Post Mortem CT for Non-Suspicious Adult Deaths: An Introduction

ISBN-13: 9783030708313 / Angielski / Miękka / 2022

Ayeshea Shenton;Peter Kralt;S. Kim Suvarna

Opis

This book is an ideal introduction to the specialty of post mortem computed tomography (PMCT). It will serve as a comprehensive yet accessible guide to the understanding and interpretation of whole-body studies for both hospital and community settings. Both normal post mortem appearances and findings associated with a wide range of diagnoses encountered in real cases from the coronial service are presented with the aid of numerous images. The coverage encompasses not only findings in all anatomic regions but also the imaging appearances in cases following targeted coronary angiography, attempted cardiopulmonary resuscitation and various special circumstances such as suicide. The inclusion of many practical tips and possible pitfalls will support the radiologist to become more confident when reporting PMCT, while for the more experienced practitioner the wealth of examples will serve as a useful resource. In addition to radiologists, the book will be of value for pathologists at all levels of experience and anyone needing to understand the role and limitations of PMCT.

Spis treści

Introduction

Hospital autopsies

Causes of death

Writing a report

 

Technical and legal considerations

Facilities

Operator

Scanning technique

Body positioning

Contrast

Data storage and use of images

Quality assurance and audit

 

External findings

 

Death and decomposition

Post-mortem interval

Decomposition          

Rigor mortis

Hypostasis

Post-mortem gas distribution

Post mortem clot

Algor mortis and temperature

Insect predation

Embalming

Identification

 

Intracranial

            Brain

            Vessels

            Bones

            Gas pattern

 

Extra-cranial head and neck

Bones and cartilage

Paranasal sinuses

Soft tissues

Eyes

Special circumstances: hanging

 

Chest

Lungs

Pleural and mediastinal space

Ventilated PMCT

Airways

Great vessels

Lymphadenopathy

Ribs

Special circumstances: drowning

 

Cardiac

Cardiac autopsy

Cardiovascular disease

Implanted devices

Anatomy

Anomalous coronary arteries

Myocardial bridging

Coronary dominance

Cardiothoracic ratio

Pericardial space

Calcium scoring

Coronary angiography

Method of coronary angiography

Cardiac air embolus

Coronary bypass grafts

 

Abdomen and Pelvis

Solid viscera

Gas patterns

Gastrointestinal tract

Abdominal aorta

Trauma

Special circumstances: body packing

 

Musculoskeletal

            Spine

            Limb trauma

            Infection and neoplasia

 

Findings related to attempted cardiopulmonary resuscitation

            Rib fractures

            Sternal and vertebral fractures

            Secondary findings

 

Special circumstances

Gunshot injury

Multiple injuries

Burns

 

Conclusion

O autorze

Ayeshea Shenton, FRCR, MSc (Med Ed), is a consultant radiologist in a district general hospital. In addition, for iGene London, she has been reporting post mortem CT for the past 4 years, building knowledge in the field from established practitioners, relevant texts and collecting feedback from interesting cases. Her interest and skill in teaching is reflected in achievement of a Master’s degree in Medical Education. 

Peter Kralt, MD, is a consultant neuroradiologist currently working at James Cook University Hospital, South Tees Hospitals NHS Foundation Trust in Middlesbrough, UK. He completed his medical and radiological training in the Netherlands and has been practising in the field of post-mortem and forensic radiology for the past 3 years. He has been involved in more than 1000 cases and believes that radiology has the potential to transform the coronial system and the way in which sudden deaths are investigated.

Prof S Kim Suvarna is a consultant in histopathology based at Sheffield Teaching Hospitals. He works for a variety of Coroners and Police Forces across the United Kingdom. He is an examiner for the Royal College of Pathologists, as well as the Royal College of Surgeons. He has published on cardiothoracic pathology and autopsy research widely.