Testing for >1000 conditions using your DNA

Extended NIPT

Extended NIPT goes beyond trisomies 21/18/13 to include additional chromosomes, key microdeletions, and selected single-gene syndromes - especially useful in increased NT, where many causes lie beyond the basic panel.

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How it works

Chat with our Genetic Counsellor, receive your at-home DNA kit with a quick cheek swab, send it back, and get your results in under 4 weeks.

Best NIPT for high NT?

Increased NT (iNT) is strongly associated with de novo chromosomal and monogenic conditions, so the best NIPT for iNT must cover both - aneuploidies/CNVs and key single-gene syndromes. Many so-called extended panels add little beyond the basic trisomies; in iNT their yield is often similar to basic NIPT.
Much of the confusion comes from marketing labels (“complete”, “plus”, “premium”, “extended”) and the misused term “genome-wide (GW) NIPT”, which does not read the genome or test individual genes - it samples cfDNA at shallow depth to flag large chromosomal imbalances.
Because most “extended” NIPTs add only sex-chromosome aneuploidies and a few microdeletions, their utility in iNT is limited: the only consistently iNT-associated conditions they capture are monosomy X (45,X) and 22q11.2 deletion.
We have reviewed current options and identified a small subset of genuinely fit-for-purpose NIPT panels for the high-NT scenario.

Screening tests

Even the most advanced NIPTs, are screening tests - not diagnostic. Any high-chance result should be confirmed with an invasive diagnostic test. Genetic testing from CVS/amniocentesis should be tailored to the NIPT result (e.g. karyotype/CMA or gene-specific sequencing).

Only 4 Labs

Despite the many basic NIPTs with microdeletion add-ons, only four tests are truly fit for the high-NT setting. Among them KNOVA by Fulgent stands apart for genuine, sophisticated technology and class-leading coverage of increased NT-associated conditions.

KNOVA

Fulgent Genetics, US

KNOVA offers the broadest coverage across all other extended NIPT options. It screens for 6 autosomal trisomies, 4 sex‑chromosome aneuploidies, 12 microdeletions and 56 single genes associated with multiple monogenic conditions. A significant proportion of the conditions targeted by KNOVA are linked to increased NT (iNT), making it our NIPT of choice in this setting. It also offers broader coverage, a fast turnaround (~2 weeks), and a very low no-call rate (<1%).

PrenatalSafe Complete Plus

Eurofins Genoma, Italy

PrenatalSafe Complete Plus can also be used in the setting of increased NT. It runs two parallel pipelines: a genome-wide chromosomal cfDNA screen (all chromosomal aneuploidies, large deletions/duplications, and nine targeted microdeletions) and a separate monogenic panel (25 single-gene disorders) processed in another division of the laboratory. While less integrated and, in our view, less comprehensive than KNOVA, it remains useful; particularly in vanishing-twin and donor-egg pregnancies.

Panorama + Vistara

Natera, US

Panorama with its microdeletion add-on offers little advantage over basic NIPT; however, pairing Panorama with Vistara (monogenic NIPT) can be useful in the iNT setting. The combination is relatively expensive and, even together, covers far fewer conditions than KNOVA: four chromosomal aneuploidies, sex-chromosome anomalies, five microdeletions, and around 30 single-genes associated with various monogenic disorders.

NIFTY Mono

BGI Genomics, China

NIFTY Mono (BGI) may offer a more expansive platform; however, due to ongoing, well-publicised concerns (data-governance/national-security issues in the US/UK), we will not describe or endorse it further until the situation is resolved.

Type of Cancers

Type of Cancers

We offer expert advice and testing for a range of genes that may increase your risk of developing certain types of cancer.

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Comprehensive NIPT Comparison

Explore NIPTs and compare the conditions they screen for, plus their sensitivity, specificity, PPV, and NPV.*

Condition Prelavence
PrenatalSafe Complete Plus
PrenatalSafe 3UK
KNOVA
Unity Aneuploidies
Unity Complete
Panorama AI
Panorama Microdeletions
Sens Spec PPV NPV Sens Spec PPV NPV Sens Spec PPV NPV Sens Spec PPV NPV Sens Spec PPV NPV Sens Spec PPV NPV Sens Spec PPV NPV
Autosomal Aneuploidies
Trisomy 21 (Down Syndrome) 1:700 99.54% 100% 90.9% >99.99% 99.54% 100% - - 97.8% 99.4% 93.7% 99.8% 99.7% 99.7% 90.5% >99.9% 99.7% 99.7% 90.5% >99.9% 99.0% >99% 95% >99.99% 99.0% >99% 95% >99.99%
Trisomy 18 (Edwards Syndrome) 1:5,000 100% 100% 97.6% >99.99% 100% 100% - - 97.8% 99.4% 93.7% 99.8% 99.5% >99.9% 97.6% >99.9% 99.5% >99.9% 97.6% >99.9% 94.1% >99% 91% >99.99% 94.1% >99% 91% >99.99%
Trisomy 13 (Patau Syndrome) 1:16,000 100% 99.99% 73.3% >99.99% 100% 99.99% - - 97.8% 99.4% 93.7% 99.8% >99.9% >99.9% 73.3% >99.9% >99.9% >99.9% 73.3% >99.9% >99% >99% 68% >99.99% >99% >99% 68% >99.99%
Trisomy 15 1:100,000,000 - - - - - - - - 97.8% 99.4% 93.7% 99.8% - - - - - - - - - - - - - - - -
Trisomy 16 1:50,000 - - - - - - - - 97.8% 99.4% 93.7% 99.8% - - - - - - - - - - - - - - - -
Trisomy 22 1:50,000 - - - - - - - - 97.8% 99.4% 93.7% 99.8% - - - - - - - - - - - - - - - -
Sex Chromosome Aneuploidies
Turner Syndrome (45,X) 1:2,500 98.11% 99.98% 80% 100% - - - - 97.8% 99.4% 93.7% 99.8% 97.3% 99.9% 42% >99.9% 97.3% 99.9% 42% >99.9% >99% >99% 7.5% >99.99% >99% >99% 7.5% >99.99%
Klinefelter Syndrome (47,XXY) 1:650 100% 100% 100% 100% - - - - 97.8% 99.4% 93.7% 99.8% N/a N/a N/a N/a N/a N/a N/a N/a >99% >99% 7.5% >99.99% >99% >99% 7.5% >99.99%
Triple X Syndrome (47,XXX) 1:1,000 100% 99.99% 94.44% 100% - - - - 97.8% 99.4% 93.7% 99.8% N/a N/a N/a N/a N/a N/a N/a N/a >99% >99% 7.5% >99.99% >99% >99% 7.5% >99.99%
Jacob's Syndrome (47,XYY) 1:1,000 100% 99.99% 96.30% 100% - - - - 97.8% 99.4% 93.7% 99.8% N/a N/a N/a N/a N/a N/a N/a N/a >99% >99% 7.5% >99.99% >99% >99% 7.5% >99.99%
Microdeletions
DiGeorge Syndrome 1:4,000 83.33% 99.99% 71.43% 100% - - - - >99.9% >99.9% >99.9% >99.9% 97.3% 99.9% N/a N/a >95% >99.9% N/a N/a >83.3% >99% 53% >99.99% 83.3% >99% 53% >99.99%
1p36 deletion syndrome 1:5,000 83.33% 99.99% 71.43% 100% - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - 99.9% >99% 7-17% >99.99%
Angelman syndrome 1:15,000 83.33% 99.99% 71.43% 100% - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - 95.5% >99% 10% >99.99%
Cri-du-chat syndrome 1:30,000 83.33% 99.99% 71.43% 100% - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - >99% >99% 2-5% >99.99%
Prader-Willi syndrome 1:22,500 83.33% 99.99% 71.43% 100% - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - 93.8% >99% 5% >99.99%
Wolf-Hirschhorn Syndrome 1:50,000 83.33% 99.99% 71.43% 100% - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Jacobsen Syndrome 1:100,000 83.33% 99.99% 71.43% 100% - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Langer-Giedion Syndrome 1:1,000,000 83.33% 99.99% 71.43% 100% - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Smith-Magenis Syndrome 1:25,000 83.33% 99.99% 71.43% 100% - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
9p Deletion Syndrome 1:>1,000,000 - - - - - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
18p Deletion Syndrome N/a - - - - - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
18q22q23 Deletion Syndrome N/a - - - - - - - - >99.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
De Novo/Inherited Monogenic Disorders Part 1
Noonan Syndrome 4-10:10,000 N/a N/a N/a N/a - - - - 95.82% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Cornelia de Lange Syndrome 1-10:100,000 N/a N/a N/a N/a - - - - 94.72% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Osteogenesis Imperfecta 5-7:100,000 N/a N/a N/a N/a - - - - 94.9% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Stickler Syndrome 1:10,000 N/a N/a N/a N/a - - - - 99% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Rett Syndrome 4-10:100,000 N/a N/a N/a N/a - - - - 89.5% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Achondroplasia 1-2:10,000 N/a N/a N/a N/a - - - - 98.2% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Crouzon/Pfeiffer Syndrome 1-9:100,000 N/a N/a N/a N/a - - - - 99% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Cleidocranial Dysplasia 1-2:100,000 N/a N/a N/a N/a - - - - 75.5% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
CHARGE Syndrome 6-12:100,000 N/a N/a N/a N/a - - - - 98% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Cardiofaciocutaneous Syndrome 4-10:10,000 N/a N/a N/a N/a - - - - 98% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Bohring-Opitz Syndrome <1:1,000,000 N/a N/a N/a N/a - - - - 82% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Sotos Syndrome 7-8:100,000 N/a N/a N/a N/a - - - - 43.7% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
De Novo/Inherited Monogenic Disorders Part 2
Alagille Syndrome 1-3.3:100,000 N/a N/a N/a N/a - - - - - - - - - - - - - - - - - - - - - - - -
Schinzel-Giedion Syndrome 1:>1,000,000 N/a N/a N/a N/a - - - - - - - - - - - - - - - - - - - - - - - -
Holoprosencephaly 1:16,000 N/a N/a N/a N/a - - - - - - - - - - - - - - - - - - - - - - - -
Tuberous Sclerosis (TSC1) 1-2:10,000 - - - - - - - - 94% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Tuberous Sclerosis (TSC2) <1:1,000,000 - - - - - - - - 94% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Craniosynostosis (TWIST1) 2-4:100,000 - - - - - - - - 50.3% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Craniosynostosis (EFNB1) N/a - - - - - - - - 94% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Craniosynostosis (ERF) N/a - - - - - - - - 93.6% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Craniosynostosis (TCF12) N/a - - - - - - - - 93% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Kabuki Syndrome 1:1,900,000 - - - - - - - - 98.3% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Smith-Lemli-Opitz (CDKL5) 1:50,000 - - - - - - - - 79% >99.9% >99.9% >99.9% - - - - - - - - - - - - - - - -
Carrier Screening (Mother + Fetal Risk)
Cystic Fibrosis N/a - - - - - - - - - - - - - - - - 96% 95.23% 50% 99.79% - - - - - - - -
Spinal Muscular Atrophy N/a - - - - - - - - - - - - - - - - 96% 95.23% 50% 99.79% - - - - - - - -
Sickle Cell Disease N/a - - - - - - - - - - - - - - - - 96% 95.23% 50% 99.79% - - - - - - - -
Alpha-thalassemia N/a - - - - - - - - - - - - - - - - 96% 95.23% 50% 99.79% - - - - - - - -
Carrier Screening (Mother + Partner Risk)
Cystic Fibrosis -
Spinal Muscular Atrophy -
Sickle Cell Disease -
Alpha-thalassemia -
Fetal Risk Assessment (if mother is carrier) -
Test Features & Compatibility
Triploidy -
Number of Noonan Syndrome variants - 8 - 13 - - -
De Novo Genetic Syndromes - 25 - 52 - - -
Egg Donor Pregnancies -
Vanishing Twin (after 5 weeks of discovery) -
Twin Pregnancies -
Pricing & Turnaround Time
Test Price - £1,490 £540 £990 £490 £990 £590 £790
Turnaround Time (working days) - 10-22 2-5 7-10 7-10 7-22 7-10 7-10

Disclaimer! All statistics mentioned are based on data from the laboratory's Performance and Clinical Validation studies, conducted with pregnant participants. These figures reflect outcomes observed within those specific study groups and may not represent the general population.

References

  • The Great Flood: It rained for 40 days and 40 nights.
  • The Israelite Exodus: The Israelites wandered in the desert for 40 years.
  • Moses' time on Mount Sinai: He spent two separate periods of 40 days and nights receiving the Law.
  • Moses' early life: He lived 40 years in Egypt and 40 years in the desert.
  • The spies: Moses sent 12 spies to explore the promised land for 40 days.
  • Elijah: He traveled for 40 days and nights to reach Mount Horeb.
  • David and Goliath: Goliath taunted the Israelites for 40 days before David defeated him.
  • Jonah: Jonah warned the city of Nineveh that it would be overthrown in 40 days.
  • Ezekiel: He lay on his right side for 40 days to bear the iniquity of Judah.
  • Jesus' temptation: Jesus fasted and was tempted for 40 days in the wilderness.
  • Jesus' post-resurrection appearances: 40 days passed between his resurrection and ascension into heaven.
  • Lent: This 40-day period is a time of prayer and fasting in remembrance of Jesus' time in the desert.

Genetic
Counselling

Frequently
Asked Questions

Why do sensitivity and specificity matter when choosing a genetic test?

Sensitivity and specificity help you understand how reliable a test is. A test with high sensitivity catches more true positives, and one with high specificity avoids false alarms. Together, they help ensure your results are trustworthy.

If a test is highly accurate, can I skip seeing a genetic counsellor?

Not quite. Even highly accurate tests need interpretation. A genetic counsellor helps explain what your result means for you and your family — and whether you need any follow-up or additional screening.

Why are sensitivity and specificity important in genetic testing?

These metrics help determine a test's accuracy. High sensitivity ensures most carriers are identified, while high specificity ensures non-carriers aren't misdiagnosed. Together, they provide a comprehensive view of a test's reliability.

What is the difference between test sensitivity and PPV?

Sensitivity measures how well a test identifies true positives among all who have the condition, while PPV assesses the likelihood that a positive test result is a true positive. Sensitivity is intrinsic to the test, whereas PPV is influenced by the condition's prevalence in the population.

What can affect how accurate my genetic test result is?

Several things can influence test accuracy — including how common the gene variant is in the population (prevalence), the quality of the lab, and even how the sample was collected. That’s why expert-designed tests and genetic counselling matter.

Why do different sources give different numbers for test accuracy?

Test stats like sensitivity or PPV can change based on the population being tested, the condition being looked for, and how the test is used. That’s why context matters — Jeen’s team explains your results in a way that fits your unique case.

Can a test have high sensitivity but low specificity?

Yes. A test designed to catch all potential cases (high sensitivity) might also capture individuals without the condition, leading to false positives and thus lower specificity. Balancing both metrics is crucial for accurate testing.

Does “genome-wide (GW) NIPT” actually check the fetal genome?

There is significant misuse of the term “genome-wide (GW) NIPT” in papers, marketing and clinic websites. GW NIPT does not read the whole genome or analyse individual genes. It performs shallow, low-coverage counting of DNA fragments across chromosomes to look for large gains or losses of chromosomal material. Think of it as a broad map scan, not a line-by-line read of the genetic book.

What GW NIPT can screen: the common trisomies (21/18/13), often sex-chromosome changes, and in some labs selected rare autosomal trisomies or large segmental deletions/duplications.

What it cannot do: detect single-gene (monogenic) conditions or most small microdeletions/duplications, nor provide true whole-genome or diagnostic analysis.

Where single-gene (monogenic) NIPT fits: this is a separate, targeted cfDNA approach that screens specific genes/conditions (e.g., some recessive disorders or defined syndromes). Panels and performance vary by lab; many require known parental variants or are limited to a set list of genes. They are still screening tests - any high-chance result needs CVS/amnio for confirmation.

Take-home: call GW NIPT what it is - a chromosome-level cfDNA screen at shallow depth. Use it alongside ultrasound, and don’t confuse it with single-gene NIPT or whole-genome sequencing by diagnostic invasive test.

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