Head and Brain Postmortem Computed Tomography-Autopsy Correlation in Hospital Deaths
| Autor: | Mariangeles Medina-Perez, Lorenzo Gitto, Kanish Mirchia, Michael U. Williams, Timothy E. Richardson, Sylvie Destian, Serenella Serinelli |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent New York Autopsy Computed tomography Neuroradiologist Pathology and Forensic Medicine 03 medical and health sciences Young Adult 0302 clinical medicine Medicine Humans 030216 legal & forensic medicine Child Aged Aged 80 and over Brain Diseases Hematoma medicine.diagnostic_test Skull Fractures business.industry Postmortem ct Skull Brain Middle Aged Subarachnoid Hemorrhage University hospital Hematoma Subdural Child Preschool Female Radiology business Tomography X-Ray Computed |
| Zdroj: | The American journal of forensic medicine and pathology. 41(3) |
| ISSN: | 1533-404X |
| Popis: | The use of postmortem computed tomography (PMCT) to support autopsy pathology has increased in recent decades. To some extent, PMCT has also been contemplated as a potential alternative to conventional postmortem examination. The purpose of this study was to investigate the ability of PMCT to detect specific pathologic findings in the head and brain in natural hospital deaths.We examined postmortem CT images and autopsy data from 31 subjects who died at SUNY (State University of New York) Upstate University Hospital between 2013 and 2018. Each subject underwent a noncontrast PMCT and a traditional autopsy. A neuroradiologist analyzed PMCT images for head and brain abnormalities. The autopsies were performed by pathologists who were aware of the radiology results.In our series, PMCT was able to detect the majority of the significant space-occupying lesions, although it was not always reliable in ascertaining their nature. Postmortem computed tomography revealed findings usually challenging to detect at autopsy. Unfortunately, there were also situations in which PMCT was misleading, showing changes that were difficult to interpret, or that could be related to postmortem events. Therefore, we conclude PMCT should be used as an adjunct rather than a substitute to autopsy. |
| Databáze: | OpenAIRE |
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