Multiphase Postmortem Computed Tomography Angiography in Pediatrics: A Case Report.
Postmortem imaging techniques, especially postmortem computed tomography, have become integral tools in forensic investigations. Multiphase postmortem computed tomography angiography (MPMCTA) visualizes the vascular system in detail and makes it possible to evaluate the perfusion of even the smallest vessels. Although the technique has been well described for adults, no pediatric cases have been reported and no pediatric protocol has been established for this type of investigation. We present the case a 7-year-old child for which we used a previously described MPMCTA protocol and adapted values of perfusion, with the same technical equipment as for adult cases. Our main objective was to propose a perfusion protocol adapted for the investigation of infants and children. Moreover, we discuss both the difficulties that we encountered and possible ways to further improve the investigation of pediatric cases by MPMCTA.
From the *University Center of Legal Medicine Lausanne-Geneva; and †Department of Radiology and Interventional Radiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Christine
C
Chevallier
Katarzyna
K
Michaud
Cristian
C
Palmiere
Leonor
L
Alamo
Patrice
P
Mangin
Silke
S
Grabherr
D000755:Anemia, Sickle Cell / Q000150:complications; D000792:Angiography / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000175:diagnosis; D002648:Child; D003287:Contrast Media / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D005260:Female; D049429:Forensic Pathology; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis*; D008168:Lung / Q000000981:diagnostic imaging*; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D061330:Multidetector Computed Tomography; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000382:microbiology; D053120:Respiratory Aspiration / Q000175:diagnosis*
D003287:Contrast Media