Post mortem magnetic resonance imaging in the fetus, infant and child: A comparative study with conventional autopsy (MaRIAS Protocol)

作者: Sudhin Thayyil , Neil J Sebire , Lyn S Chitty , Angie Wade , Oystein Olsen

DOI: 10.1186/1471-2431-11-120

关键词:

摘要: Minimally invasive autopsy by post mortem magnetic resonance (MR) imaging has been suggested as an alternative for conventional in view of the declining consented rates. However, large prospective studies rigorously evaluating accuracy such approach are lacking. We intend to compare a minimally using MR with that fetuses, newborns and children detection major pathological abnormalities and/or determination cause death. recruited 400 consecutive referred one two participating hospitals over three-year period. acquired whole body 1.5 T scanner (Avanto, Siemens Medical Solutions, Enlargen, Germany) prior autopsy. The total scan time varied between 90 120 minutes. Each image was reported team four specialist radiologists (paediatric neuroradiology, paediatric cardiology, chest & abdominal musculoskeletal imaging), blinded data. Conventional performed according guidelines set down Royal College Pathologists (UK) experienced or perinatal pathologists, data were recorded predefined categorical variables independent person. Using gold standard comparator, images will be assessed anatomical morphology, associated lesions, clinical usefulness information sensitivities, specificities predictive values alone along other investigations presented final diagnosis, broad diagnostic categories specific diagnosis each system. NCT01417962 NIHR Portfolio Number: 6794

参考文章(34)
Malcolm Brodlie, Ian A Laing, Jean W Keeling, Kathryn J McKenzie, Ten years of neonatal autopsies in tertiary referral centre: retrospective study BMJ. ,vol. 324, pp. 761- 763 ,(2002) , 10.1136/BMJ.324.7340.761
Ariel Prager, Sudipta Roychowdhury, Magnetic resonance imaging of the neonatal brain. Indian Journal of Pediatrics. ,vol. 74, pp. 173- 184 ,(2007) , 10.1007/S12098-007-0012-3
P J Woodward, R Sohaey, D P Harris, G M Jackson, E C Klatt, A L Alexander, A Kennedy, Postmortem fetal MR imaging: comparison with findings at autopsy. American Journal of Roentgenology. ,vol. 168, pp. 41- 46 ,(1997) , 10.2214/AJR.168.1.8976917
Thierry A.G.M. Huisman, Josef Wisser, Thomas Stallmach, Gabriel P. Krestin, Renate Huch, Rahel A. Kubik-Huch, MR autopsy in fetuses. Fetal Diagnosis and Therapy. ,vol. 17, pp. 58- 64 ,(2002) , 10.1159/000048008
Wan-Yuo Guo, Cheng-Yen Chang, Donald M Ho, Tai-Tong Wong, Ming-Huei Sheu, Huei-Cheng Cheng, Shu-Jen Chen, Jeng-Hsiu Hung, None, A comparative MR and pathological study on fetal CNS disorders Childs Nervous System. ,vol. 17, pp. 512- 518 ,(2001) , 10.1007/S003810100471
P. H T Cartlidge, A. T Dawson, J. H Stewart, G. M Vujanic, Value and quality of perinatal and infant postmortem examinations: cohort analysis of 400 consecutive deaths BMJ. ,vol. 310, pp. 155- 158 ,(1995) , 10.1136/BMJ.310.6973.155
C. M. Thornton, M. D. O'Hara, A regional audit of perinatal and infant autopsies in Northern Ireland British Journal of Obstetrics and Gynaecology. ,vol. 105, pp. 18- 23 ,(1998) , 10.1111/J.1471-0528.1998.TB09344.X
Pablo R. Ros, King C. Li, Phuc Vo, Herman Baer, Edward V. Staab, Preautopsy magnetic resonance imaging : initial experience Magnetic Resonance Imaging. ,vol. 8, pp. 303- 308 ,(1990) , 10.1016/0730-725X(90)90103-9
J Clayton-Smith, P A Farndon, C McKeown, D Donnai, Examination of fetuses after induced abortion for fetal abnormality. BMJ. ,vol. 300, pp. 295- 297 ,(1990) , 10.1136/BMJ.300.6720.295