Whole-body post-mortem computed tomography angiography of a newborn revealing transposition of great arteries

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• 作者：Krzysztof Jerzy Wo?niak ; Artur Moska?a…
• 关键词：Post ; mortem examination ; Post ; mortem imaging ; PMCTA ; Technique ; TGA ; Visualisation
• 刊名：International Journal of Legal Medicine
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：129
• 期：6
• 页码：1253-1258
• 全文大小：779 KB
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• 作者单位：Krzysztof Jerzy Wo?niak (1)
  Artur Moska?a (1)
  Piotr Kluza (1)
  Karol Romaszko (1)
  Oleksiy Lopatin (1)
  Ewa Rzepecka-Wo?niak (1)
  
  1. Chair and Department of Forensic Medicine, Jagiellonian University Medical College, Grzegórzecka 16, 31-531 Kraków, Poland
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Forensic Medicine
  Medical Law
  Medicine/Public Health, general
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1437-1596

文摘

The number of medico-legal post-mortem examinations referring to newborns is considerably low: In the case of the Chair and Department of Forensic Medicine of the author’s origin, the autopsy rate of such cases is less than 1 %. Even experienced forensic pathologists can find the technical autopsy procedure of a newborn quite difficult. Post-mortem imaging using unenhanced post-mortem computed tomography (PMCT) gives only a limited opportunity to help in conventional autopsy examination. By adding contrast medium (CA) administration, we can significantly expand diagnostic capabilities. However, the post-mortem computed tomography angiography (PMCTA) technique has already been developed mostly in adult death cases (as considerably much more frequent), and no standardised protocol for examination of children exists. The authors present the dual-phase PMCTA examination of a newborn by manual CA administration using the access to umbilical vessels (vein and artery) unveiling transposition of the great arteries (TGA). The results are presented as multiplanar reformatted (MPR) images and three-dimensional (3D) images by volume/surface-rendered reconstructions, giving a contribution towards proving the value of forensic imaging in post-mortem examinations of heart and vascular malformations in newborns. Keywords Post-mortem examination Post-mortem imaging PMCTA Technique TGA Visualisation