Latest developments in post-mortem foetal imaging.


Journal

Prenatal diagnosis
ISSN: 1097-0223
Titre abrégé: Prenat Diagn
Pays: England
ID NLM: 8106540

Informations de publication

Date de publication:
01 2020
Historique:
received: 18 07 2019
revised: 29 08 2019
accepted: 07 09 2019
pubmed: 17 9 2019
medline: 27 1 2021
entrez: 17 9 2019
Statut: ppublish

Résumé

A sustained decline in parental consent rates for perinatal autopsies has driven the development of less-invasive methods for death investigation. A wide variety of imaging modalities have been developed for this purpose and include post-mortem whole body magnetic resonance imaging (MRI), ultrasound, computed tomography (CT) and micro-focus CT techniques. These are also vital for "minimally invasive" methods, which include potential for tissue sampling, such as image guidance for targeted biopsies and laparoscopic-assisted techniques. In this article, we address the range of imaging techniques currently in clinical practice and those under development. Significant advances in high-field MRI and micro-focus CT imaging show particular promise for smaller and earlier gestation foetuses. We also review how MRI biomarkers such as diffusion-weighted imaging and organ volumetric analysis may aid diagnosis and image interpretation in the absence of autopsy data. Three-dimensional printing and augmented reality may help make imaging findings more accessible to parents, colleagues and trainees.

Identifiants

pubmed: 31525275
doi: 10.1002/pd.5562
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

28-37

Subventions

Organisme : Department of Health
ID : 14/168/02
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/R002118/1
Pays : United Kingdom
Organisme : Department of Health
ID : NIHR-CDF-2017-10-037
Pays : United Kingdom
Organisme : Department of Health
ID : CDF-2017-10-037
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/R00218/1
Pays : United Kingdom
Organisme : Department of Health
ID : NIHR-CS-012-002
Pays : United Kingdom
Organisme : Department of Health
ID : ICA-CDRF-2017-03-053
Pays : United Kingdom

Informations de copyright

© 2019 John Wiley & Sons, Ltd.

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Auteurs

Susan C Shelmerdine (SC)

Department of Radiology Great Ormond Street Hospital for Children NHS Foundation Trust London, London, UK.
UCL Great Ormond Street Institute of Child Health London, London, UK.
NIHR Great Ormond Street Hospital Biomedical Research Centre London, London, UK.

John C Hutchinson (JC)

Department of Radiology Great Ormond Street Hospital for Children NHS Foundation Trust London, London, UK.
UCL Great Ormond Street Institute of Child Health London, London, UK.
NIHR Great Ormond Street Hospital Biomedical Research Centre London, London, UK.

Owen J Arthurs (OJ)

Department of Radiology Great Ormond Street Hospital for Children NHS Foundation Trust London, London, UK.
UCL Great Ormond Street Institute of Child Health London, London, UK.
NIHR Great Ormond Street Hospital Biomedical Research Centre London, London, UK.

Neil J Sebire (NJ)

Department of Radiology Great Ormond Street Hospital for Children NHS Foundation Trust London, London, UK.
UCL Great Ormond Street Institute of Child Health London, London, UK.
NIHR Great Ormond Street Hospital Biomedical Research Centre London, London, UK.

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