The Relationship between the Frequency of Intracardiac Echogenic Focus and Anomalies in Normal Pregnancies

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Congress:

ECR 2015

Poster Number:

C-0881

Type:

Scientific Exhibit

Keywords:

Obstetrics, Foetus, Screening, Diagnostic procedure, Ultrasound, Obstetrics (Pregnancy / birth / postnatal period), Cardiac

Authors:

O. Yeniceri¹, N. Çullu¹, M. Deveer², B. Kasap¹, N. Yeniceri¹; ¹Mugla/TR, ²Mugla /TR

DOI:

10.1594/ecr2015/C-0881

DOI-Link:

https://dx.doi.org/10.1594/ecr2015/C-0881

Fig. 1: Four-chamber view of the fetal heart with an 2,1 mm echogenic focus in the left...

Fig. 2: 2,8 mm İntracardiac Echogenic focus(İCEF)

Fig. 3: Sonographic view of fetal heart with 2,5 mm İntracardiac Echogenic focus

Aims and objectives

To determine the frequency of intracardiac echogenic focus (ICEF) in a normal pregnant population and to investigate the relationship with anomalies.

Methods and materials

The records of 1542 pregnant women, who were followed up in Gynecology and Obstetrics Clinic of our hospital between the dates of January 2010 and January 2014 and sent to Radiology Department for anomaly scanning, were analysed retrospectively. Pregnant women, who were administrated obstetrics and gave birth in our hospital, were included in the study. Pregnant women without obstetrics, who migrated from the region for any reason, and those who migrated within the region were not included in the study. Pregnant women who were referred...

Results

The age average of 1542 pregnant women was 29,13 years (19-45 years). The average gestational in the period when ultrasonography was performed was 20 weeks and 4 days (17-26 weeks). It was the first pregnancy of 54% of the cases examined, the second of 31%, the third of 10% and the forth of 6%. ICEF was diagnosed at 38 of 1542 cases. The ICEF frequency was calculated as 2.46%. The age average of the pregnant women with ICEF was 28.21 years (22-35 years). 34 cases...

Conclusion

Even though ICEF is considered as an indicator of trisomy anomalies, it may be seen in pregnant patients aged below 35 years, with negative triple scan tests and no additional anomalies observed ultrasonographically.

Personal information

O.Yeniceri Department of Radiology Yucelen Hospital,Mugla,Turkey N.Cullu Department of Radiology Mugla Sitki Kocman University,Mugla,Turkey M.Deveer Department of Radiology Mugla Sitki Kocman University,Mugla,Turkey B.Kasap Department of Obstetrics and Gynecology,Mugla Sitki Kocman University,Mugla,Turkey N.Yeniceri Department of Family Medicine,Mugla Sitki Kocman University,Mugla,Turkey

References

1. Shanks AL, Odibo AO, Gray DL. Echogenic intracardiac foci: Associated with increased risk for fetal trisomy 21 or not? J Ultrasound Med 2009;28(12):1639-43. 2.Tennstedt C, Chaoui R, Vogel M, Göldner B, Dietel M. Pathologic correlation of sonographic echogenic foci in the fetal heart. Prenat Diagn 2000;20(4):287-92. 3. Anderson N, Jyoti R. Relationship of isolated fetal intracardiac echogenic focus to trisomy 21 at the mid-trimester sonogram in women younger than 35 years. Ultrasound Obstet Gynecol 2003;21(4):354-58. 4. Roberts DJ, Genest D. Cardiac histologic pathology characteristics...