Risk assessment following cfDNA testing / NIPT

There is now an official recommendation from the International Society of Ultrasound in O&G (please see the following link to the ISUOG recommendation) stating that when a 11-14 weeks scan is performed after cfDNA / non-invasive prenatal testing results are available, risk calculation for trisomies 21, 18 and 13 should not be issued.

All components of the ultrasound risk assessment (NT / NB / DV) should be recorded as per routine practice in your centre. These markers should be clearly reported as per usual practice in the final ultrasound report.

Audit Data

The data can only be submitted for audit if there is a T21 risk calculated. For patients who have had cfDNA screening (NIPT), the T21 risk needs to be calculated to facilitate audit.

Viewpoint users may calculate the risks for audit purposes only by ticking the boxes at the bottom of the risk calculation page so that risks are not printed in the final report- please see screen shot below.

Viewpoint 5

NTEUMP - Risk assessment following cfDNA testing NIPT - Viewpoint Risk Calculation

Viewpoint 6

On the bottom left of the screen you need to click on the 2nd symbol – see diamond.

NTEUMP - Risk assessment following cfDNA testing NIPT - Risk Assessment

You can then select:

Eye symbol- Only the operator can see the risk assessment
Print symbol- Both the operator and the printed report will have risk assessment

When using Viewpoint 6 you need to select the eye symbol to be able to calculate the risk assessment for audit. The risk assessment will only show in the report you issue if you select the print symbol – so do not select this if you do not want to give a risk figure, for example if there has been NIPT.

As the eye symbol is selected in the below example, the risk calculation can be performed to enable audit. As the print symbol is not selected, the risk calculated will not be in the report issued.

In this case the calculated risk is to appear in the report – the print symbol has been selected for the risk assessment, and the risk assessment shows in the report issued.

If you are not sure how to activate this option on your Viewpoint software, please call Viewpoint / GE on 1800 647 855.

Astraia

Please note, in Astraia, there is no option to suppress the risk calculation/findings in the report compared to Viewpoint software. However, Astraia users can calculate the risks to maintain audit numbers but they should not issue the risk to the patients.