In the prenatal diagnosis of a fetus with Down syndrome, will always be detected signs of this syndrome through ultrasound? Or are there times when the ultrasound is completely normal?
In my opinion you should take into account the quality of the ultrasound equipment that you are using to detect possible fetal DS markers. It is a complex matter, in addition to how Olena says it influences the experience of the ultrasound operator and the time that can be dedicated to each patient.
Yes, as you said only with US it is impossible to detect a DS. It is very useful to know that in 36% of the cases the US is normal, especially when one is doing FISH in cells in interface and detects a trisomy 21 in these cells, but the US is completely normal.
in these cases, making an irreversible decision with pregnancy becomes difficult.
Please Dr Sciarrone, I am writing a paper and I need the citation (article) of 36% of fetuses affected by trisomy 21 have a normal ultrasound examination in the second trimester of pregnancy.