Performance of post-mortem CT compared to autopsy in children

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorKRENTZ, Beatriz V.
dc.contributor.authorALAMO, Leonor
dc.contributor.authorGRIMM, Jochen
dc.contributor.authorDEDOUIT, Fabrice
dc.contributor.authorBRUGUIER, Christine
dc.contributor.authorCHEVALLIER, Christine
dc.contributor.authorEGGER, Coraline
dc.contributor.authorSILVA, Luiz F. F. Da
dc.contributor.authorGRABHERR, Silke
dc.date.accessioned2016-10-17T16:41:32Z
dc.date.available2016-10-17T16:41:32Z
dc.date.issued2016
dc.description.abstractRadiological techniques such as non-enhanced post-mortem computed tomography (PMCT) play an increasingly important role in death investigations, especially in cases of non-medicolegal context of death, where the consent of the next of kin is required to perform autopsy. Such consent is often difficult to obtain for deceased children, and radiological methods may be an acceptable alternative. The aim of our study was to evaluate the performance of PMCT explorations compared to medicolegal conventional autopsies in children and its potential usefulness in non-medicolegal situations. We retrospectively reviewed a group of 26 children aged 0-12 years who died of different causes, which were investigated by both conventional autopsy and PMCT. We compared the findings extracted from radiological and autopsy reports. All findings were grouped according to their importance with respect to cause of death and to the anatomical structure they covered: organs, vascular system, soft tissue, and skeletal system. A significantly larger number of findings were detected by autopsy compared to PMCT. Autopsy proved to be superior to PMCT, notably at detecting organ, soft tissue, and vascular findings, while PMCT was superior at detecting bone findings. However, no statistically significant differences were found between the methods concerning the essential findings used to define the cause of death. In children, PMCT was less sensitive than conventional autopsy for detecting general findings. However, most essential findings were detected by both methods. PMCT was superior to autopsy for the detection of bone lesions in children. Up to today, very rare literature exists concerning PMCT in children, especially in a forensic setting. This article investigates the advantages and limitations of PMCT compared to autopsy in a unique study group and discusses possibilities for future developments.
dc.description.indexMEDLINE
dc.description.sponsorshipFondation Leenards (Lausanne, Switzerland)
dc.identifier.citationINTERNATIONAL JOURNAL OF LEGAL MEDICINE, v.130, n.4, p.1089-1099, 2016
dc.identifier.doi10.1007/s00414-016-1370-z
dc.identifier.eissn1437-1596
dc.identifier.issn0937-9827
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/16318
dc.language.isoeng
dc.publisherSPRINGER
dc.relation.ispartofInternational Journal of Legal Medicine
dc.rightsrestrictedAccess
dc.rights.holderCopyright SPRINGER
dc.subjectForensic imaging
dc.subjectPost-mortem CT
dc.subjectForensic radiology
dc.subjectPediatric imaging
dc.subject.othercomputed-tomography msct
dc.subject.otherresonance-imaging mri
dc.subject.othervirtual autopsy
dc.subject.otherunexpected death
dc.subject.otherangiography
dc.subject.othervictims
dc.subject.otherreconstruction
dc.subject.otherfeasibility
dc.subject.otherinfant
dc.subject.otherage
dc.subject.wosMedicine, Legal
dc.titlePerformance of post-mortem CT compared to autopsy in children
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countrySuíça
hcfmusp.affiliation.countryisoch
hcfmusp.author.externalALAMO, Leonor:Univ Lausanne Hosp, Dept Diagnost & Intervent Radiol, Lausanne, Switzerland
hcfmusp.author.externalGRIMM, Jochen:Univ Lausanne Hosp, Univ Ctr Legal Med Lausanne Geneva, Chemin Vulliette 4, CH-1000 Lausanne 25, Switzerland; Univ Lausanne Hosp, Dept Diagnost & Intervent Radiol, Lausanne, Switzerland
hcfmusp.author.externalDEDOUIT, Fabrice:Univ Lausanne Hosp, Univ Ctr Legal Med Lausanne Geneva, Chemin Vulliette 4, CH-1000 Lausanne 25, Switzerland
hcfmusp.author.externalBRUGUIER, Christine:Univ Lausanne Hosp, Univ Ctr Legal Med Lausanne Geneva, Chemin Vulliette 4, CH-1000 Lausanne 25, Switzerland; Univ Lausanne Hosp, Dept Diagnost & Intervent Radiol, Lausanne, Switzerland
hcfmusp.author.externalCHEVALLIER, Christine:Univ Lausanne Hosp, Univ Ctr Legal Med Lausanne Geneva, Chemin Vulliette 4, CH-1000 Lausanne 25, Switzerland; Univ Lausanne Hosp, Dept Diagnost & Intervent Radiol, Lausanne, Switzerland
hcfmusp.author.externalEGGER, Coraline:Univ Lausanne Hosp, Univ Ctr Legal Med Lausanne Geneva, Chemin Vulliette 4, CH-1000 Lausanne 25, Switzerland
hcfmusp.author.externalGRABHERR, Silke:Univ Lausanne Hosp, Univ Ctr Legal Med Lausanne Geneva, Chemin Vulliette 4, CH-1000 Lausanne 25, Switzerland
hcfmusp.citation.scopus34
hcfmusp.contributor.author-fmusphcBEATRIZ VILLANO KRENTZ
hcfmusp.contributor.author-fmusphcLUIZ FERNANDO FERRAZ DA SILVA
hcfmusp.description.beginpage1089
hcfmusp.description.endpage1099
hcfmusp.description.issue4
hcfmusp.description.volume130
hcfmusp.origemWOS
hcfmusp.origem.pubmed27221535
hcfmusp.origem.scopus2-s2.0-84969974161
hcfmusp.origem.wosWOS:000378817900028
hcfmusp.publisher.cityNEW YORK
hcfmusp.publisher.countryUSA
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