Performance of post-mortem CT compared to autopsy in children

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Arquivos
art_KRENTZ_Performance_of_postmortem_CT_compared_to_autopsy_in_2016.PDF (2.99 MB)
Citações na Scopus
34
Tipo de produção
article
Data de publicação
2016
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
ALAMO, Leonor
GRIMM, Jochen
DEDOUIT, Fabrice
BRUGUIER, Christine
CHEVALLIER, Christine
EGGER, Coraline
GRABHERR, Silke
Citação
INTERNATIONAL JOURNAL OF LEGAL MEDICINE, v.130, n.4, p.1089-1099, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Radiological 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.
Palavras-chave
Forensic imaging, Post-mortem CT, Forensic radiology, Pediatric imaging
URI
https://observatorio.fm.usp.br/handle/OPI/16318
Referências
  1. Aghayev E, 2007, FORENSIC SCI INT, V166, P199, DOI 10.1016/j.forsciint.2006.05.035
  2. Benali L, 2013, INT J LEGAL MED, V127, P1045, DOI 10.1007/s00414-012-0789-0
  3. Brinkmann B, 1999, INT J LEGAL MED, V113, P1, DOI 10.1007/s004140050271
  4. Buck U, 2007, FORENSIC SCI INT, V170, P20, DOI 10.1016/j.forsciint.2006.08.024
  5. Cattaneo C, 2006, FORENSIC SCI INT, V164, P131, DOI 10.1016/j.forsciint.2005.12.016
  6. Cecchetto G, 2010, INT J LEGAL MED, V125, P245, DOI 10.1007/s00414-010-0533-6
  7. Cecchetto G, 2012, INT J LEGAL MED, V126, P377, DOI 10.1007/s00414-011-0648-4
  8. Chevallier Christine, 2013, Int J Legal Med, V127, P981, DOI 10.1007/s00414-012-0814-3
  9. Clarot F, 2007, ARCH PEDIATRIE, V14, P636, DOI 10.1016/j.arcped.2007.02.060
  10. Daly B, 2013, FORENSIC SCI INT, V225, P20, DOI 10.1016/j.forsciint.2012.08.006
  11. Filograna L, 2010, FORENSIC SCI INT, V195, pE13, DOI 10.1016/j.forsciint.2009.11.001
  12. Grabherr S, 2009, EUR RADIOL, V19, P419, DOI 10.1007/s00330-008-1155-y
  13. Leth PM, 2013, FORENSIC SCI INT, V225, P15, DOI 10.1016/j.forsciint.2012.03.028
  14. Mokrane FZ, 2014, DIAGN INTERV IMAG, V95, P1085, DOI 10.1016/j.diii.2013.08.010
  15. Noda Y, 2013, BIOMED RES INT, DOI 10.1155/2013/327903
  16. Palmiere C, 2012, FORENSIC SCI INT, V222, P33, DOI 10.1016/j.forsciint.2012.04.031
  17. Proisy M, 2013, EUR RADIOL, V23, P1711, DOI 10.1007/s00330-012-2738-1
  18. Roberts ISD, 2011, LANCET, V379, P136
  19. Ruder TD, 2010, LEGAL MED, V12, P154, DOI 10.1016/j.legalmed.2010.02.005
  20. Scholing M, 2009, EUR RADIOL, V19, P2333, DOI 10.1007/s00330-009-1440-4
  21. Sieswerda-Hoogendoorn T, 2014, INT J LEGAL MED, V128, P957, DOI 10.1007/s00414-014-0964-6
  22. Thali MJ, 2003, FORENSIC SCI INT, V138, P8, DOI 10.1016/S0379-0738(03)00225-1
  23. Thali MJ, 2003, J FORENSIC SCI, V48, P386
  24. Thayyil S, 2010, PRENATAL DIAG, V30, P713, DOI 10.1002/pd.2534
  25. Thayyil S, 2011, BMC PEDIATR, V11, DOI 10.1186/1471-2431-11-120
  26. Weber MA, 2008, LANCET, V371, P1848, DOI 10.1016/S0140-6736(08)60798-9
  27. Wittschieber D, 2013, INT J LEGAL MED, V127, P825, DOI 10.1007/s00414-013-0832-9
  28. Wozniak KJ, 2015, INT J LEGAL MED, V129, P1253, DOI 10.1007/s00414-015-1267-2
  29. Zerlauth JB, 2013, FORENSIC SCI INT, V225, P32, DOI 10.1016/j.forsciint.2012.05.013

Coleções
Artigos e Materiais de Revistas Científicas - FM/MPT
Artigos e Materiais de Revistas Científicas - LIM/05