Post-mortem MRI as an alternative to non-forensic autopsy in foetuses and children: from research into clinical practice.

作者: S Addison , O J Arthurs , S Thayyil

DOI: 10.1259/BJR.20130621

关键词: AutopsyClinical PracticeAccurate estimationMedium termIntensive care medicineConventional autopsyPediatricsForensic autopsyMedical diagnosisMedicineNational health service

摘要: Although post-mortem MRI (PMMR) was proposed as an alternative to conventional autopsy more than a decade ago, the lack of systematic validation has limited its clinical uptake. Minimally invasive (MIA) using PMMR together with ancillary investigations now been shown be accurate in foetuses, newborns and infants is particularly useful for cerebral, cardiac genitourinary imaging. Unlike autopsy, provides permanent three-dimensional auditable record, estimation internal organ volumes. MIA becoming highly acceptable parents professionals, there widespread political support public interest implementation UK. In short medium term, it desirable that supraregional network specialist centres should established provide this service within current National Health Service framework.

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