Test Details
Methodology
Cell-free DNA is isolated from the sample and analyzed using massively parallel sequencing technology.
Result Turnaround Time
5 - 7 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Use
The MaterniT Genome test provides comprehensive chromosome copy number analysis including unbalanced derivatives, and information about deletions or duplications of chromosome material 7 Mb or larger, as well as analysis of seven clinically relevant microdeletions less than 7 Mb in size.
Special Instructions
This test can only be ordered if MaterniT21 PLUS has been previously performed.
The following information must be provided with the test request form: patient's date of birth, gestational age, and additional patient demographic information: pregnancy type (singleton), donor egg status and the clinical indications (including advanced maternal age, abnormal ultrasound, history suggestive of increased risk for aneuploidy, positive serum screen, or other indications).
Limitations
While the results of these tests are highly accurate, discordant results, including inaccurate fetal sex prediction, may occur due to placental, maternal, or fetal mosaicism or neoplasm; vanishing twin; prior maternal organ transplant; or other causes. Sex chromosomal aneuploidies are not reportable for known multiple gestations. MaterniT Genome assay is not validated for multifetal gestations; multifetal samples are excluded from the resequencing pathway. These tests are screening tests and not diagnostic; they do not replace the accuracy and precision of prenatal diagnosis with CVS or amniocentesis. A patient with a positive test result should be referred for genetic counseling and offered invasive prenatal diagnosis for confirmation of test results. A negative result does not ensure an unaffected pregnancy, nor does it exclude the possibility of other chromosomal abnormalities or birth defects, which are not a part of these tests. An uninformative result may be reported, the causes of which may include, but are not limited to, insufficient sequencing coverage, noise or artifacts in the region, amplification or sequencing bias, or insufficient fetal fraction. These tests are not intended to identify pregnancies at risk for neural tube defects or ventral wall defects. Testing for whole chromosome abnormalities (including sex chromosomes) and for subchromosomal abnormalities could lead to the potential discovery of both fetal and maternal genomic abnormalities that could have major, minor, or no, clinical significance. Evaluating the significance of a positive or a non-reportable result may involve both invasive testing and additional studies on the mother. Such investigations may lead to a diagnosis of maternal chromosome or subchromosomal abnormalities, which on occasion may be associated with benign or malignant maternal neoplasms. These tests may not accurately identify fetal triploidy, balanced rearrangements, or the precise location of subchromosomal duplications or deletions; there may be detected by prenatal diagnosis with CVS or amniocentesis. The abillity to report results may be impacted by maternal BMI, maternal weight, maternal systemic lupus erythematosus (SLE) and/or by certain pharmaceutical agents such as low molecular weight heparin (for example: Lovenox®, Xaparin®, Clexane®, and Fragmin®). The results of this testing, including the benefits and limitations, should be discussed with a qualified healthcare provider. Pregnancy managment decisions, including termination of pregnancy, should not be based on the results of these tests alone. The healthcare provider is responsible for the use of this information in the management of their patient.
This test was developed and its performance characteristics determined by LabCorp. It has not been cleared or approved by the Food and Drug Administration.
References
Specimen Requirements
Specimen
Whole blood
Volume
10 mL
Container
Black-and-tan-top (Streck) tube (whole blood). Sequenom collection kits are available (PeopleSoft No. 116373 379551G-CS-LCA.SEQUENOM-LCA ONLY KIT EA=1/KIT and PeopleSoft No. 116374 549403G-CS-LCA.SEQUENOM-LCA TEST REG STICKERS ST=3/SET).
Collection Instructions
Only the Sequenom collection kit (PeopleSoft No. 116373) can be used for collection.
Storage Instructions
Room temperature. Do not refrigerate or freeze. Keep out of direct sunlight. Samples must be shipped to LabCorp in a Sequenom collection kit.
Causes for Rejection
Gestational age less than nine weeks; expired or incorrect blood tubes (including nonglass tubes); quantity not sufficient for analysis; received more than seven days from collections; excessive hemolysis; frozen specimens
LOINC® Map
Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
---|---|---|---|---|---|---|
452104 | MaterniT21 Genome Add On | 452182 | Gestation | 53693-8 | ||
452104 | MaterniT21 Genome Add On | 452183 | Fetal Fraction | 75605-6 | ||
452104 | MaterniT21 Genome Add On | 452184 | Gestational Age > or = 9w: | N/A | ||
452104 | MaterniT21 Genome Add On | 451942 | Test Result | 75980-3 | ||
452104 | MaterniT21 Genome Add On | 821814 | Lab Director Comments | 72486-4 | ||
452104 | MaterniT21 Genome Add On | 821815 | Approved By | 72486-4 | ||
452104 | MaterniT21 Genome Add On | 452177 | Trisomy 21 (Down Syndrome) | 75983-7 | ||
452104 | MaterniT21 Genome Add On | 452178 | Trisomy 18 (Edwards Syndrome) | 75558-7 | ||
452104 | MaterniT21 Genome Add On | 452179 | Trisomy 13 (Patau Syndrome) | 73824-5 | ||
452104 | MaterniT21 Genome Add On | 452157 | Other autosomal aneuploidies | N/A | ||
452104 | MaterniT21 Genome Add On | 452180 | Fetal Sex | 75693-2 | ||
452104 | MaterniT21 Genome Add On | 452158 | Monosomy X (Turner Syndrome) | 75570-2 | ||
452104 | MaterniT21 Genome Add On | 452159 | XYY (Jacobs Syndrome) | 79211-9 | ||
452104 | MaterniT21 Genome Add On | 452160 | XXY (Klinefelter Syndrome) | 79211-9 | ||
452104 | MaterniT21 Genome Add On | 452161 | XXX (Triple X Syndrome) | 79211-9 | ||
452104 | MaterniT21 Genome Add On | 452163 | Gains/Losses >=7 Mb | N/A | ||
452104 | MaterniT21 Genome Add On | 452164 | 22q11 deletion (DiGeorge) | 75578-5 | ||
452104 | MaterniT21 Genome Add On | 452165 | 15q11 deletion (PW Angelman) | 92903-4 | ||
452104 | MaterniT21 Genome Add On | 452166 | 11q23 deletion (Jacobsen) | 92899-4 | ||
452104 | MaterniT21 Genome Add On | 452167 | 8q24 deletion (Langer-Giedion) | 92902-6 | ||
452104 | MaterniT21 Genome Add On | 452168 | 5p15 deletion (Cri-du-chat) | N/A | ||
452104 | MaterniT21 Genome Add On | 452169 | 4p16 deletion(Wolf-Hirschhorn) | 92900-0 | ||
452104 | MaterniT21 Genome Add On | 452170 | 1p36 deletion syndrome | 75602-3 | ||
452104 | MaterniT21 Genome Add On | 452171 | Positive Predictive Value | N/A | ||
452104 | MaterniT21 Genome Add On | 821817 | About the Test | 77202-0 | ||
452104 | MaterniT21 Genome Add On | 821816 | Test Method | 49549-9 | ||
452104 | MaterniT21 Genome Add On | 821818 | Performance | 62364-5 | ||
452104 | MaterniT21 Genome Add On | 452181 | Performance Characteristics | N/A | ||
452104 | MaterniT21 Genome Add On | 821822 | Limitations of the Test | N/A | ||
452104 | MaterniT21 Genome Add On | 821823 | Note | 8251-1 | ||
452104 | MaterniT21 Genome Add On | 821824 | References | 75608-0 | ||
452104 | MaterniT21 Genome Add On | 821825 | 51969-4 | |||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452182 | |||||
Result Code Name | Gestation | |||||
UofM | ||||||
Result LOINC | 53693-8 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452183 | |||||
Result Code Name | Fetal Fraction | |||||
UofM | ||||||
Result LOINC | 75605-6 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452184 | |||||
Result Code Name | Gestational Age > or = 9w: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 451942 | |||||
Result Code Name | Test Result | |||||
UofM | ||||||
Result LOINC | 75980-3 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 821814 | |||||
Result Code Name | Lab Director Comments | |||||
UofM | ||||||
Result LOINC | 72486-4 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 821815 | |||||
Result Code Name | Approved By | |||||
UofM | ||||||
Result LOINC | 72486-4 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452177 | |||||
Result Code Name | Trisomy 21 (Down Syndrome) | |||||
UofM | ||||||
Result LOINC | 75983-7 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452178 | |||||
Result Code Name | Trisomy 18 (Edwards Syndrome) | |||||
UofM | ||||||
Result LOINC | 75558-7 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452179 | |||||
Result Code Name | Trisomy 13 (Patau Syndrome) | |||||
UofM | ||||||
Result LOINC | 73824-5 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452157 | |||||
Result Code Name | Other autosomal aneuploidies | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452180 | |||||
Result Code Name | Fetal Sex | |||||
UofM | ||||||
Result LOINC | 75693-2 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452158 | |||||
Result Code Name | Monosomy X (Turner Syndrome) | |||||
UofM | ||||||
Result LOINC | 75570-2 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452159 | |||||
Result Code Name | XYY (Jacobs Syndrome) | |||||
UofM | ||||||
Result LOINC | 79211-9 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452160 | |||||
Result Code Name | XXY (Klinefelter Syndrome) | |||||
UofM | ||||||
Result LOINC | 79211-9 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452161 | |||||
Result Code Name | XXX (Triple X Syndrome) | |||||
UofM | ||||||
Result LOINC | 79211-9 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452163 | |||||
Result Code Name | Gains/Losses >=7 Mb | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452164 | |||||
Result Code Name | 22q11 deletion (DiGeorge) | |||||
UofM | ||||||
Result LOINC | 75578-5 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452165 | |||||
Result Code Name | 15q11 deletion (PW Angelman) | |||||
UofM | ||||||
Result LOINC | 92903-4 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452166 | |||||
Result Code Name | 11q23 deletion (Jacobsen) | |||||
UofM | ||||||
Result LOINC | 92899-4 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452167 | |||||
Result Code Name | 8q24 deletion (Langer-Giedion) | |||||
UofM | ||||||
Result LOINC | 92902-6 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452168 | |||||
Result Code Name | 5p15 deletion (Cri-du-chat) | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452169 | |||||
Result Code Name | 4p16 deletion(Wolf-Hirschhorn) | |||||
UofM | ||||||
Result LOINC | 92900-0 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452170 | |||||
Result Code Name | 1p36 deletion syndrome | |||||
UofM | ||||||
Result LOINC | 75602-3 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452171 | |||||
Result Code Name | Positive Predictive Value | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 821817 | |||||
Result Code Name | About the Test | |||||
UofM | ||||||
Result LOINC | 77202-0 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 821816 | |||||
Result Code Name | Test Method | |||||
UofM | ||||||
Result LOINC | 49549-9 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 821818 | |||||
Result Code Name | Performance | |||||
UofM | ||||||
Result LOINC | 62364-5 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 452181 | |||||
Result Code Name | Performance Characteristics | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 821822 | |||||
Result Code Name | Limitations of the Test | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 821823 | |||||
Result Code Name | Note | |||||
UofM | ||||||
Result LOINC | 8251-1 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 821824 | |||||
Result Code Name | References | |||||
UofM | ||||||
Result LOINC | 75608-0 | |||||
Order Code | 452104 | |||||
Order Code Name | MaterniT21 Genome Add On | |||||
Order Loinc | ||||||
Result Code | 821825 | |||||
Result Code Name | ||||||
UofM | ||||||
Result LOINC | 51969-4 |