The Lausanne forensic pathology approach to post-mortem imaging for natural and non-natural deaths

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_EA3CC1D46F3A
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
The Lausanne forensic pathology approach to post-mortem imaging for natural and non-natural deaths
Journal
Diagnostic Histopathology
Author(s)
Magnin V., Grabherr S., Michaud K.
ISSN
1756-2317
ISSN-L
1756-2317
Publication state
Published
Issued date
08/2020
Peer-reviewed
Oui
Volume
26
Number
8
Pages
350-357
Language
english
Abstract
Post-mortem imaging by computed tomography (PMCT) and post-mortem CT angiography (PMCTA) are used routinely in forensic practice as components to the autopsy. PMCT is efficient for gas detection, foreign body visualization and skeleton analysis. Various parameters can lead to the indication for contrast agent injection. Contrast injection into the vascular system can overcome the disadvantages of non-contrast PMCT by visualization of solid organ parenchyma and vessels. This can also assist the conventional autopsy, allowing one to investigate the vascular system. It is the method of choice for the analysis of the blood vessels by showing vascular pathology, congenital or postsurgical anatomical variations and an exact source of bleeding. By knowing the artefacts linked to the angiographic technique, we limit the risk of misinterpretation. The use of post-mortem MRI (PMMR) for diagnostic purposes is still limited to rare indications. These include review of the neck in cases of death by mechanical asphyxia, total-body PMMR in neonatal and pediatric death and cardiac PMMR in case of suspected myocardial infraction. Currently, in our daily practice, the vast majority or PMMR is only performed for research purposes.
Keywords
Pathology and Forensic Medicine, Histology
Open Access
Yes
Create date
30/09/2020 10:42
Last modification date
25/02/2021 8:11
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