Technical note: A preliminary comparative study between classical and interventional radiological approaches for multi-phase post-mortem CT angiography.

Détails

ID Serval
serval:BIB_F17207C6571C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Technical note: A preliminary comparative study between classical and interventional radiological approaches for multi-phase post-mortem CT angiography.
Périodique
Forensic science international
Auteur(s)
Mokrane F.Z., Savall F., Dercle L., Crubezy E., Telmon N., Rousseau H., Dedouit F.
ISSN
1872-6283 (Electronic)
ISSN-L
0379-0738
Statut éditorial
Publié
Date de publication
02/2017
Peer-reviewed
Oui
Volume
271
Pages
23-32
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Résumé
Multi-phase post-mortem computed tomography angiography (MPMCTA) is a new diagnostic tool, used in forensic pathology. On the one hand, this technique allows a better and direct visualization of vascular and solid organ lesions. On the other hand, the invasiveness of the procedure-which requires surgical denudation (inguinal and/or cervical) and the insertion of surgical cannulas-leads to many relatives refusing scientific autopsies. Our hypothesis states that a minimally-invasive procedure combining interventional radiological techniques with MPMCTA (replacement of surgical cannulas by radiological catheters) will improve the approval rate of scientific autopsies by families. The aim of this study was to evaluate the feasibility of the minimally-invasive MPMCTA approach and to compare its performance to the current reference-standard (the conventional approach).
We included consecutively 16 corpses divided in two groups according to the contrast enhancement approach: radiological catheters (n=8), and surgical cannulas (n=8). Corpses were chosen and assigned randomly from our local data. The quality of the imaging procedure was compared according to four items: global vascular opacification, cerebral venous opacification, and lower limbs opacification (arterial and venous).
A minimally-invasive approach for scientific autopsies is feasible through a radiological catheter. Vascular opacification was optimal in 8 out of 8 cases and was no less effective than the control reference group using surgical cannula incision associated with their non-occlusive aspects.
Mots-clé
Adult, Aged, Aged, 80 and over, Autopsy/methods, Catheters, Computed Tomography Angiography, Contrast Media, Feasibility Studies, Female, Forensic Pathology/methods, Humans, Image Enhancement, Male, Middle Aged, Radiology, Interventional/instrumentation, Random Allocation, Autopsy, Cannulas, Catheter, Interventional radiology, Multi-phase post-mortem computed tomography angiography
Pubmed
Web of science
Création de la notice
06/01/2017 14:53
Dernière modification de la notice
05/08/2018 15:33
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