Prequel® (ΝΙΡΤ) test
Prenatal test for all chromosomes and microdeletions ∕duplications - safe, simple and more informative
Read MoreWhat is
Non Invasive prenatal testing (NIPT) is a screening test for certain genetic abnormalities in the early stages of pregnancy. NIPT is designed for both single and twin pregnancies.
I am a gynecologistCutting-Edge Technology
Thanks to cell-free fetal DNA (cffDNA) technology, the Prequel® prenatal test can identify pregnancies with Down syndrome with greater than 99.9% accuracy.
Read MoreI am a gynecologist
Prequel® Prenatal Test by YK Medica
Learn more about the Prequel® prenatal test
Cutting-Edge Technology & methods of the Prequel® test
The approach to extensive genetic testing with rare aneuploidies and microdeletions yielded a high sensitivity of 96.4% and a speci city of 99.8% for rare aneuploidies and a sensitivity of 74.1% and a speci city of 99.8% for microdeletions greater than 7 MB.
The Illumina Veriseq NIPT Solution uses extended genome sequencing to provide a comprehensive view of the genetic material. This provides a wealth of information across the entire genome, effectively removing interference introduced by molecular techniques such as PCR. Targeted sequencing and plate-based methods tend to have longer laboratory protocols and employ more PCR cycles than genomic methods, introducing potential sources of error and increasing interference. This lack of coverage can be further increased when working with more challenging samples such as those with lower percentages of fetal fractions. In these cases, the information does not differ enough for the test to provide a reliable result on one side or the other (aneuploidy or disomy).
Limitations of the Prequel® Test
In a very limited number of cases, the Prequel® test cannot be administered successfully. This usually occurs when the amount of fetal DNA (cffDNA) is too small to provide a result. Other reasons for test failure include failure to report the presence of a donated egg, the presence of a resorbed twin and previously undiagnosed chromosomal abnormalities (usually benign) in the mother.
In such cases, we recommend that venous blood from the mother be drawn again at a slightly later stage of the pregnancy to repeat the Prequel® test. The majority of cases have been successfully processed after a repeat blood sampling.
If the test is not performed successfully after a repeat sampling, the customer will be fully refunded. 24 hours must have elapsed since the last administration of low molecular weight heparin therapy.
Mosaicisms, partial trisomies and translocations
No NIPT method based on the cffDNA test can detect chromosomal mosaicism, partial trisomy or translocations.
Multiple pregnancies
Prequel® cannot be used to test for chromosomal abnormalities in 3 or more fetuses. In case of triplets and multiple pregnancies, invasive methods are recommended.
Indicative bibliography for NIPT:
- https://obgyn.onlinelibrary.wiley.com/doi/epdf/10.1002/pd.5325
- Chiu RWK, Chan KCA, Gao Y, et al. Noninvasive prenatal diagnosis of fetal chromosomal aneuploidy by massively parallel genomic sequencing of DNA in maternal plasma. Proc Natl Acad Sci USA. 2008. https://pubmed.ncbi.nlm.nih.gov/
- Norton ME, Jacobsson B, Swamy GK, et al. Cell-free DNA analysis for noninvasive examination of trisomy. N Engl J Med. 2015.
- Gil MM, Quezada MS, Revello R, et al. Analysis of cell-free DNA in maternal blood in screening for fetal aneuploidies: updated meta-analysis. Ultrasound Obstet Gynecol. 2015.
- Non-invasive prenatal testing to detect chromosome aneuploidies in 57,204 pregnancies. Mol Cytogenet. 2019. https://pubmed.ncbi.nlm.nih.gov/31249627/
- Performance of cell-free DNA sequencing-based non-invasive prenatal testing: experience on 36,456 pregnant women. BMC Med Genomics.
- Whole genome non-invasive prenatal testing in prenatal screening algorithm: clinical experience from 12,700 pregnancies. BMC Pregnancy Childbirth. 2022.
- Performance of non-invasive prenatal testing for fetal chromosomal abnormalities in 1048 twin pregnancies. Mol Cytogenet.
- Expanding the application of non-invasive prenatal testing in detection of fetal CNV. BMC Med Genomics.
- Non invasive prenatal testing using massively parallel sequencing of maternal plasma DNA: from molecular karyotyping to whole-genome sequencing. Reprod BioMed Online.
- Non invasive prenatal testing (NIPT) for common aneuploidies and beyond. Eur J Obstet Gynecol Reprod Biol.
- ACOG Practice Bulletin No. 226: Screening for fetal aneuploidy. Obstet Gynecol. 2020.
- Position statement on behalf of the Board of the International Society for Prenatal Diagnosis. Prenat Diagn. 2015.
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