An In-Depth Look at the Natera Panorama NIPT and Its Accuracy in Predicting Chromosome Abnormalities
The field of prenatal screening has significantly evolved over the past few years, with new technologies like the Natera Panorama Non-Invasive Prenatal Test (NIPT) leading the way.
This groundbreaking Panorama uses cutting-edge technology to provide highly accurate screening tests of the pregnant woman and gender reveal, even as early as nine weeks into the pregnancy. But how accurate is this test? Let’s dive in and find out.
Understanding the Natera Panorama Test: A Non-invasive Prenatal Testing
Panorama is a prenatal screening test offered by Natera. It can screen for common chromosomal conditions as early as the first trimester of pregnancy. By analyzing small pieces of the baby’s DNA that circulate in the mother’s blood, it can determine the likelihood of certain chromosomal abnormalities.
The Superiority Panorama Offers: Findings from the SMART Study Published in the American Journal of Obstetrics and Gynecology
The SMART (SNP-based Microdeletion and Aneuploidy Registry Trial) study, published in the American Journal of Obstetrics and Gynecology, found that the Panorama test has a high sensitivity and specificity for detecting common chromosomal conditions, including Trisomy 21 (Down syndrome), Trisomy 18, Trisomy 13, and Monosomy X making it extremely accurate.
Here’s a list of the specific genetic condition that the Panorama test can screen for:
- Trisomy 21 (Down syndrome): This condition occurs when there’s an extra copy of chromosome 21. Down syndrome is a genetic condition that can cause developmental delays and intellectual disabilities. Detecting Trisomy 21 early in pregnancy allows parents to prepare for the challenges ahead, seek appropriate medical care, and plan for the child’s long-term needs.
- Trisomy 18 (Edwards syndrome): Trisomy 18 is a condition that’s caused by an extra copy of chromosome 18. Trisomy 18 can lead to severe developmental abnormalities and life-threatening medical conditions. Detecting this condition helps parents make informed decisions about the pregnancy, including potential medical interventions and care plans. Unfortunately, most pregnancies with trisomy 18 will miscarry. If born alive, most affected babies with trisomy 18 will pass away within the first few weeks of life. About 10 percent survive to their first birthday.
- Trisomy 13 (Patau syndrome): Trisomy 13 is a genetic disorder that’s caused by an extra copy of chromosome 13. Trisomy 13 is a rare genetic condition associated with severe physical and intellectual disabilities.
- Identifying Trisomy 13 allows parents to consult with specialists, make decisions about the pregnancy, and prepare for any necessary medical interventions after birth.
- Monosomy X (Turner syndrome): Monosomy X occurs when a female is missing or has a partially missing X chromosome. Babies with monosomy x can have various physical and developmental challenges. Early detection helps parents access specialized medical care and interventions to address potential complications.
- Sex chromosome trisomies: These include Klinefelter syndrome (XXY), Triple X syndrome (XXX), and Jacob’s syndrome (XYY – one x chromosome and two y chromosomes). Most babies with XYY syndrome do not have any birth defects. Children with XYY could be taller than average and have an increased chance for learning speech, and behavioral problems. the sex chromosome trisomy can have varying effects on physical and cognitive development. Identifying these conditions early allows parents to seek appropriate medical guidance and support for their child’s specific needs.
- 22q11.2 deletion syndrome (DiGeorge syndrome): This condition occurs when a small piece of chromosome 22 is missing, leading to a range of potential health issues. Detecting 22q11.2 deletion syndrome helps parents access specialized care, interventions, and support services tailored to the specific challenges associated with the condition.
- Triploidy: Triploidy refers to an extra set of chromosomes in the cells, which can result in severe developmental abnormalities and often leads to miscarriage or stillbirth. Early detection of triploidy enables parents to receive appropriate medical guidance and support during a challenging time when certain medical decisions should be made.
- Vanishing twin syndrome:
- Vanishing twin syndrome occurs when one twin or multiple pregnancies result in the loss of one or more fetuses. Detecting this phenomenon helps parents understand the changes in the pregnancy and provides closure regarding the loss.
It’s important to note that the Panorama test is a screening test and does not provide definitive diagnostic testing during pregnancy. In cases of positive results or concerns, further diagnostic testing, such as chorionic villus sampling (CVS) or amniocentesis, is typically recommended to confirm the findings.
How the Panorama Test Measures Up to Other Prenatal Screening Tests like Ultrasound, CVS, and Amniocentesis
Traditional prenatal screening methods like ultrasound, chorionic villus sampling (CVS), and amniocentesis can be limited in their ability to detect chromosomal abnormalities. Unlike Panorama, CVS and amniocentesis come with a small chance of miscarriage.
The Panorama Non-Invasive Prenatal Test (NIPT) has demonstrated high levels of accuracy in comparison to other prenatal screening tests. Here’s a comparison of the accuracy of the Panorama test with other common prenatal tests:
- Accuracy compared to traditional prenatal screening tests: Traditional prenatal screening tests, such as ultrasound, can provide useful information but have limitations in detecting certain chromosomal abnormalities. The Panorama test has been shown to have higher sensitivity and specificity in detecting common chromosomal conditions like Trisomy 21, Trisomy 18, and Trisomy 13.
- Accuracy compared to invasive diagnostic tests (CVS and amniocentesis): Invasive diagnostic tests like chorionic villus sampling (CVS) and amniocentesis are considered the gold standard for prenatal diagnosis.
- While they provide definitive results, they carry a small risk of miscarriage. The Panorama test, being a non-invasive screening test, poses no risk to the mother or the baby and has shown comparable accuracy in detecting common chromosomal abnormalities.
- Accuracy in fetal sex determination: One of the additional features of the Panorama test is the ability to determine the baby’s gender. The test has demonstrated high accuracy in identifying fetal sex by analyzing the X and Y chromosomes in the maternal blood sample.
It’s important to note that while the Panorama test is highly accurate, it is a screening test and not a diagnostic test. In cases where high-risk results are obtained, further diagnostic testing, such as CVS or amniocentesis, is recommended for confirmation.
Panorama’s Unique Offerings: SNP-Based NIPT and Cell-Free DNA
What makes Panorama stand out is its SNP-based NIPT. SNP (single nucleotide polymorphism) technology allows Panorama to distinguish between the pregnant person’s and the baby’s DNA, delivering highly accurate results.
Gender Reveal: How Accurate is Panorama?
As part of the Panorama test, parents-to-be can choose to find out the sex of their baby. By analyzing the X and Y chromosomes, Panorama can reveal the baby’s gender with a high level of accuracy with a simple blood draw
Panorama’s Accuracy in Detecting Chromosomal Abnormalities
Panorama is known for its accuracy in detecting chromosomal abnormalities. It can detect common chromosomal conditions that affect babies such as Trisomy 21, Trisomy 18, Trisomy 13, and Monosomy X, among others, with high accuracy.
Making the Right Medical Decisions: Why Choose Panorama
Prenatal screening is not just about detection, but also about providing parents and doctors with accurate information to make informed medical decisions. Panorama helps in making these decisions by providing accurate results early in pregnancy.
CA Residents and Panorama: The California Prenatal Screening Program
Panorama is included in the California Prenatal Screening Program, which aims to provide pregnant women with comprehensive prenatal care, including access to genetic screening tests. Trisomies 21, 18, and 13, as well as fetal sex, are screened using Natera’s Vasistera NIPT or other approved NIPTs through the California Prenatal Screening program. Vasistera also assesses zygosity and individual fetal fraction in dizygotic twins.
Panorama for Expectant Parents: Why it’s the Right Choice
Panorama offers expectant parents peace of mind by delivering accurate prenatal screening results early in pregnancy. It’s high accuracy and comprehensive screening make it a top choice among expectant parents.
Conclusion. Panorama Test: Not Just Another Prenatal Screening
In conclusion, the Panorama test stands out in the field of prenatal screening due to its high accuracy, comprehensive testing, and ability to provide parents with information early in pregnancy. It’s not just another prenatal screening test, but a leap forward in prenatal care.
FAQs About the Natera Panorama Test
How early in pregnancy can I take the Panorama test?
The Panorama test can be taken as early as nine weeks gestation.
What conditions can the Panorama test detect?
The Panorama test can detect a range of chromosomal conditions including Trisomy 21, Trisomy 18, Trisomy 13, and Monosomy X, among others.
How accurate is the Panorama test?
The Panorama test is highly accurate in detecting common chromosomal conditions.
Can the Panorama test determine the sex of my baby?
Yes, as part of the Panorama test, you can choose to find out the sex of your baby.
- s the Panorama test safe?
- Yes, the Panorama test is a non-invasive test that poses no risk to the mother or the baby.
References
- Norton, M. E., et al. (2015). “Cell-free DNA Analysis for Noninvasive Examination of Trisomy”. The New England Journal of Medicine, 372(17), 1589-1597. Link
- Natera. (n.d.). “Panorama Test”. Natera. Link
- California Department of Public Health. (n.d.). “Prenatal Screening Program”. California Department of Public Health. Link