Time to reconsider our approach to echogenic intracardiac focus and choroid plexus cysts

Aust N Z J Obstet Gynaecol. 2008 Apr;48(2):137-41. doi: 10.1111/j.1479-828X.2008.00826.x.


Ultrasound soft markers are commonly reported at mid-trimester ultrasounds. Soft markers frequently arouse anxiety in the patient, her family, and the referring clinician. Recent publications have raised concerns that this anxiety may be unfounded. The significance of an echogenic intracardiac focus or choroid plexus cyst in particular is no longer certain. It may be time to discard these two markers; especially if they are reported in isolation and in a patient who is otherwise at low risk for aneuploidy.

Publication types

  • Review

MeSH terms

  • Aneuploidy*
  • Choroid Plexus / diagnostic imaging*
  • Choroid Plexus / embryology
  • Echocardiography
  • Female
  • Fetal Heart / diagnostic imaging
  • Heart / embryology*
  • Humans
  • Predictive Value of Tests
  • Pregnancy
  • Ultrasonography, Prenatal*