coatleven F AD - Centre Alienor d'Aquitaine Maternity, CHU Bordeaux, Bordeaux, France. FAU - Vuillaume, Marie Laure AU - Vuillaume ML AD - Service de Genetique Medicale, CHU Bordeaux, Bordeaux, France. FAU - Lacombe, Didier AU - Lacombe D AD - Service de Genetique Medicale, CHU Bordeaux, Bordeaux, France. AD - Maladies Rares: Genetique et Metabolisme (MRGM), INSERM, University of Bordeaux, Bordeaux, France. FAU - Arveiler, Benoit AU - Arveiler B AD - Service de Genetique Medicale, CHU Bordeaux, Bordeaux, France. AD - Maladies Rares: Genetique et Metabolisme (MRGM), INSERM, University of Bordeaux, Bordeaux, France. FAU - Toutain, Jerome AU - Toutain J AUID- ORCID: 0000-0003-1236-1551 AD - Service de Genetique Medicale, CHU Bordeaux, Bordeaux, France. FAU - Rooryck, Caroline AU - Rooryck C AUID- ORCID: 0000-0002-9789-3591 AD - Service de Genetique Medicale, CHU Bordeaux, Bordeaux, France. AD - Maladies Rares: Genetique et Metabolisme (MRGM), INSERM, University of Bordeaux, Bordeaux, France. LA - eng PT - Journal Article DEP - 20181122 PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 MH - Adult MH - Comparative Genomic Hybridization/*methods MH - DNA Copy Number Variations MH - Female MH - Fetal Growth Retardation/*genetics MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Karyotype MH - *Karyotyping MH - Microarray Analysis/*methods MH - Pregnancy MH - Prenatal Diagnosis MH - Retrospective Studies MH - Young Adult EDAT- 2018/10/18 06:00 MHDA- 2019/08/20 06:00 CRDT- 2018/10/18 06:00 PHST- 2018/08/15 00:00 [received] PHST- 2018/10/04 00:00 [revised] PHST- 2018/10/05 00:00 [accepted] PHST- 2018/10/18 06:00 [pubmed] PHST- 2019/08/20 06:00 [medline] PHST- 2018/10/18 06:00 [entrez] AID - 10.1002/pd.5372 [doi] PST - ppublish SO - Prenat Diagn. 2018 Dec;38(13):1111-1119. doi: 10.1002/pd.5372. Epub 2018 Nov 22.