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Forensic science international v.271, 2017년, pp.23 - 32   SCI SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Technical note: A preliminary comparative study between classical and interventional radiological approaches for multi-phase post-mortem CT angiography

Mokrane, Fatima-Zohra (Service de Radiologie, CHU Toulouse-Rangueil, 1 avenue du Professeur Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France ); Savall, Frederic (Service de Médecine Légale, CHU Toulouse-Rangueil, 1 avenue du Professeur Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France ); Dercle, Laurent (Gustave Roussy Institute, Université ); Crubezy, Eric (Paris-Saclay, Villejuif F-94805, France ); Telmon, Norbert (Laboratoire AMIS—anthropologie moléculaire et imagerie de synthèse, UMR 2855, Faculté ); Rousseau, Hervé (de Médecine Purpan, 37 Allées Jules Guesde, 31073 Toulouse cedex 7, France ); Dedouit, Fabrice (Service de Médecine Légale, CHU Toulouse-Rangueil, 1 avenue du Professeur Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France );
  • 초록  

    Abstract Purpose Multi-phase post-mortem computed tomography angiography (MPMCTA) is a new diagnostic tool, used in forensic pathology. On the one hand, this technique allows a better and direct visualization of vascular and solid organ lesions. On the other hand, the invasiveness of the procedure—which requires surgical denudation (inguinal and/or cervical) and the insertion of surgical cannulas—leads to many relatives refusing scientific autopsies. Our hypothesis states that a minimally-invasive procedure combining interventional radiological techniques with MPMCTA (replacement of surgical cannulas by radiological catheters) will improve the approval rate of scientific autopsies by families. The aim of this study was to evaluate the feasibility of the minimally-invasive MPMCTA approach and to compare its performance to the current reference-standard (the conventional approach). Material and methods We included consecutively 16 corpses divided in two groups according to the contrast enhancement approach: radiological catheters (n=8), and surgical cannulas (n=8). Corpses were chosen and assigned randomly from our local data. The quality of the imaging procedure was compared according to four items: global vascular opacification, cerebral venous opacification, and lower limbs opacification (arterial and venous). Results A minimally-invasive approach for scientific autopsies is feasible through a radiological catheter. Vascular opacification was optimal in 8 out of 8 cases and was no less effective than the control reference group using surgical cannula incision associated with their non-occlusive aspects. Highlights Post mortem CT angiography could use less invasive sheath insertion technique. Application of “Seldinger” technique using ultrasound for sheath insertion lead to minimal incision. Injection quality is comparable using both cannulas or sheaths in PMCTA.


  • 주제어

    Multi-phase post-mortem computed tomography angiography .   Autopsy .   Catheter .   Cannulas .   Interventional radiology.  

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