Evidence map›Paper›PMID 28953923›Full record

ArticlePloS one2017

Total-body CT and MR features of postmortem change in in-hospital deaths.

Ivo M Wagensveld, Britt M Blokker, Piotr A Wielopolski, Nomdo S Renken, Gabriel P Krestin, Myriam G Hunink, J Wolter Oosterhuis, Annick C Weustink

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.4field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Postmortem CT: Applications in Clinical and Forensic Medicine.Radiographics : a review publication of the Radiological Society of North America, Inc · 2025
    Review
  3. The current state of forensic imaging - post mortem imaging.International journal of legal medicine · 2025
    Review
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  8. Efficient cascaded V-net optimization for lower extremity CT segmentation validated using bone morphology assessment.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
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  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
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  16. Article
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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

8 authors at 3 institutions in 2 countries.

Ivo M WagensveldDepartment of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, Zuid-Holland, The Netherlands.ORCID http://orcid.org/0000-0003-3337-6429
Britt M BlokkerDepartment of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, Zuid-Holland, The Netherlands.
Piotr A WielopolskiDepartment of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, Zuid-Holland, The Netherlands.
Nomdo S RenkenDepartment of Radiology, Reinier de Graaf Gasthuis, Delft, Zuid-Holland, The Netherlands.
Gabriel P KrestinDepartment of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, Zuid-Holland, The Netherlands.
Myriam G HuninkDepartment of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, Zuid-Holland, The Netherlands.
J Wolter OosterhuisDepartment of Pathology, Erasmus University Medical Centre, Rotterdam, Zuid-Holland, The Netherlands.
Annick C WeustinkDepartment of Radiology and Nuclear Medicine, Erasmus University Medical Centre, Rotterdam, Zuid-Holland, The Netherlands.
Erasmus University Rotterdam · NLHarvard University · USReinier de Graaf Hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the frequency of total-body CT and MR features of postmortem change in in-hospital deaths. MATERIALS AND

methodsIn this prospective blinded cross-sectional study, in-hospital deceased adult patients underwent total-body postmortem CT and MR followed by image-guided biopsies. The presence of PMCT and PMMR features related to postmortem change was scored retrospectively and correlated with postmortem time interval, post-resuscitation status and intensive care unit (ICU) admittance.

resultsIntravascular air, pleural effusion, periportal edema, and distended intestines occurred more frequently in patients who were resuscitated compared to those who were not. Postmortem clotting was seen less often in resuscitated patients (p = 0.002). Distended intestines and loss of grey-white matter differentiation in the brain showed a significant correlation with postmortem time interval (p = 0.001, p<0.001). Hyperdense cerebral vessels, intravenous clotting, subcutaneous edema, fluid in the abdomen and internal livores of the liver were seen more in ICU patients. Longer postmortem time interval led to a significant increase in decomposition related changes (p = 0.026).

conclusionsThere is a wide variety of imaging features of postmortem change in in-hospital deaths. These imaging features vary among clinical conditions, increase with longer postmortem time interval and must be distinguished from pathologic changes.

Indexed as

Hospital MortalityMagnetic Resonance ImagingPostmortem ChangesTomography, X-Ray ComputedAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansIntensive Care UnitsMaleMiddle AgedResuscitation

Identifiers

PMID28953923
PMCPMC5617178
OpenAlexW2757082215

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Registered trials

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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.