Session Description
We plan to review cases seen at UCSF Medical Center with a prenatal diagnosis of non-immune hydrops fetalis and a normal microarray who went on to have prenatal exome sequencing. The results of the exome sequencing including the variant details and laboratory interpretation will be reviewed. We will discuss the disclosure of results and review the impact these results had on the medical management of the neonates and family planning.
Learning Objectives
At the conclusion of the series, participants should be able to:
- Describe the clinical utility of whole exome/whole genome sequencing tests
- Identify clinical indications for whole exome/whole genome sequencing
- List determinants used to assess the probability of a variant’s pathogenicity
- Elaborate on the importance of pre-test counseling and consent
Session Learning Objectives
At the conclusion of this session, participants should be able to:
- Identify patients appropriate for referral for prenatal exome sequencing with an indication of nonimmune hydrops fetalis.
- Recognize the genetic heterogeneity of non-immune hydrops fetalis.
- Describe the potential clinical utility of performing exome sequencing in the setting of non-immune hydrops fetalis.
Faculty:
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)
Mary E Norton, MD, FACMG
Professor, Division Chief, Department of Obstetrics, Gynecology, and Reproductive Sciences
David E Thornburn, MD and Kate McKee Thornburn Endowed Chair in Perinatal Medicine and Genetics
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)
Teresa Sparks, MD, MAS, FACMG
Assistant Professor, Maternal Fetal Medicine and Clinical Genetics, Department of Obstetrics, Gynecology, & Reproductive Sciences
![](data:image/jpeg;base64,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)
Patrick Devine, MD, PhD
Assistant Clinical Professor, Pathology
![](data:image/jpeg;base64,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)
Billie Lianoglou, MS
Genetic Counselor, Center for Maternal-Fetal Precision Medicine
Educational Credits are not offered.
Target Audience
- Clinical geneticists; genetic counselors; pediatric, obstetric, and maternal-fetal specialists; and all medical practitioners who are providing comprehensive diagnostic, management, and counseling services for patients with, or at risk for, genetically influenced health problems.
- Laboratory directors and technicians who conduct genetic testing, researchers involved in the discovery of genetic disorders and treatments and any healthcare and public health professionals who have an in interest medical and clinical genetics and genomics.
Off-label Drug Use statement
When an off-label use of a product, or an investigational use not yet approved for any purpose, is discussed during an educational activity, the accredited sponsor shall require the speaker to disclose that the product is not labeled for the use under discussion, or that the product is still investigational. Discussions of such uses shall focus on those uses that have been subject of objective investigation.
Disclosures of Financial Relationships
Staff - American College of Medical Genetics and Genomics
The following have nothing to disclose.
Jane Radford, MHA, CHCP
Claudia Barnett
Maximilian Muenke, MD, FACMG
Presenter Disclosures
Mary E Norton, MD, FACMG
Professor, Division Chief, Department of Obstetrics, Gynecology, and Reproductive Sciences
David E Thornburn, MD and Kate McKee Thornburn Endowed Chair in Perinatal Medicine and Genetics
Disclosures: (Self) Grant Support from Natera; Consultant for Invitae
Teresa Sparks, MD, MAS, FACMG
Assistant Professor, Maternal Fetal Medicine and Clinical Genetics, Department of Obstetrics, Gynecology, & Reproductive Sciences
Has no relevant financial relationships to disclose.
Patrick Devine, MD, PhD
Assistant Clinical Professor, Pathology
Has no relevant financial relationships to disclose.
Billie Lianoglou, MS
Genetic Counselor, Center for Maternal-Fetal Precision Medicine
Has no relevant financial relationships to disclose.