Whole-body post-mortem computed tomography compared with autopsy in the investigation of unexpected death in infants and children

Proisy, Maïa; Marchand, A.; Loget, Philippe; Bouvet, R.; Roussey, M.; Pelé, Fabienne; Rozel, Céline; Tréguier, C.; Darnault, P.; Bruneau, Bertrand

doi:10.1007/s00330-012-2738-1

Cited by 78 publications

(58 citation statements)

References 32 publications

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“…Proisy et al [15] reported 12 infants and children who showed significant parenchymal consolidation in the lungs. Pneumonia was suspected based on the PMCT findings in 8 of the 12 cases.…”

Section: Discussionmentioning

confidence: 98%

Post-mortem computed tomography findings of the lungs: Retrospective review and comparison with autopsy results of 30 infant cases

Kawasumi

Usui

Hosokai

et al. 2015

European Journal of Radiology

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“…Proisy et al [15] reported 12 infants and children who showed significant parenchymal consolidation in the lungs. Pneumonia was suspected based on the PMCT findings in 8 of the 12 cases.…”

Section: Discussionmentioning

confidence: 98%

Post-mortem computed tomography findings of the lungs: Retrospective review and comparison with autopsy results of 30 infant cases

Kawasumi

Usui

Hosokai

et al. 2015

European Journal of Radiology

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“…For example, plain film skeletal survey is a standard procedure for investigating sudden unexpected death in infancy, 37 but it is easy to propose that PMCT could replace this entirely and add extra information. 38 The principle of a radiographic skeletal survey to detect evidence of non-accidental injury predates the age of multidetector CT scanners. [39][40][41] However, there is a lack of evidence to show that PMCT can do this, showing that the ability of PMCT to detect trauma to the bone, in general, is not enough, as specific injuries such as the characteristic "bucket handle" metaphyseal fractures must be confidently excluded.…”

Section: Traumatic Death and Identificationmentioning

confidence: 99%

“…87,88 Pulmonary diagnosis is therefore perceived to be difficult in most cases. 38 Being able to mimic ventilation in PMCT is therefore appealing to improve both the visibility of pathology and to provide functional information. Germerott et al [89][90][91] published a novel method called ventilation-PMCT using a portable homecare ventilator delivering intermittent pressures up to 40 mBar.…”

Section: Respiratory Imaging and Ventilationmentioning

confidence: 99%

Adult post-mortem imaging in traumatic and cardiorespiratory death and its relation to clinical radiological imaging

Morgan¹,

Adlam²,

Robinson³

et al. 2014

BJR

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The use of post-mortem imaging is expanding throughout the world with increasing use of advanced imaging techniques, such as contrast-enhanced CT and MRI. The questions asked of post-mortem imaging are complex and can be very different, for example for natural sudden death investigation will focus on the cause, whereas for trauma the cause of death is often clear, but injury patterns may be very revealing in investigating the background to the incident. Postmortem imaging is different to clinical imaging regarding both the appearance of pathology and the information required, but there is much to learn from many years of clinical research in the use of these techniques. Furthermore, it is possible that post-mortem imaging research could be used not only for investigating the cause of death but also as a model to conduct clinically relevant research. This article reviews challenges to the development of post-mortem imaging for trauma, identification and cardiorespiratory death, and how they may be influenced by current clinical thinking and practice.

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“…However, this is a relatively new use of the modality. One study involving 47 cases of sudden unexpected child deaths found a general concordance between autopsy and post mortem CT findings, except in a few cases of pneumonia [4].…”

mentioning

confidence: 90%

The Impact of Advances in Post-Mortem Imaging on Forensic Practice

Ch¹

2013

JOURNAL OF FORENSIC SCIENCE & CRIMINOLOGY

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EditorialOpen AccessA large validation study from the UK of 182 cases comparing whole body CT and MRI with full autopsy revealed a 32% major discrepancy rate between radiology and autopsy findings. CT appeared to be a more accurate imaging technique than MRI for determination of cause of death. Common causes of sudden death were frequently missed by imaging; the most common errors being ischaemic heart disease, pulmonary embolism, pneumonia and intra-abdominal lesions. In general, CT provides better spatial resolution and demonstrates fractures and haemorrhages well, whereas MRI tends to provide better soft tissue detail [5].

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Whole-body post-mortem computed tomography compared with autopsy in the investigation of unexpected death in infants and children

Cited by 78 publications

References 32 publications

Post-mortem computed tomography findings of the lungs: Retrospective review and comparison with autopsy results of 30 infant cases

Post-mortem computed tomography findings of the lungs: Retrospective review and comparison with autopsy results of 30 infant cases

Adult post-mortem imaging in traumatic and cardiorespiratory death and its relation to clinical radiological imaging

The Impact of Advances in Post-Mortem Imaging on Forensic Practice

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