The Practicality of Post-mortem Imaging in Prenatal, Perinatal, and Pediatric Cases.

Autor:	Ashby C; Contract Research Organization, IQVIA Holdings, Inc., Durham, USA., Razzak AN; School of Medicine, Medical College of Wisconsin, Milwaukee, USA., Kogler A; College of Medicine, Drexel University, Philadelphia, USA., Amireh A; Movement Science and Education, Columbia University, New York City, USA., Dempsey J; College of Medicine, Boston College, Chestnut Hill, USA., Lin KK; School of Medicine, Mayo Clinic, Scottsdale, USA., Waller J; College of Medicine, Drexel University, Philadelphia, USA., Jha P; Internal Medicine, Medical College of Wisconsin, Milwaukee, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Sep 06; Vol. 14 (9), pp. e28859. Date of Electronic Publication: 2022 Sep 06 (Print Publication: 2022).
DOI:	10.7759/cureus.28859
Abstrakt:	The essential role of the autopsy is seen in its contributions to medical care, scientific research, and family counseling. Major contributions are also noted in forensic pathology as a means to determine cause-of-death for legal and medical experts. However, autopsy acceptance rates are quite low due to an array of reasons including delayed burials, faith, and moral burdening. Thus, non-invasive post-mortem imaging strategies are becoming increasingly popular. The objective of this literature review is to evaluate the strengths and weaknesses of numerous post-mortem imaging modalities and consider their benefits over the traditional autopsy. The need for expertise in image interpretation for pediatric and perinatal cases is also discussed. A variety of publications, totaling 32 pieces, were selected from available literature on the basis of relevance. These articles studied various perinatal and pediatric post-mortem imaging strategies and their applications in clinical practice. Key strategies include post-mortem MRI, post-mortem CT, fetal post-mortem sonography, post-mortem computed tomographic angiography, and three-dimensional surface scanning. There is a general consensus that no standard model for post-mortem imaging currently exists in the United States and European countries. Amongst the imaging modems studied, post-mortem MRI has been acknowledged to show the greatest promise in diagnostic accuracy for fetal age groups. Most studies demonstrated that post-mortem CT had limited use for autopsy. Post-mortem imaging strategies for autopsy have high potential given their minimal invasiveness and increasing popularity. Furthermore, it is vital to crafting a global standard procedure for post-mortem imaging for prenatal, perinatal, and pediatric cases to better understand the cause of death, decomposition factors, and effects in-utero, and to provide an alternative to traditional autopsy. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Ashby et al.)
Databáze:	MEDLINE
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