Evidence map›Paper›PMID 24438163›Full record

Trial reportBMC pediatrics2014

Minimally invasive, imaging guided virtual autopsy compared to conventional autopsy in foetal, newborn and infant cases: study protocol for the paediatric virtual autopsy trial.

Christoph M Rüegger, Christine Bartsch, Rosa Maria Martinez, Steffen Ross, Stephan A Bolliger, Brigitte Koller, Leonhard Held, Elisabeth Bruder, Peter Karl Bode, Rosmarie Caduff and 3 more

Registry-linked trialOpen access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in BMC pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01888380 (Post-mortem Cross-sectional Imaging With Guided Biopsy; A Comparative Study With Conventional Autopsy in Foetuses, Neonates, Infants and Children), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01888380 nacompletednot on this map

Post-mortem Cross-sectional Imaging With Guided Biopsy; A Comparative Study With Conventional Autopsy in Foetuses, Neonates, Infants and Children

TypeinterventionalSponsorUniversity of ZurichRan2014 to 2018Enrolled105ConditionsStillbirth, Newborn Death, Sudden Infant DeathArmsMinimally invasive, virtual autopsy, Conventional autopsy
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Interventions for investigating and identifying the causes of stillbirth.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. The current state of forensic imaging - post mortem imaging.International journal of legal medicine · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Understanding the complexities of unexplained stillbirth in sub-Saharan Africa: a mixed-methods study.BJOG : an international journal of obstetrics and gynaecology · 2021
    Article
  8. Review
  9. Article
  10. "Donating our bodies to science": A discussion about autopsy and organ donation in Turner syndrome.American journal of medical genetics. Part C, Seminars in medical genetics · 2019
    Review
  11. Review
  12. Value of postmortem studies in deceased neonatal and pediatric intensive care unit patients.Virchows Archiv : an international journal of pathology · 2017
    Article
  13. Review
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Christoph M RüeggerDepartment of Neonatology, University Hospital Zurich, Zurich, Switzerland. christoph.rueegger@usz.ch.
Christine Bartsch
Rosa Maria Martinez
Steffen Ross
Stephan A Bolliger
Brigitte Koller
Leonhard Held
Elisabeth Bruder
Peter Karl Bode
Rosmarie Caduff
Bernhard Frey
Leonhard Schäffer
Hans Ulrich Bucher
University of Zurich · CHUniversity Hospital of Zurich · CHUniversity Children's Hospital Zurich · CHUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn light of declining autopsy rates around the world, post-mortem MR imaging is a promising alternative to conventional autopsy in the investigation of infant death. A major drawback of this non-invasive autopsy approach is the fact that histopathological and microbiological examination of the tissue is not possible. The objective of this prospective study is to compare the performance of minimally invasive, virtual autopsy, including CT-guided biopsy, with conventional autopsy procedures in a paediatric population. METHODS/

designFoetuses, newborns and infants that are referred for autopsy at three different institutions associated with the University of Zurich will be eligible for recruitment. All bodies will be examined with a commercial CT and a 3 Tesla MRI scanner, masked to the results of conventional autopsy. After cross-sectional imaging, CT-guided tissue sampling will be performed by a multifunctional robotic system (Virtobot) allowing for automated post-mortem biopsies. Virtual autopsy results will be classified with regards to the likely final diagnosis and major pathological findings and compared to the results of conventional autopsy, which remains the diagnostic gold standard. DISCUSSION: There is an urgent need for the development of alternative post-mortem examination methods, not only as a counselling tool for families and as a quality control measure for clinical diagnosis and treatment but also as an instrument to advance medical knowledge and clinical practice. This interdisciplinary study will determine whether virtual autopsy will narrow the gap in information between non-invasive and traditional autopsy procedures.

trial registrationClinicalTrials.gov: NCT01888380.

Indexed as

Image-Guided BiopsyAutopsyCross-Sectional StudiesFetusHumansInfantInfant, NewbornProspective StudiesSingle-Blind Method

Identifiers

PMID24438163
PMCPMC3897955
OpenAlexW2097622312

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.