Head and Brain Postmortem Computed Tomography-Autopsy Correlation in Hospital Deaths.
Adolescent
Adult
Aged
Aged, 80 and over
Autopsy
/ methods
Brain
/ diagnostic imaging
Brain Diseases
/ diagnostic imaging
Child
Child, Preschool
Female
Hematoma
/ diagnostic imaging
Hematoma, Subdural
/ diagnostic imaging
Humans
Male
Middle Aged
New York
Skull
/ diagnostic imaging
Skull Fractures
/ diagnostic imaging
Subarachnoid Hemorrhage
/ diagnostic imaging
Tomography, X-Ray Computed
Young Adult
Journal
The American journal of forensic medicine and pathology
ISSN: 1533-404X
Titre abrégé: Am J Forensic Med Pathol
Pays: United States
ID NLM: 8108948
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
pubmed:
4
7
2020
medline:
27
1
2021
entrez:
4
7
2020
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 32618580
doi: 10.1097/PAF.0000000000000538
pii: 00000433-202009000-00004
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
163-175Références
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