First-trimester ultrasound assessment of the nasal bone to screen for aneuploidy.

Increasingly, women are choosing first-trimester risk assessment for Down syndrome and other aneuploid conditions. Recent studies have suggested that adding ultrasound assessment of the nasal bone to nuchal translucency thickness and maternal serum analytes in the first trimester will improve performance. This report assesses the current literature and discusses practical issues that must be addressed before widespread implementation of nasal bone screening in the United States.

[1]  K. Kagan,et al.  Nasal bone in first-trimester screening for trisomy 21. , 2006, American journal of obstetrics and gynecology.

[2]  F. Prefumo,et al.  First-trimester nuchal translucency, nasal bones, and trisomy 21 in selected and unselected populations. , 2006, American journal of obstetrics and gynecology.

[3]  Julian N. Robinson,et al.  Screening for Down Syndrome: Practice Patterns and Knowledge of Obstetricians and Gynecologists , 2006, Obstetrics and gynecology.

[4]  T. Rosen,et al.  Down syndrome screening in the first and second trimesters: what do the data show? , 2005, Seminars in perinatology.

[5]  M. Zoppi,et al.  Nuchal translucency and nasal bone for trisomy 21 screening: single center experience. , 2005, Croatian medical journal.

[6]  Francesco Orlandi,et al.  First-trimester screening for trisomy-21 using a simplified method to assess the presence or absence of the fetal nasal bone. , 2005, American journal of obstetrics and gynecology.

[7]  K. Nicolaides,et al.  Multicenter study of first‐trimester screening for trisomy 21 in 75 821 pregnancies: results and estimation of the potential impact of individual risk‐orientated two‐stage first‐trimester screening , 2005, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[8]  S. Kelekci,et al.  Nasal Bone Measurement during the 1st Trimester: Is It Useful? , 2004, Gynecologic and Obstetric Investigation.

[9]  S. Cicero,et al.  Likelihood ratio for trisomy 21 in fetuses with absent nasal bone at the 11–14‐week scan , 2004, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[10]  F. Prefumo,et al.  Maternal ethnic origin and fetal nasal bones at 11–14 weeks of gestation , 2004, BJOG : an international journal of obstetrics and gynaecology.

[11]  E. Viora,et al.  Ultrasound evaluation of fetal nasal bone at 11 to 14 weeks in a consecutive series of 1906 fetuses , 2003, Prenatal diagnosis.

[12]  S. Wong,et al.  Nasal Bone Hypoplasia: Is It a Common Finding amongst Chromosomally Normal Fetuses of Southern Chinese Women? , 2003, Gynecologic and Obstetric Investigation.

[13]  S. Cicero,et al.  Learning curve for sonographic examination of the fetal nasal bone at 11–14 weeks , 2003, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[14]  Y. Ville,et al.  Intra‐ and interoperator variability in fetal nasal bone assessment at 11–14 weeks of gestation , 2003, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[15]  J. Keeling,et al.  A histological and radiological investigation of the nasal bone in fetuses with Down syndrome , 2003, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[16]  S. Cicero,et al.  Absent nasal bone at 11–14 weeks of gestation and chromosomal defects , 2003, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[17]  E. Gadow,et al.  Association between first trimester absence of fetal nasal bone on ultrasound and Down syndrome , 2002, Prenatal diagnosis.

[18]  H. Brisse,et al.  Skeletal abnormalities in fetuses with Down's syndrome: a radiographic post-mortem study , 1999, Pediatric Radiology.

[19]  A. Nadel First-trimester nasal bone evaluation for aneuploidy in the general population. , 2005, Obstetrics and gynecology.

[20]  H. Cuckle,et al.  Absence of nasal bone in fetuses with trisomy 21 at 11-14 weeks of gestation: an observational study. , 2002, The Journal of pediatrics.