TY - JOUR
T1 - Dutch guideline for clinical foetal-neonatal and paediatric post-mortem radiology, including a review of literature
AU - On behalf of the Dutch post-mortem imaging guideline group
AU - Sonnemans, L. J.P.
AU - Vester, M. E.M.
AU - Kolsteren, E. E.M.
AU - Erwich, J. J.H.M.
AU - Nikkels, P. G.J.
AU - Kint, P. A.M.
AU - van Rijn, R. R.
AU - Klein, W. M.
AU - Duijst, W. L.J.M.
AU - Hofman, P. A.M.
AU - Kroll, J. J.F.
AU - Renken, N. S.
AU - Rosier, Y. O.
AU - Scheeren, C. I.E.
AU - Stomp, S. J.
AU - van der Valk, P.
N1 - Publisher Copyright:
© 2018, The Author(s).
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Clinical post-mortem radiology is a relatively new field of expertise and not common practice in most hospitals yet. With the declining numbers of autopsies and increasing demand for quality control of clinical care, post-mortem radiology can offer a solution, or at least be complementary. A working group consisting of radiologists, pathologists and other clinical medical specialists reviewed and evaluated the literature on the diagnostic value of post-mortem conventional radiography (CR), ultrasonography, computed tomography (PMCT), magnetic resonance imaging (PMMRI), and minimally invasive autopsy (MIA). Evidence tables were built and subsequently a Dutch national evidence-based guideline for post-mortem radiology was developed. We present this evaluation of the radiological modalities in a clinical post-mortem setting, including MIA, as well as the recently published Dutch guidelines for post-mortem radiology in foetuses, neonates, and children. In general, for post-mortem radiology modalities, PMMRI is the modality of choice in foetuses, neonates, and infants, whereas PMCT is advised in older children. There is a limited role for post-mortem CR and ultrasonography. In most cases, conventional autopsy will remain the diagnostic method of choice. Conclusion: Based on a literature review and clinical expertise, an evidence-based guideline was developed for post-mortem radiology of foetal, neonatal, and paediatric patients.What is Known:• Post-mortem investigations serve as a quality check for the provided health care and are important for reliable epidemiological registration.• Post-mortem radiology, sometimes combined with minimally invasive techniques, is considered as an adjunct or alternative to autopsy.What is New:• We present the Dutch guidelines for post-mortem radiology in foetuses, neonates and children.• Autopsy remains the reference standard, however minimal invasive autopsy with a skeletal survey, post-mortem computed tomography, or post-mortem magnetic resonance imaging can be complementary thereof.
AB - Clinical post-mortem radiology is a relatively new field of expertise and not common practice in most hospitals yet. With the declining numbers of autopsies and increasing demand for quality control of clinical care, post-mortem radiology can offer a solution, or at least be complementary. A working group consisting of radiologists, pathologists and other clinical medical specialists reviewed and evaluated the literature on the diagnostic value of post-mortem conventional radiography (CR), ultrasonography, computed tomography (PMCT), magnetic resonance imaging (PMMRI), and minimally invasive autopsy (MIA). Evidence tables were built and subsequently a Dutch national evidence-based guideline for post-mortem radiology was developed. We present this evaluation of the radiological modalities in a clinical post-mortem setting, including MIA, as well as the recently published Dutch guidelines for post-mortem radiology in foetuses, neonates, and children. In general, for post-mortem radiology modalities, PMMRI is the modality of choice in foetuses, neonates, and infants, whereas PMCT is advised in older children. There is a limited role for post-mortem CR and ultrasonography. In most cases, conventional autopsy will remain the diagnostic method of choice. Conclusion: Based on a literature review and clinical expertise, an evidence-based guideline was developed for post-mortem radiology of foetal, neonatal, and paediatric patients.What is Known:• Post-mortem investigations serve as a quality check for the provided health care and are important for reliable epidemiological registration.• Post-mortem radiology, sometimes combined with minimally invasive techniques, is considered as an adjunct or alternative to autopsy.What is New:• We present the Dutch guidelines for post-mortem radiology in foetuses, neonates and children.• Autopsy remains the reference standard, however minimal invasive autopsy with a skeletal survey, post-mortem computed tomography, or post-mortem magnetic resonance imaging can be complementary thereof.
KW - Autopsy
KW - Foetal
KW - Neonatal
KW - Paediatric
KW - Post-mortem
KW - Radiology
UR - http://www.scopus.com/inward/record.url?scp=85045750988&partnerID=8YFLogxK
U2 - 10.1007/s00431-018-3135-9
DO - 10.1007/s00431-018-3135-9
M3 - Review article
C2 - 29675642
AN - SCOPUS:85045750988
VL - 177
SP - 791
EP - 803
JO - European Journal of Pediatrics
JF - European Journal of Pediatrics
SN - 0340-6199
IS - 6
ER -