Multi-phase postmortem CT angiography: recognizing technique-related artefacts and pitfalls View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-03-21

AUTHORS

C. Bruguier, P. J. Mosimann, P. Vaucher, A. Uské, F. Doenz, C. Jackowski, P. Mangin, S. Grabherr

ABSTRACT

Background and purposeMulti-phase postmortem CT angiography (MPMCTA) is increasingly being recognized as a valuable adjunct medicolegal tool to explore the vascular system. Adequate interpretation, however, requires knowledge about the most common technique-related artefacts. The purpose of this study was to identify and index the possible artefacts related to MPMCTA.Material and methodsAn experienced radiologist blinded to all clinical and forensic data retrospectively reviewed 49 MPMCTAs. Each angiographic phase, i.e. arterial, venous and dynamic, was analysed separately to identify phase-specific artefacts based on location and aspect.ResultsIncomplete contrast filling of the cerebral venous system was the most commonly encountered artefact, followed by contrast agent layering in the lumen of the thoracic aorta. Enhancement or so-called oedematization of the digestive system mucosa was also frequently observed.ConclusionAll MPMCTA artefacts observed and described here are reproducible and easily identifiable. Knowledge about these artefacts is important to avoid misinterpreting them as pathological findings. More... »

PAGES

639-652

References to SciGraph publications

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  • 2011-02-24. Targeted post-mortem computed tomography cardiac angiography: proof of concept in INTERNATIONAL JOURNAL OF LEGAL MEDICINE
  • 2010-12-12. Post-mortem computed tomography angiography: past, present and future in FORENSIC SCIENCE, MEDICINE AND PATHOLOGY
  • 1999-12. Harmonisation of Medico-Legal Autopsy Rules in INTERNATIONAL JOURNAL OF LEGAL MEDICINE
  • 2012-01-12. Evaluation of postmortem MDCT and MDCT-angiography for the investigation of sudden cardiac death related to atherosclerotic coronary artery disease in THE INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING
  • 2010-11-07. Multi-phase post-mortem CT angiography: development of a standardized protocol in INTERNATIONAL JOURNAL OF LEGAL MEDICINE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00414-013-0840-9

    DOI

    http://dx.doi.org/10.1007/s00414-013-0840-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1039023624

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/23515679


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