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Postmortem CT angiography compared with autopsy : a forensic multicenter study


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

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Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa