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A pragmatic evidence-based approach to post-mortem perinatal imaging

Post-mortem imaging has a high acceptance rate amongst parents and healthcare professionals as a non-invasive method for investigating perinatal deaths. Previously viewed as a ‘niche’ subspecialty, it is becoming increasingly requested, with general radiologists now more frequently asked to oversee...

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Autores principales: Shelmerdine, Susan C., Hutchinson, J. Ciaran, Lewis, Celine, Simcock, Ian C., Sekar, Thivya, Sebire, Neil J., Arthurs, Owen J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8282801/
https://www.ncbi.nlm.nih.gov/pubmed/34264420
http://dx.doi.org/10.1186/s13244-021-01042-1
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author Shelmerdine, Susan C.
Hutchinson, J. Ciaran
Lewis, Celine
Simcock, Ian C.
Sekar, Thivya
Sebire, Neil J.
Arthurs, Owen J.
author_facet Shelmerdine, Susan C.
Hutchinson, J. Ciaran
Lewis, Celine
Simcock, Ian C.
Sekar, Thivya
Sebire, Neil J.
Arthurs, Owen J.
author_sort Shelmerdine, Susan C.
collection PubMed
description Post-mortem imaging has a high acceptance rate amongst parents and healthcare professionals as a non-invasive method for investigating perinatal deaths. Previously viewed as a ‘niche’ subspecialty, it is becoming increasingly requested, with general radiologists now more frequently asked to oversee and advise on appropriate imaging protocols. Much of the current literature to date has focussed on diagnostic accuracy and clinical experiences of individual centres and their imaging techniques (e.g. post-mortem CT, MRI, ultrasound and micro-CT), and pragmatic, evidence-based guidance for how to approach such referrals in real-world practice is lacking. In this review, we summarise the latest research and provide an approach and flowchart to aid decision-making for perinatal post-mortem imaging. We highlight key aspects of the maternal and antenatal history that radiologists should consider when protocolling studies (e.g. antenatal imaging findings and history), and emphasise important factors that could impact the diagnostic quality of post-mortem imaging examinations (e.g. post-mortem weight and time interval). Considerations regarding when ancillary post-mortem image-guided biopsy tests are beneficial are also addressed, and we provide key references for imaging protocols for a variety of cross-sectional imaging modalities.
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spelling pubmed-82828012021-07-20 A pragmatic evidence-based approach to post-mortem perinatal imaging Shelmerdine, Susan C. Hutchinson, J. Ciaran Lewis, Celine Simcock, Ian C. Sekar, Thivya Sebire, Neil J. Arthurs, Owen J. Insights Imaging Critical Review Post-mortem imaging has a high acceptance rate amongst parents and healthcare professionals as a non-invasive method for investigating perinatal deaths. Previously viewed as a ‘niche’ subspecialty, it is becoming increasingly requested, with general radiologists now more frequently asked to oversee and advise on appropriate imaging protocols. Much of the current literature to date has focussed on diagnostic accuracy and clinical experiences of individual centres and their imaging techniques (e.g. post-mortem CT, MRI, ultrasound and micro-CT), and pragmatic, evidence-based guidance for how to approach such referrals in real-world practice is lacking. In this review, we summarise the latest research and provide an approach and flowchart to aid decision-making for perinatal post-mortem imaging. We highlight key aspects of the maternal and antenatal history that radiologists should consider when protocolling studies (e.g. antenatal imaging findings and history), and emphasise important factors that could impact the diagnostic quality of post-mortem imaging examinations (e.g. post-mortem weight and time interval). Considerations regarding when ancillary post-mortem image-guided biopsy tests are beneficial are also addressed, and we provide key references for imaging protocols for a variety of cross-sectional imaging modalities. Springer International Publishing 2021-07-15 /pmc/articles/PMC8282801/ /pubmed/34264420 http://dx.doi.org/10.1186/s13244-021-01042-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Critical Review
Shelmerdine, Susan C.
Hutchinson, J. Ciaran
Lewis, Celine
Simcock, Ian C.
Sekar, Thivya
Sebire, Neil J.
Arthurs, Owen J.
A pragmatic evidence-based approach to post-mortem perinatal imaging
title A pragmatic evidence-based approach to post-mortem perinatal imaging
title_full A pragmatic evidence-based approach to post-mortem perinatal imaging
title_fullStr A pragmatic evidence-based approach to post-mortem perinatal imaging
title_full_unstemmed A pragmatic evidence-based approach to post-mortem perinatal imaging
title_short A pragmatic evidence-based approach to post-mortem perinatal imaging
title_sort pragmatic evidence-based approach to post-mortem perinatal imaging
topic Critical Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8282801/
https://www.ncbi.nlm.nih.gov/pubmed/34264420
http://dx.doi.org/10.1186/s13244-021-01042-1
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