ArticleInternational journal of legal medicine2016
Performance of post-mortem CT compared to autopsy in children.
Article in International journal of legal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Joint European Society of Paediatric Radiology (ESPR) and International Society for Forensic Radiology and Imaging (ISFRI) guidelines: paediatric postmortem computed tomography imaging protocol.Pediatric radiology · 2019Guideline
- The current state of forensic imaging - post mortem imaging.International journal of legal medicine · 2025Review
- Postmortem diagnostics in sudden unexpected death in infants and children: use and utility.European journal of pediatrics · 2025Observational
- Effect of hot water maceration, rehydration, and soft tissue presence on 3D geometry of bone.Forensic science, medicine, and pathology · 2025Article
- Clinical Significance of Whole-Body Computed Tomography Scans in Pediatric Out-of-Hospital Cardiac Arrest Patients Without Prehospital Return of Spontaneous Circulation.Diseases (Basel, Switzerland) · 2024Article
- Essence of postmortem computed tomography for in-hospital deaths: what clinical radiologists should know.Japanese journal of radiology · 2023Review
- Usefulness of virtual autopsy in diagnosing pathologies in the paediatric population: A systematic review.SAGE open medicine · 2023Review
- Postmortem computed tomography plus forensic autopsy for determining the cause of death in child fatalities.Pediatric radiology · 2022Article
- Review
- Advantages of micro-CT in the case of a complex dismemberment.Journal of forensic sciences · 2022Article
- Autopsy and pre-mortem diagnostic discrepancy review in an Irish tertiary PICU.European journal of pediatrics · 2021Article
- Pictorial review of the postmortem computed tomography in neonaticide cases.International journal of legal medicine · 2021Review
- Navigating the perils and pitfalls of pediatric forensic postmortem imaging in the United States.Pediatric radiology · 2021Review
- Article
- Visualization of insect metamorphosis.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2019Review
- Post-mortem computed tomography (PMCT) radiological findings and assessment in advanced decomposed bodies.La Radiologia medica · 2019Article
- Pediatric postmortem computed tomography: initial experience at a children's hospital in the United States.Pediatric radiology · 2019Review
- Towards multi-phase postmortem CT angiography in children: a study on a porcine model.International journal of legal medicine · 2018Article
- Sudden aortic death-proposal for a comprehensive diagnostic approach in forensic and in clinical pathology practice.International journal of legal medicine · 2017Article
- The value of postmortem computed tomography in paediatric natural cause of death: a Dutch observational study.Pediatric radiology · 2017Observational
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRadiological techniques such as non-enhanced post-mortem computed tomography (PMCT) play an increasingly important role in death investigations, especially in cases of non-medicolegal context of death, where the consent of the next of kin is required to perform autopsy. Such consent is often difficult to obtain for deceased children, and radiological methods may be an acceptable alternative. The aim of our study was to evaluate the performance of PMCT explorations compared to medicolegal conventional autopsies in children and its potential usefulness in non-medicolegal situations.
methodsWe retrospectively reviewed a group of 26 children aged 0-12 years who died of different causes, which were investigated by both conventional autopsy and PMCT. We compared the findings extracted from radiological and autopsy reports. All findings were grouped according to their importance with respect to cause of death and to the anatomical structure they covered: organs, vascular system, soft tissue, and skeletal system.
resultsA significantly larger number of findings were detected by autopsy compared to PMCT. Autopsy proved to be superior to PMCT, notably at detecting organ, soft tissue, and vascular findings, while PMCT was superior at detecting bone findings. However, no statistically significant differences were found between the methods concerning the essential findings used to define the cause of death.
conclusionsIn children, PMCT was less sensitive than conventional autopsy for detecting general findings. However, most essential findings were detected by both methods. PMCT was superior to autopsy for the detection of bone lesions in children. ADVANCES IN KNOWLEDGE: Up to today, very rare literature exists concerning PMCT in children, especially in a forensic setting. This article investigates the advantages and limitations of PMCT compared to autopsy in a unique study group and discusses possibilities for future developments.
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