Test Details
Methodology
Chemiluminescent immunoassay
Result Turnaround Time
2 - 5 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Use
Screening test for open neural tube defects. Detects 80% of open spina bifida and 90% of anencephaly. Please note that this test does not provide screening for Down syndrome or trisomy 18.
Special Instructions
This test screens for open spina bifida. This test does not screen for Down syndrome or trisomy 18. The following information must be provided: gestational age, date on which the patient was the stated gestational age, how gestational age was determined (LMP, EDD, US), patient's weight, patient's date of birth, patient's race (white, black, other), and insulin-dependent diabetic status. Also indicate relevant patient history, such as prior neural tube defects, ultrasound anomalies, or previous maternal serum screening during this pregnancy. Complete information is necessary to interpret the test. Patient information may be provided to the laboratory using the Maternal Prenatal Screening request form (0900). Specimens must be collected before amniocentesis.
Open spina bifida screening is offered for gestational ages 15.0 to 23.9 weeks. The optimal gestational age for open spina bifida screening is 16.0 to 18.9 weeks.
Limitations
MS-AFP is a screening test. This test does not screen for Down syndrome or trisomy 18. A positive result means that more diagnostic testing may be offered to the pregnant woman to determine if a neural tube defect is present.
This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.
Specimen Requirements
Specimen
Serum
Volume
3 mL
Minimum Volume
0.5 mL
Container
Gel-barrier tube
Collection Instructions
Collect in serum separator tube with gel barrier. Allow blood to clot, avoiding hemolysis. Separate serum from cells by centrifugation. Transport spun tube to testing laboratory.
Pour-off is not advised. Maternal serum specimens must be drawn prior to amniocentesis to avoid contamination with fetal blood.
Stability Requirements
Temperature | Period |
---|---|
Room temperature | 7 days |
Refrigerated | 14 days |
Frozen | 14 days |
Freeze/thaw cycles | Stable x3 |
Storage Instructions
Room temperature
Causes for Rejection
Gross hemolysis; gross lipemia; quantity not sufficient for analysis; improper specimen type
LOINC® Map
Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
---|---|---|---|---|---|---|
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017004 | Results | N/A | |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017998 | Test Results: | 41274-2 | |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017961 | Gest. Age on Collection Date | weeks | 18185-9 |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017963 | Gestat. Age Based On | 21299-3 | |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017991 | Maternal Age At EDD | yr | 43993-5 |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017992 | Race | 21484-1 | |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017993 | Weight | lbs | 29463-7 |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017994 | Insulin Dep Diabetes | 44877-9 | |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017995 | Multiple Gestation | 45371-2 | |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017964 | AFP Value | ng/mL | 1834-1 |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017965 | AFP MoM | 20450-3 | |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 017997 | OSBR Risk 1 IN | 48803-1 | |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 018006 | Interpretation | 49246-2 | |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 018013 | Comment: | N/A | |
010801 | AFP, Serum, Open Spina Bifida | 48802-3 | 511933 | 11502-2 | ||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017004 | |||||
Result Code Name | Results | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017998 | |||||
Result Code Name | Test Results: | |||||
UofM | ||||||
Result LOINC | 41274-2 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017961 | |||||
Result Code Name | Gest. Age on Collection Date | |||||
UofM | weeks | |||||
Result LOINC | 18185-9 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017963 | |||||
Result Code Name | Gestat. Age Based On | |||||
UofM | ||||||
Result LOINC | 21299-3 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017991 | |||||
Result Code Name | Maternal Age At EDD | |||||
UofM | yr | |||||
Result LOINC | 43993-5 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017992 | |||||
Result Code Name | Race | |||||
UofM | ||||||
Result LOINC | 21484-1 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017993 | |||||
Result Code Name | Weight | |||||
UofM | lbs | |||||
Result LOINC | 29463-7 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017994 | |||||
Result Code Name | Insulin Dep Diabetes | |||||
UofM | ||||||
Result LOINC | 44877-9 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017995 | |||||
Result Code Name | Multiple Gestation | |||||
UofM | ||||||
Result LOINC | 45371-2 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017964 | |||||
Result Code Name | AFP Value | |||||
UofM | ng/mL | |||||
Result LOINC | 1834-1 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017965 | |||||
Result Code Name | AFP MoM | |||||
UofM | ||||||
Result LOINC | 20450-3 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 017997 | |||||
Result Code Name | OSBR Risk 1 IN | |||||
UofM | ||||||
Result LOINC | 48803-1 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 018006 | |||||
Result Code Name | Interpretation | |||||
UofM | ||||||
Result LOINC | 49246-2 | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 018013 | |||||
Result Code Name | Comment: | |||||
UofM | ||||||
Result LOINC | N/A | |||||
Order Code | 010801 | |||||
Order Code Name | AFP, Serum, Open Spina Bifida | |||||
Order Loinc | 48802-3 | |||||
Result Code | 511933 | |||||
Result Code Name | ||||||
UofM | ||||||
Result LOINC | 11502-2 |