Performed between 11 weeks, 1 day and 13 weeks, 6 days from date of conception, the Ultra-Screen® protocol consists of two procedures, an immunoassay blood screen and an ultrasound exam. The maternal blood sample undergoes analysis for two biochemical markers: free Beta human chorionic gonadotropin (free Beta hCG); and pregnancy associated plasma protein-A (PAPP-A). The ultrasound exam confirms gestational age and measures fluid accumulation behind the fetus’ neck, or nuchal translucency (NT).
These combined protocols yield the most reliable risk assessment at the earliest possible time frame…with a 91% detection rate for Down syndrome and a 5% false positive rate; and a 95% detection rate for trisomy 18/13 at a 0.3% false positive rate. (References)
Incorporating a fetal nasal bone assessment within the Ultra-Screen® protocol increases detection rates to 95% with a false positive rate of just 2%, providing more sensitive detection rates and lower false positive rates than any other integrated, sequential or multi-trimester Down syndrome protocol. (References)