An Efficient Computational Method to Simulate Autosomal Chromosomes with Trisomy Aberrations

Noninvasive prenatal test (NIPT) has been widely used for screening trisomy on chromosomes 13 (T13), 18 (T18), and 21 (T21). However, the false negative rate of NIPT algorithms has not been thoroughly evaluated due to the lack of positive samples. In this study, we present an efficient computational approach to simulate positive samples with autosomal trisomy from negative samples. We applied the method to create a dataset of 1440 positive samples with T13, T18, and T21 aberrations for both mosaic and non-mosaic conditions. We also introduced VINIPT algorithm, an improvement of the widely-used algorithm WisecondorX. We examined the performance of WisecondorX and VINIPT on both negative and positive datasets. Experiments showed that WisecondorX and VINIPT were able to detect all non-mosaic samples with T13, T18, and T21 aberrations (i.e., the sensitivity of 100%). For mosaic samples, WisecondorX and VINIPT have the overall sensitivity of 99.7% on detecting T13, T18, and T21 aneuploidy. WisecondorX has a specificity of 98.5% for the non-mosaic analysis, but a considerably lower specificity of 95% for the mosaic analysis. VINIPT has a much better specificity than WisecondorX, i.e., 99.9% for the non-mosaic analysis, and 98.2% for the mosaic analysis. The results suggest that VINIPT can play as a powerful tool for detecting autosomal trisomy. ### Competing Interest Statement The authors have declared no competing interest.