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Sensitivity of only 9%: no place for nasal bone evaluation by ultrasound in aneuploidy screening.(Obstetrics)

OB GYN News

| March 15, 2004 | Sullivan, Michele G. | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

NEW ORLEANS -- First-trimester nasal bone evaluation by ultrasound appears to be nearly useless in identifying aneuploidy, with a sensitivity of only 9%, Dr. Fergal Malone said at the annual meeting of the Society for Maternal-Fetal Medicine.

Although the absence of nasal bones is an extremely uncommon finding on ultrasound, it was not significantly associated with the presence of either trisomy 18 or 21, said Dr. Malone of New York-Presbyterian Hospital, New York, a coinvestigator in the First-and Second-Trimester Evaluation of Risk for Aneuploidy (FASTER).

"Nasal bone evaluation failed to identify even one case of trisomy 21 in this population," he said. "This form of screening has virtually no role in screening for aneuploidy in the general population."

Nasal bone images were obtained from 6,316 FASTER patients during the final 7 months of the trial; 45 sonographers, each of whom had received additional training in imaging nasal bones, performed the scans.

Each scan was examined by a second specially trained sonographer, who certified the scan as acceptable or unacceptable. Acceptable images had to show the fetus in a midsagittal plane with the spine down and had to be enlarged enough to show two echogenic nasal lines--a superficial line showing the nasal skin and a ...

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