Postmortem quantitative 1.5-T MRI for the differentiation and characterization of serous fluids, blood, CSF, and putrefied CSF.

Détails

ID Serval
serval:BIB_B3CA2A11915F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Postmortem quantitative 1.5-T MRI for the differentiation and characterization of serous fluids, blood, CSF, and putrefied CSF.
Périodique
International journal of legal medicine
Auteur⸱e⸱s
Zech W.D., Schwendener N., Persson A., Warntjes M.J., Riva F., Schuster F., Jackowski C.
ISSN
1437-1596 (Electronic)
ISSN-L
0937-9827
Statut éditorial
Publié
Date de publication
09/2015
Peer-reviewed
Oui
Volume
129
Numéro
5
Pages
1127-1136
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The purpose of the present study was to investigate whether serous fluids, blood, cerebrospinal fluid (CSF), and putrefied CSF can be characterized and differentiated in synthetically calculated magnetic resonance (MR) images based on their quantitative T1, T2, and proton density (PD) values. Images from 55 postmortem short axis cardiac and 31 axial brain 1.5-T MR examinations were quantified using a quantification sequence. Serous fluids, fluid blood, sedimented blood, blood clots, CSF, and putrefied CSF were analyzed for their mean T1, T2, and PD values. Body core temperature was measured during the MRI scans. The fluid-specific quantitative values were related to the body core temperature. Equations to correct for temperature differences were generated. In a 3D plot as well as in statistical analysis, the quantitative T1, T2 and PD values of serous fluids, fluid blood, sedimented blood, blood clots, CSF, and putrefied CSF could be well differentiated from each other. The quantitative T1 and T2 values were temperature-dependent. Correction of quantitative values to a temperature of 37 °C resulted in significantly better discrimination between all investigated fluid mediums. We conclude that postmortem 1.5-T MR quantification is feasible to discriminate between blood, serous fluids, CSF, and putrefied CSF. This finding provides a basis for the computer-aided diagnosis and detection of fluids and hemorrhages.
Mots-clé
Blood, Body Fluids, Body Temperature, Brain/pathology, Cerebrospinal Fluid, Female, Forensic Pathology, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged, Models, Biological, Myocardium/pathology, Pericardium/pathology, Postmortem Changes, Thrombosis/pathology
Pubmed
Web of science
Création de la notice
29/06/2020 9:11
Dernière modification de la notice
20/01/2021 7:26
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