Modified whole-body postmortem computed tomography angiography using neck approach
Abstract Background The use of radiologic imaging methods in postmortem practice has been advent since the discovery of X-rays. However, with advancement in technology and the emergence of multi-detector computed tomography (MDCT), computed tomography angiography (CTA) and magnetic resonance imaging...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-08-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
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| Online Access: | https://doi.org/10.1186/s43055-023-01095-w |
| _version_ | 1797577317694832640 |
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| author | Saiful Nizam Abdul Rashid Anthony Cornelis Klop Siew Sheue Feng Rozi Mahmud Mansharan Kaur Chainchel Singh |
| author_facet | Saiful Nizam Abdul Rashid Anthony Cornelis Klop Siew Sheue Feng Rozi Mahmud Mansharan Kaur Chainchel Singh |
| author_sort | Saiful Nizam Abdul Rashid |
| collection | DOAJ |
| description | Abstract Background The use of radiologic imaging methods in postmortem practice has been advent since the discovery of X-rays. However, with advancement in technology and the emergence of multi-detector computed tomography (MDCT), computed tomography angiography (CTA) and magnetic resonance imaging (MRI) in clinical radiology, several centers around the world have begun using these methods as an adjunct to conventional autopsy. The aim of this study is to introduce a modified protocol for whole-body postmortem computed tomography angiography (PMCTA) based on body weight and neck approach as an alternative to the different PMCTA approaches currently available as most previous studies concentrated on the use of femoral approach for whole-body PMCTA with neck approach for selective or targeted PMCTA. Methods This was a prospective, double-blinded, cross-sectional study performed on 60 subjects with a mean age of 45.6 years and weight ranging between 43 and 112 kg utilizing ionized water-soluble contrast medium mixed with polyethylene glycol (polyethylene glycol 200). Results PMCTA using neck dissection showed promising results with good image quality and diagnostic capabilities assisting the forensic pathologists in determining the final cause of death with a strong correlation between both radiologists and pathologists in 86.7% of cases. Conclusions This study showed that the modified infusion protocol based on body weight using the neck approach provided a good depiction of the vascular system down to the level of the small supplying vessels similar to the other different approaches for PMCTA. |
| first_indexed | 2024-03-10T22:06:34Z |
| format | Article |
| id | doaj.art-9d9825fb74774941bacae03a382d9163 |
| institution | Directory Open Access Journal |
| issn | 2090-4762 |
| language | English |
| last_indexed | 2024-03-10T22:06:34Z |
| publishDate | 2023-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-9d9825fb74774941bacae03a382d91632023-11-19T12:46:25ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622023-08-015411810.1186/s43055-023-01095-wModified whole-body postmortem computed tomography angiography using neck approachSaiful Nizam Abdul Rashid0Anthony Cornelis Klop1Siew Sheue Feng2Rozi Mahmud3Mansharan Kaur Chainchel Singh4Imaging Department, Desa Park Medical CityNational Institute of Forensic Medicine (IPFN), Hospital Kuala Lumpur, Ministry of Health MalaysiaNational Institute of Forensic Medicine (IPFN), Hospital Kuala Lumpur, Ministry of Health MalaysiaFaculty of Medicine and Health Sciences, Jalan Universiti Serdang, Universiti Putra Malaysia (UPM)National Institute of Forensic Medicine (IPFN), Hospital Kuala Lumpur, Ministry of Health MalaysiaAbstract Background The use of radiologic imaging methods in postmortem practice has been advent since the discovery of X-rays. However, with advancement in technology and the emergence of multi-detector computed tomography (MDCT), computed tomography angiography (CTA) and magnetic resonance imaging (MRI) in clinical radiology, several centers around the world have begun using these methods as an adjunct to conventional autopsy. The aim of this study is to introduce a modified protocol for whole-body postmortem computed tomography angiography (PMCTA) based on body weight and neck approach as an alternative to the different PMCTA approaches currently available as most previous studies concentrated on the use of femoral approach for whole-body PMCTA with neck approach for selective or targeted PMCTA. Methods This was a prospective, double-blinded, cross-sectional study performed on 60 subjects with a mean age of 45.6 years and weight ranging between 43 and 112 kg utilizing ionized water-soluble contrast medium mixed with polyethylene glycol (polyethylene glycol 200). Results PMCTA using neck dissection showed promising results with good image quality and diagnostic capabilities assisting the forensic pathologists in determining the final cause of death with a strong correlation between both radiologists and pathologists in 86.7% of cases. Conclusions This study showed that the modified infusion protocol based on body weight using the neck approach provided a good depiction of the vascular system down to the level of the small supplying vessels similar to the other different approaches for PMCTA.https://doi.org/10.1186/s43055-023-01095-wPostmortem computed tomography angiography (PMCTA)Forensic pathologyBody weightModifiedNeck approach |
| spellingShingle | Saiful Nizam Abdul Rashid Anthony Cornelis Klop Siew Sheue Feng Rozi Mahmud Mansharan Kaur Chainchel Singh Modified whole-body postmortem computed tomography angiography using neck approach The Egyptian Journal of Radiology and Nuclear Medicine Postmortem computed tomography angiography (PMCTA) Forensic pathology Body weight Modified Neck approach |
| title | Modified whole-body postmortem computed tomography angiography using neck approach |
| title_full | Modified whole-body postmortem computed tomography angiography using neck approach |
| title_fullStr | Modified whole-body postmortem computed tomography angiography using neck approach |
| title_full_unstemmed | Modified whole-body postmortem computed tomography angiography using neck approach |
| title_short | Modified whole-body postmortem computed tomography angiography using neck approach |
| title_sort | modified whole body postmortem computed tomography angiography using neck approach |
| topic | Postmortem computed tomography angiography (PMCTA) Forensic pathology Body weight Modified Neck approach |
| url | https://doi.org/10.1186/s43055-023-01095-w |
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