Recent Advances in Genomics for Prenatal Diagnosis

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 30 June 2026 | Viewed by 1035

Special Issue Editors


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Guest Editor
1. Department of Obstetrics & Gynaecology, Kwong Wah Hospital, Hospital Authority, Hong Kong SAR, China
2. Department of Obstetrics & Gynaecology, The University of Hong Kong, Hong Kong, China
3. Department of Obstetrics & Gynaecology, The Chinese University of Hong Kong, Hong Kong, China
Interests: maternal fetal medicine; genetics and genomics

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Guest Editor
1. Department of Obstetrics and Gynecology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
2. Honorary Scientific Officer (Medical), Prince of Wales Hospital, Hospital Authority, Hong Kong SAR, China
3. Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, China
4. Hong Kong Hub of Paediatric Excellence, The Chinese University of Hong Kong, Hong Kong SAR, China
5. The Chinese University of Hong Kong-Baylor College of Medicine Joint Center for Medical Genetics, Hong Kong SAR, China
Interests: prenatal diagnosis; mosaicism; genome sequencing; prenatal cell-free DNA screening; genomic disorders

Special Issue Information

Dear Colleagues,

Recent advances in genetics and genomics have transformed prenatal diagnosis, enabling earlier, safer, and more precise detection of fetal abnormalities. Non-invasive prenatal testing (NIPT) now identifies microdeletions, microduplications, and sex chromosome anomalies, in addition to the common aneuploidies (Trisomy 21/18/13), as early as 9 weeks, with improved accuracy through advanced sequencing. Innovations in single-cell sequencing and fetal cell isolation from maternal blood further reduce reliance on invasive procedures like amniocentesis. Whole-exome/genome sequencing (WES/WGS) has significantly increased diagnostic yield, resolving an additional 30% of structural anomalies undetected by traditional methods such as PCR, karyotyping, and chromosomal microarrays (CMAs) after amniocentesis. CRISPR-based gene editing, though experimental, holds potential for correcting mutations in conditions like β-thalassemia. Epigenetic advances, such as methylation profiling, enhance detection of placental pathologies (e.g., preeclampsia) and imprinting disorders. AI and machine learning streamline variant interpretation and analyze fetal ultrasound patterns for genetic markers. Expanded carrier screening panels now assess 500+ genes, aiding reproductive planning. However, ethical challenges including privacy, incidental findings, and global access disparities, require robust frameworks. Integrating multi-omics (genomics, transcriptomics, and proteomics) offers holistic insights into fetal development and pregnancy complications. While these technologies revolutionize prenatal care, equitable implementation and ethical dilemmas remain critical hurdles. Future directions should focus on predictive biomarkers and personalized fetal therapies, balancing innovation with responsible clinical integration to improve perinatal outcomes.

Original articles, short communications, case reports, review articles, systematic reviews, and meta-analyses on the above topics are all welcome.

Dr. Wing-Cheong Leung
Prof. Dr. Ye Cao
Guest Editors

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Keywords

  • prenatal diagnosis
  • genetics
  • genomics
  • NIPT
  • WES
  • WGS
  • CRISPR
  • epigenetics
  • expanded carrier screening

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Published Papers (2 papers)

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Review

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24 pages, 6919 KB  
Review
Genetic Disorders Detectable by Fetal MRI: A Review
by Kwok Chun Wong, Tsz Ho Chow, Claudia Cheung, Joyce Pui Kwan Chan, Jonan Chun Yin Lee, Elaine Yee Ling Kan and Winnie Chiu Wing Chu
Diagnostics 2026, 16(7), 1112; https://doi.org/10.3390/diagnostics16071112 - 7 Apr 2026
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Abstract
Fetal MRI has been increasingly used in diagnosis and assessment of congenital anomalies and conditions by providing detailed structural information. However, such information is only part of the whole landscape of these genetic disorders. Given that genetic disorders are associated with significant morbidity [...] Read more.
Fetal MRI has been increasingly used in diagnosis and assessment of congenital anomalies and conditions by providing detailed structural information. However, such information is only part of the whole landscape of these genetic disorders. Given that genetic disorders are associated with significant morbidity and mortality in infants, multidisciplinary team management is essential for perinatal management and parental counseling. In the past two decades, there are advances in both fetal MRI and genetic testing for prenatal diagnosis of genetic disorders. This narrative review consolidates the current literature and aims to provide a systematic overview of fetal MRI applications in genetic disorders affecting the central nervous system, craniofacial structures, skeletal system, lungs, and urinary system. Understanding embryological and genetic basis as well as imaging phenotypes of genetic disorders are important in improving perinatal diagnosis and management. Full article
(This article belongs to the Special Issue Recent Advances in Genomics for Prenatal Diagnosis)
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13 pages, 903 KB  
Case Report
Pregnancy and Peripartum Multidisciplinary Management in Wolfram Syndrome Type 1: A Case Report
by Gema Esteban-Bueno and María Luz Serrano Rodríguez
Diagnostics 2026, 16(8), 1117; https://doi.org/10.3390/diagnostics16081117 - 8 Apr 2026
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Abstract
Background/Objectives: Wolfram syndrome type 1 (WS1) is a rare, progressive, multisystem neurodegenerative disorder characterized by diabetes mellitus, optic atrophy, diabetes insipidus, and sensorineural hearing loss. As survival has improved, an increasing number of affected women are reaching reproductive age. However, evidence on pregnancy [...] Read more.
Background/Objectives: Wolfram syndrome type 1 (WS1) is a rare, progressive, multisystem neurodegenerative disorder characterized by diabetes mellitus, optic atrophy, diabetes insipidus, and sensorineural hearing loss. As survival has improved, an increasing number of affected women are reaching reproductive age. However, evidence on pregnancy and peripartum management in WS1 remains scarce, and practical guidance is limited. This case report describes the multidisciplinary management of pregnancy and delivery in a woman with genetically confirmed WS1 and highlights key considerations for peripartum care. Case Presentation: A woman with genetically confirmed WS1 and long-standing multisystem involvement, including diabetes mellitus, diabetes insipidus, neurogenic bladder requiring frequent self-catheterization, progressive neurologic manifestations, and severe sensory impairment, achieved pregnancy through assisted reproduction with oocyte donation and was closely monitored by a multidisciplinary team. Due to persistent breech presentation, a planned external cephalic version was performed at 37 + 5 weeks’ gestation with immediate availability for cesarean delivery. After unsuccessful attempts, cesarean delivery was performed under combined spinal–epidural anesthesia. Peripartum management focused on strict glycemic control, careful monitoring of fluid balance and urine output, neuraxial anesthesia with proactive hemodynamic management, precautions related to the cochlear implant, and tailored communication strategies. Postpartum recovery was favorable, although anemia on postoperative day 1 required transfusion of one unit of packed red blood cells and intravenous iron therapy. Discussion and Conclusions: Pregnancy in WS1 represents a high-risk clinical scenario because of the coexistence of endocrine, urologic, and neurologic comorbidities, while published evidence on peripartum management remains limited. This case supports an individualized, multidisciplinary approach to obstetric and anesthetic planning and the use of a practical framework to optimize peripartum management and enhance maternal–fetal safety in this rare condition. Full article
(This article belongs to the Special Issue Recent Advances in Genomics for Prenatal Diagnosis)
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