Postmortem CT angiography compared with autopsy : a forensic multicenter study

doi:10.1148/radiol.2018170559

Postmortem CT angiography compared with autopsy : a forensic multicenter study

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Postmortem CT angiography compared with autopsy : a forensic multicenter study

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dc.contributor.author	Grabher, Silke	pl
dc.contributor.author	Heinemann, Axel	pl
dc.contributor.author	Vogel, Hermann	pl
dc.contributor.author	Rutty, Guy	pl
dc.contributor.author	Morgan, Bruno	pl
dc.contributor.author	Woźniak, Krzysztof [SAP20001211]	pl
dc.contributor.author	Dedouit, Fabrice	pl
dc.contributor.author	Fischer, Florian	pl
dc.contributor.author	Lochner, Stefanie	pl
dc.contributor.author	Wittig, Holger	pl
dc.contributor.author	Guglielmi, Giuseppe	pl
dc.contributor.author	Eplinius, Franziska	pl
dc.contributor.author	Michaud, Katarzyna	pl
dc.contributor.author	Palmiere, Cristian	pl
dc.contributor.author	Chevallier, Christine	pl
dc.contributor.author	Mangin, Patrice	pl
dc.contributor.author	Grimm, Jochen M.	pl
dc.date.accessioned	2020-01-17T09:58:44Z
dc.date.available	2020-01-17T09:58:44Z
dc.date.issued	2018	pl
dc.identifier.issn	0033-8419	pl
dc.identifier.uri	https://ruj.uj.edu.pl/xmlui/handle/item/143183
dc.language	eng	pl
dc.rights	Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa	*
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/legalcode.pl	*
dc.title	Postmortem CT angiography compared with autopsy : a forensic multicenter study	pl
dc.type	JournalArticle	pl
dc.description.physical	270-276	pl
dc.abstract.en	Purpose To determine if postmortem computed tomography (CT) and postmortem CT angiography help to detect more lesions than autopsy in postmortem examinations, to evaluate the strengths and weaknesses of each method, and to define their indications. Materials and Methods Postmortem CT angiography was performed on 500 human corpses and followed by conventional autopsy. Nine centers were involved. All CT images were read by an experienced team including one forensic pathologist and one radiologist, blinded to the autopsy results. All findings were recorded for each method and categorized by anatomic structure (bone, organ parenchyma, soft tissue, and vascular) and relative importance in the forensic case (essential, useful, and unimportant). Results Among 18 654 findings, autopsies helped to identify 61.3% (11 433 of 18 654), postmortem CT helped to identify 76.0% (14 179 of 18 654), and postmortem CT angiography helped to identify 89.9% (16 780 of 18 654; P < .001). Postmortem CT angiography was superior to autopsy, especially at helping to identify essential skeletal lesions (96.1% [625 of 650] vs 65.4% [425 of 650], respectively; P < .001) and vascular lesions (93.5% [938 of 1003] vs 65.3% [655 of 1003], respectively; P < .001). Among the forensically essential findings, 23.4% (1029 of 4393) were not detected at autopsy, while only 9.7% (428 of 4393) were missed at postmortem CT angiography (P < .001). The best results were obtained when postmortem CT angiography was combined with autopsy. Conclusion Postmortem CT and postmortem CT angiography and autopsy each detect important lesions not detected by the other method. More lesions were identified by combining postmortem CT angiography and autopsy, which may increase the quality of postmortem diagnosis.	pl
dc.description.volume	288	pl
dc.description.number	1	pl
dc.description.points	50	pl
dc.identifier.doi	10.1148/radiol.2018170559	pl
dc.identifier.eissn	1527-1315	pl
dc.title.journal	Radiology	pl
dc.language.container	eng	pl
dc.affiliation	Wydział Lekarski : Zakład Medycyny Sądowej	pl
dc.subtype	Article	pl
dc.rights.original	CC-BY; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0	pl
dc.identifier.project	ROD UJ / OP	pl
dc.cm.id	88694
dc.cm.date	2020-01-07
.pointsMNiSW	[2018 A]: 50