The role of angiography in the congruence of cardiovascular measurements between autopsy and postmortem imaging View Full Text


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Article Info

DATE

2017-07-24

AUTHORS

Renaud Troxler, Costin Minoiu, Paul Vaucher, Katarzyna Michaud, Francesco Doenz, Kewin Ducrot, Silke Grabherr

ABSTRACT

IntroductionPostmortem CT angiography is the method of choice for the postmortem imaging investigations of the cardiovascular (CV) system. However, autopsy still remains the gold standard for CV measurement. Nevertheless, there are not any studies on CV measurements on the multi-phase postmortem angiography (MPMCTA) which includes comparisons with autopsy. Therefore, the aim of this study is to compare CV measurements between the native CT scan and the three phases of the MPMCTA to find out which of these modalities correlate the best with autopsy measurements.MethodsFor this study, we selected retrospectively 50 postmortem cases that underwent both MPMCTA and autopsy. A comparison was carried out between the CV measurements obtained with imaging (aorta; heart cavities and cardiac wall thicknesses; maximum cardiac diameter and cardiothoracic ratio) and at the autopsy (aorta; cardiac valves, ventricular thicknesses, and weight).ResultsOur results show that the dynamic phase displays an advantage for the measurement of the aortas. However, the MPMCTA is not accurate to measure the cardiac wall thicknesses. The measurements of the heart cavities show no correlation with the heart valves. The cardiothoracic ratio measured by the MPMCTA shows no correlation with the heart weight. Nevertheless, the maximum cardiac diameter exhibits a correlation with the latter on the venous and dynamic phase.ConclusionsThese results show that only few CV parameters measured with imaging correlate with measurement obtained at the autopsy. These results indicate that in order to better estimate values obtained at the autopsy, we need to define new reference values for the CV measurement on MPMCTA. More... »

PAGES

249-262

References to SciGraph publications

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  • 1999-12. Harmonisation of Medico-Legal Autopsy Rules in INTERNATIONAL JOURNAL OF LEGAL MEDICINE
  • 2013-10-31. Cardiothoracic ratio in postmortem computed tomography: reliability and threshold for the diagnosis of cardiomegaly in FORENSIC SCIENCE, MEDICINE AND PATHOLOGY
  • 2010-11-07. Multi-phase post-mortem CT angiography: development of a standardized protocol in INTERNATIONAL JOURNAL OF LEGAL MEDICINE
  • 2013-01-06. Postmortem computed tomography angiography vs. conventional autopsy: advantages and inconveniences of each method in INTERNATIONAL JOURNAL OF LEGAL MEDICINE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00414-017-1652-0

    DOI

    http://dx.doi.org/10.1007/s00414-017-1652-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1090877965

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/28741057


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    63 diameter
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    66 heart cavities
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    74 modalities
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    76 new reference values
    77 order
    78 parameters
    79 phase
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    82 postmortem cases
    83 ratio
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    85 results
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    88 scans
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