Targeted cardiac post-mortem computed tomography angiography: a pictorial review

Rutty, Guy N.; Saunders, Sarah; Morgan, Bruno; Raj, Vimal

doi:10.1007/s12024-011-9267-0

Cited by 26 publications

(9 citation statements)

References 16 publications

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“…One of the most promising fields of research in postmortem angiography is represented by targeted coronary angiography [28][29][30]34]. Interesting methods of postmortem CT coronary angiography using minimally invasive approaches have been proposed by Saunders et al [28] and Roberts et al [29] showing that coronary artery diseases can be diagnosed through postmortem CT coronary angiography.…”

Section: Introductionmentioning

confidence: 99%

Detection of coronary thrombosis after multi-phase postmortem CT-angiography

et al. 2013

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Section: Introductionmentioning

confidence: 99%

Detection of coronary thrombosis after multi-phase postmortem CT-angiography

et al. 2013

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“…Thromboembolism of the coronary artery or pulmonary artery is difficult to detect with PMCT; however, contrast-enhanced PMCT (CEPMCT) can detect them (Jackowski et al 2005; Grabherr et al 2007; Steffen et al 2008; Sakamoto et al 2009; Iizuka et al 2009; Kikuchi et al 2010; Ross et al 2011; Jolibert et al 2011; Saunders et al 2011; Roberts et al 2011; Ross et al 2012; Rutty et al 2012b). Several methods of CEPMCT have been developed worldwide.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of resuscitation contrast-enhanced postmortem computed tomography using cardiopulmonary resuscitation technique with chest compression immediately after death

et al. 2013

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PurposeOur purpose was to evaluate image delineation ability of contrast-enhanced post-mortem computed tomography (CEPMCT) using cardiopulmonary resuscitation technique of chest compression, named “resuscitation CEPMCT”.Materials and methodsNon-traumatically-deceased 15 subjects (7 men; 8 women) aged 19–87 years (mean 61 years) underwent resuscitation CEPMCT. The contrast-enhanced technique, while injecting 100 ml of contrast media from the right cubital vein at a rate of 1 ml/s, chest compression was performed for 2 minutes at a rate of 100 times/min (a total of 200 times). CT attenuation values (Hounsfield Unit: HU) were measured in 8 target vessels: 1) pulmonary artery, 2) coronary artery, 3) ascending aorta, 4) abdominal aorta, 5) celiac trunk, 6) common iliac artery, 7) superior vena cava, and 8) inferior vena cava. One-sided Student’s t-test was performed to assess whether measured values were higher than 140 HU by setting p-value at 0.05.ResultsMeasured CT values in the 8 vessels were 1) pulmonary artery: 325 ± 140 HU, 2) coronary artery: 240 ± 73 HU, 3) ascending aorta: 321 ± 127 HU, 4) abdominal aorta: 286 ± 96 HU, 5) celiac trunk: 233 ± 62 HU, 6) common iliac artery: 260 ± 114 HU, 7) superior vena cava: 422 ± 187 HU, and 8) inferior vena cava: 301 ± 142 HU, showing significantly higher values than the threshold value of 140 HU. Resuscitation CEPMCT detected one case of pulmonary arterial thromboemboli death.ConclusionResuscitation CEPMCT using chest compression immediately after death has the possibility of detecting thromboembolus in major vessels, despite the simplicity of the technique.Electronic supplementary materialThe online version of this article (doi:10.1186/2193-1801-2-663) contains supplementary material, which is available to authorized users.

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“…Consequently, various postmortem angiographic techniques have been developed (10)(11)(12)(13)(14)(15)(16)(17)(18)(19). Probably the most widespread single approach for postmortem angiography today is multiphase postmortem CT angiography (20)(21)(22)(23)(24)(25)(26)(27), first described in 2011 (14).…”

mentioning

confidence: 99%

Postmortem CT Angiography Compared with Autopsy: A Forensic Multicenter Study

Grabherr¹,

Heinemann²,

Vogel³

et al. 2018

Radiology

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Purpose: To determine if postmortem computed tomography (CT) and postmortem CT angiography help to detect more lesions than autopsy in postmortem examinations, to evaluate the strengths and weaknesses of each method, and to define their indications. Materials and Methods:Postmortem CT angiography was performed on 500 human corpses and followed by conventional autopsy. Nine centers were involved. All CT images were read by an experienced team including one forensic pathologist and one radiologist, blinded to the autopsy results. All findings were recorded for each method and categorized by anatomic structure (bone, organ parenchyma, soft tissue, and vascular) and relative importance in the forensic case (essential, useful, and unimportant).

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Targeted cardiac post-mortem computed tomography angiography: a pictorial review

Cited by 26 publications

References 16 publications

Detection of coronary thrombosis after multi-phase postmortem CT-angiography

Detection of coronary thrombosis after multi-phase postmortem CT-angiography

Feasibility of resuscitation contrast-enhanced postmortem computed tomography using cardiopulmonary resuscitation technique with chest compression immediately after death

Postmortem CT Angiography Compared with Autopsy: A Forensic Multicenter Study

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