Dutch guideline for clinical foetal-neonatal and paediatric post-mortem radiology, including a review of literature
Clinical post-mortem radiology is a relatively new field of expertise and not common practice in most hospitals yet. With the declining numbers of autopsies and increasing demand for quality control of clinical care, post-mortem radiology can offer a solution, or at least be complementary. A working group consisting of radiologists, pathologists and other clinical medical specialists reviewed and evaluated the literature on the diagnostic value of post-mortem conventional radiography (CR), ultrasonography, computed tomography (PMCT), magnetic resonance imaging (PMMRI), and minimally invasive a... Mehr ...
Dokumenttyp: | Artikel |
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Erscheinungsdatum: | 2018 |
Reihe/Periodikum: | Dutch Post-Mortem Imaging 2018 , ' Dutch guideline for clinical foetal-neonatal and paediatric post-mortem radiology, including a review of literature ' , European Journal of Pediatrics , vol. 177 , no. 6 , pp. 791-803 . https://doi.org/10.1007/s00431-018-3135-9 |
Schlagwörter: | Post-mortem / Paediatric / Neonatal / Foetal / Radiology / Autopsy / HIGH-FIELD MRI / DIAGNOSTIC-ACCURACY / CONVENTIONAL AUTOPSY / PERINATAL AUTOPSY / CHILD-ABUSE / 9.4 T / FETUSES / ABNORMALITIES / ULTRASOUND / QUALITY |
Sprache: | Englisch |
Permalink: | https://search.fid-benelux.de/Record/base-28619619 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | https://hdl.handle.net/11370/8aed3b11-864f-44d3-a6ef-aaa384cb81d6 |
Clinical post-mortem radiology is a relatively new field of expertise and not common practice in most hospitals yet. With the declining numbers of autopsies and increasing demand for quality control of clinical care, post-mortem radiology can offer a solution, or at least be complementary. A working group consisting of radiologists, pathologists and other clinical medical specialists reviewed and evaluated the literature on the diagnostic value of post-mortem conventional radiography (CR), ultrasonography, computed tomography (PMCT), magnetic resonance imaging (PMMRI), and minimally invasive autopsy (MIA). Evidence tables were built and subsequently a Dutch national evidence-based guideline for post-mortem radiology was developed. We present this evaluation of the radiological modalities in a clinical post-mortem setting, including MIA, as well as the recently published Dutch guidelines for post-mortem radiology in foetuses, neonates, and children. In general, for post-mortem radiology modalities, PMMRI is the modality of choice in foetuses, neonates, and infants, whereas PMCT is advised in older children. There is a limited role for post-mortem CR and ultrasonography. In most cases, conventional autopsy will remain the diagnostic method of choice. Conclusion: Based on a literature review and clinical expertise, an evidence-based guideline was developed for post-mortem radiology of foetal, neonatal, and paediatric patients.