Evidence map›Paper›PMID 31286205›Full record

ArticleInternational journal of legal medicine2020

Lung density measurement in postmortem computed tomography: a new tool to assess immediate neonatal breath in suspected neonaticides.

Mathilde Ducloyer, Lucile Tuchtan, Clémence Delteil, Marie-Dominique Piercecchi, Arthur David, Guillaume Visseaux, Renaud Bouvet, Guillaume Gorincour, Renaud Clement

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Article in International journal of legal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

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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

4 citing papers in PubMed.

  1. The current state of forensic imaging - post mortem imaging.International journal of legal medicine · 2025
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4 · The record

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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

9 authors.

Mathilde DucloyerForensic Medicine Department, Centre Hospitalier Universitaire de Nantes, 30 Boulevard Jean Monnet, 44000, Nantes, France. Mathilde.ducloyer@chu-nantes.fr.ORCID http://orcid.org/0000-0003-1116-4943
Lucile TuchtanForensic Medicine Department, APHM, Hopital de la Timone, Marseille, France.
Clémence DelteilForensic Medicine Department, APHM, Hopital de la Timone, Marseille, France.
Marie-Dominique PiercecchiForensic Medicine Department, APHM, Hopital de la Timone, Marseille, France.
Arthur DavidDepartment of Radiology, Centre Hospitalier Universitaire de Nantes, Nantes, France.
Guillaume VisseauxForensic Medicine Department, Centre Hospitalier Universitaire de Nantes, 30 Boulevard Jean Monnet, 44000, Nantes, France.
Renaud BouvetForensic Medicine Department, Centre Hospitalier Universitaire de Rennes, Université de Rennes 1, IDPSP EA 4640, Rennes, France.
Guillaume GorincourLaboratoire d'Imagerie Interventionnelle et Expérimentale, LiiE, EA4264, Aix Marseille Université, Marseille, France.
Renaud ClementForensic Medicine Department, Centre Hospitalier Universitaire de Nantes, 30 Boulevard Jean Monnet, 44000, Nantes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introEvidence of breath after birth is one of the main forensic issues in suspected neonaticide. Hydrostatic test (HT) and pathological examination are currently used to assess it, but they are not entirely reliable or immediately available.

objectiveTo determine the performance of postmortem computed tomography (PMCT) to assess neonatal breath in suspected neonaticide, by comparing lung CT attenuation values between live birth and stillbirth cases, in correlation with HT and pathology.

methodCases of suspected neonaticides who underwent a PMCT and complete forensic autopsy with an HT were retrospectively selected from the databases of four French Forensic Medicine Departments. The diagnosis of vitality (i.e., stillbirth or live birth) was based on the pathological examination and/or a combination of arguments, including HT result. Lung density on CT was measured in Hounsfield units (HU) by ROIs drawn in both pulmonary parenchymas.

resultsEleven patients were included, six live birth and five stillbirth cases. The result of HT was concordant with pathological examination when available (seven cases). Mean lung densities in live birth cases (- 173 HU [- 255; - 91 CI 95%]) were significantly lower than in stillbirth cases (40 HU [28; 52 CI 95%]) (p < 0.05), with a very high degree of interobserver reproducibility (ICC = 0.998 (CI 95% 0.991-0.999; p < 0.001).

conclusionPMCT and especially lung CT attenuation measurement is a reliable and easy-to-use method for assessing neonatal breath in suspected neonaticides.

Indexed as

Tomography, X-Ray ComputedAutopsyFemaleForensic MedicineFranceGasesHumansInfanticideInfant, NewbornLive BirthLungMaleReproducibility of ResultsRetrospective StudiesStillbirthGasesLive birthLung densityNeonaticidePostmortem computed tomographyStillbirth

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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.