Skip to main content
Erschienen in: La radiologia medica 9/2015

01.09.2015 | ETHICS AND FORENSIC RADIOLOGY

Postmortem-computed tomography and postmortem-computed tomography–angiography: a focused update

verfasst von: Francesco Paolo Busardò, Paola Frati, Giuseppe Guglielmi, Giampaolo Grilli, Antonio Pinto, Antonio Rotondo, Valeria Panebianco, Vittorio Fineschi

Erschienen in: La radiologia medica | Ausgabe 9/2015

Einloggen, um Zugang zu erhalten

Abstract

The use of multidetector CT (MDCT) represents a reality routinely used in several forensic institutes, for the numerous advantages that this diagnostic tool can provide; costs are becoming increasingly lower; data acquisition is always faster and once acquired may be revalued at any time. However, there are also some diagnostic limitations, for example, the visualization of the vascular system or a limited soft tissue contrast. In order to overcome these limitations, in recent years, contrast medium has been introduced in postmortem cases, with the development of several techniques of PMCT angiography (PMCTA) and standardized protocols to make them easily reproducible. The aim of this review is to highlight the advantages and pitfalls of PMCT and PMCTA in forensic investigation, taking into consideration the broad spectrum of applications both for natural and unnatural deaths and the numerous methods currently used. Secondly, in the light of the considerable progress in this field and the attempt to develop standardized protocols of PMCTA, the authors aim to evaluate the diagnostic value of PMCTA in comparison both to PMCT and conventional autopsy.
Literatur
1.
Zurück zum Zitat Eckert WG, Garland N (1984) The history of the forensic applications in radiology. Am J Forensic Med Pathol 5:53–56CrossRefPubMed Eckert WG, Garland N (1984) The history of the forensic applications in radiology. Am J Forensic Med Pathol 5:53–56CrossRefPubMed
2.
Zurück zum Zitat Roberts IS, Benamore RE, Benbow EW, Lee SH, Harris JN, Jackson A, Mallett S, Patankar T, Peebles C, Roobottom C, Traill ZC (2012) Post-mortem imaging as an alternative to autopsy in the diagnosis of adult deaths: a validation study. Lancet 379:136–142PubMedCentralCrossRefPubMed Roberts IS, Benamore RE, Benbow EW, Lee SH, Harris JN, Jackson A, Mallett S, Patankar T, Peebles C, Roobottom C, Traill ZC (2012) Post-mortem imaging as an alternative to autopsy in the diagnosis of adult deaths: a validation study. Lancet 379:136–142PubMedCentralCrossRefPubMed
3.
Zurück zum Zitat Wichmann D, Obbelode F, Vogel H, Hoepker WW, Nierhaus A, Braune S, Sauter G, Pueschel K, Kluge S (2012) Virtual autopsy as an alternative to traditional medical autopsy in the intensive care unit: a prospective cohort study. Ann Intern Med 156:123–130CrossRefPubMed Wichmann D, Obbelode F, Vogel H, Hoepker WW, Nierhaus A, Braune S, Sauter G, Pueschel K, Kluge S (2012) Virtual autopsy as an alternative to traditional medical autopsy in the intensive care unit: a prospective cohort study. Ann Intern Med 156:123–130CrossRefPubMed
4.
Zurück zum Zitat Krantz P, Holtås S (1983) Postmortem computed tomography in a diving fatality. J Comput Assist Tomogr 7:132–134CrossRefPubMed Krantz P, Holtås S (1983) Postmortem computed tomography in a diving fatality. J Comput Assist Tomogr 7:132–134CrossRefPubMed
6.
Zurück zum Zitat Jackowski C, Sonnenschein M, Thali MJ, Aghayev E, von Allmen G, Yen K, Dirnhofer R, Vock P (2005) Virtopsy: postmortem minimally invasive angiography using cross section techniques—implementation and preliminary results. J Forensic Sci 50:1175–1186CrossRefPubMed Jackowski C, Sonnenschein M, Thali MJ, Aghayev E, von Allmen G, Yen K, Dirnhofer R, Vock P (2005) Virtopsy: postmortem minimally invasive angiography using cross section techniques—implementation and preliminary results. J Forensic Sci 50:1175–1186CrossRefPubMed
7.
Zurück zum Zitat Grabherr S, Gygax E, Sollberger B, Ross S, Oesterhelweg L, Bolliger S, Christe A, Djonov V, Thali MJ, Dirnhofer R (2008) Two-step postmortem angiography with a modified heart-lung machine: preliminary results. AJR Am J Roentgenol 190:345–351CrossRefPubMed Grabherr S, Gygax E, Sollberger B, Ross S, Oesterhelweg L, Bolliger S, Christe A, Djonov V, Thali MJ, Dirnhofer R (2008) Two-step postmortem angiography with a modified heart-lung machine: preliminary results. AJR Am J Roentgenol 190:345–351CrossRefPubMed
8.
Zurück zum Zitat Grabherr S, Doenz F, Steger B, Dirnhofer R, Dominguez A, Sollberger B, Gygax E, Rizzo E, Chevallier C, Meuli R, Mangin P (2011) Multi-phase post-mortem CT angiography: development of a standardized protocol. Int J Legal Med 125:791–802CrossRefPubMed Grabherr S, Doenz F, Steger B, Dirnhofer R, Dominguez A, Sollberger B, Gygax E, Rizzo E, Chevallier C, Meuli R, Mangin P (2011) Multi-phase post-mortem CT angiography: development of a standardized protocol. Int J Legal Med 125:791–802CrossRefPubMed
9.
Zurück zum Zitat Pomara C, Bello S, Grilli G, Guglielmi G, Turillazzi E (2014) Multi-phase postmortem CT angiography (MPMCTA): a new axillary approach suitable in fatal thromboembolism. Radiol Med. doi:10.1007/s11547-014-0467-z PubMed Pomara C, Bello S, Grilli G, Guglielmi G, Turillazzi E (2014) Multi-phase postmortem CT angiography (MPMCTA): a new axillary approach suitable in fatal thromboembolism. Radiol Med. doi:10.​1007/​s11547-014-0467-z PubMed
10.
Zurück zum Zitat Jackowski C, Bolliger S, Aghayev E, Christe A, Kilchoer T, Aebi B, Périnat T, Dirnhofer R, Thali MJ (2006) Reduction of postmortem angiography-induced tissue edema by using polyethylene glycol as a contrast agent dissolver. J Forensic Sci 51:1134–1137CrossRefPubMed Jackowski C, Bolliger S, Aghayev E, Christe A, Kilchoer T, Aebi B, Périnat T, Dirnhofer R, Thali MJ (2006) Reduction of postmortem angiography-induced tissue edema by using polyethylene glycol as a contrast agent dissolver. J Forensic Sci 51:1134–1137CrossRefPubMed
11.
Zurück zum Zitat Jackowski C, Persson A, Thali MJ (2008) Whole body postmortem angiography with a high viscosity contrast agent solution using polyethylene glycol as contrast agent dissolver. J Forensic Sci 53:465–468CrossRefPubMed Jackowski C, Persson A, Thali MJ (2008) Whole body postmortem angiography with a high viscosity contrast agent solution using polyethylene glycol as contrast agent dissolver. J Forensic Sci 53:465–468CrossRefPubMed
12.
Zurück zum Zitat Ross S, Spendlove D, Bolliger S, Christe A, Oesterhelweg L, Grabherr S, Thali MJ, Gygax E (2008) Postmortem whole-body CT angiography: evaluation of two contrast media solutions. AJR Am J Roentgenol 190:1380–1389CrossRefPubMed Ross S, Spendlove D, Bolliger S, Christe A, Oesterhelweg L, Grabherr S, Thali MJ, Gygax E (2008) Postmortem whole-body CT angiography: evaluation of two contrast media solutions. AJR Am J Roentgenol 190:1380–1389CrossRefPubMed
13.
Zurück zum Zitat Iizuka K, Sakamoto M, Kawasaki H, Miyoshi T, Komatsuzaki A, Kikuchi S (2009) Examination of the usefulness of the contrast-enhanced Post mortem CT imaging diagnosis. Innervision 24:89–92 Iizuka K, Sakamoto M, Kawasaki H, Miyoshi T, Komatsuzaki A, Kikuchi S (2009) Examination of the usefulness of the contrast-enhanced Post mortem CT imaging diagnosis. Innervision 24:89–92
14.
Zurück zum Zitat Sakamoto N, Senoo S, Kamimura Y, Uemura K (2009) Case report: cardiopulmonary arrest on arrival case which underwent contrast-enhanced postmortem CT. J Jap Assoc Acute Med 30:114–115 Sakamoto N, Senoo S, Kamimura Y, Uemura K (2009) Case report: cardiopulmonary arrest on arrival case which underwent contrast-enhanced postmortem CT. J Jap Assoc Acute Med 30:114–115
15.
Zurück zum Zitat Jolibert M, Cohen F, Bartoli C, Boval C, Vidal V, Gaubert JY, Moulin G, Petit P, Bartoli JM, Leonetti G, Gorincour G (2011) Postmortem CT-angiography: feasibility of US-guided vascular access. J Radiol 92:446–449CrossRefPubMed Jolibert M, Cohen F, Bartoli C, Boval C, Vidal V, Gaubert JY, Moulin G, Petit P, Bartoli JM, Leonetti G, Gorincour G (2011) Postmortem CT-angiography: feasibility of US-guided vascular access. J Radiol 92:446–449CrossRefPubMed
16.
Zurück zum Zitat Becker CD, Poletti PA (2005) The trauma concept: the role of MDCT in the diagnosis and management of visceral injuries. Eur Radiol 15(Suppl 4):D105–D109CrossRefPubMed Becker CD, Poletti PA (2005) The trauma concept: the role of MDCT in the diagnosis and management of visceral injuries. Eur Radiol 15(Suppl 4):D105–D109CrossRefPubMed
17.
Zurück zum Zitat Scalici E, Indorato F, Portelli F, Savì T, Maresi E, Busardò FP (2014) A fatal iatrogenic right vertebral injury after transoral odontoidectomy and posterior cervical stabilization for a type II odontoid fracture. J Forensic Leg Med 22:41–44CrossRefPubMed Scalici E, Indorato F, Portelli F, Savì T, Maresi E, Busardò FP (2014) A fatal iatrogenic right vertebral injury after transoral odontoidectomy and posterior cervical stabilization for a type II odontoid fracture. J Forensic Leg Med 22:41–44CrossRefPubMed
18.
Zurück zum Zitat Busardò FP, Frati P, Carbone I, Pugnetti P, Fineschi V (2015) Iatrogenic left common iliac artery and vein perforation during lumbar discectomy: a fatal case. Forensic Sci Int 246:e7–e11CrossRefPubMed Busardò FP, Frati P, Carbone I, Pugnetti P, Fineschi V (2015) Iatrogenic left common iliac artery and vein perforation during lumbar discectomy: a fatal case. Forensic Sci Int 246:e7–e11CrossRefPubMed
19.
Zurück zum Zitat Nguyen D, Platon A, Shanmuganathan K, Mirvis SE, Becker CD, Poletti PA (2009) Evaluation of single-pass continuous whole-body 16-MDCT protocol for patients with polytrauma. AJR Am J Roentgenol 192:3–10CrossRefPubMed Nguyen D, Platon A, Shanmuganathan K, Mirvis SE, Becker CD, Poletti PA (2009) Evaluation of single-pass continuous whole-body 16-MDCT protocol for patients with polytrauma. AJR Am J Roentgenol 192:3–10CrossRefPubMed
20.
Zurück zum Zitat Ruder TD, Ketterer T, Preiss U, Bolliger M, Ross S, Gotsmy WF, Ampanozi G, Germerott T, Thali MJ, Hatch GM (2011) Suicidal knife wound to the heart: challenges in reconstructing wound channels with post-mortem CT and CT-angiography. Leg Med (Tokyo) 13:91–94CrossRef Ruder TD, Ketterer T, Preiss U, Bolliger M, Ross S, Gotsmy WF, Ampanozi G, Germerott T, Thali MJ, Hatch GM (2011) Suicidal knife wound to the heart: challenges in reconstructing wound channels with post-mortem CT and CT-angiography. Leg Med (Tokyo) 13:91–94CrossRef
21.
Zurück zum Zitat Kominato Y, Fujikura T, Hata Y, Matsui K, Takizawa H (2004) A case of postoperative hemorrhage after a hysterectomy in which a bleeding point of the left uterine artery was identified by postmortem angiography. Leg Med (Tokyo) 6:187–189CrossRef Kominato Y, Fujikura T, Hata Y, Matsui K, Takizawa H (2004) A case of postoperative hemorrhage after a hysterectomy in which a bleeding point of the left uterine artery was identified by postmortem angiography. Leg Med (Tokyo) 6:187–189CrossRef
22.
Zurück zum Zitat Michaud K, Grabherr S, Doenz F, Mangin P (2012) Evaluation of postmortem MDCT and MDCT-angiography for the investigation of sudden death related atherosclerotic coronary artery disease. Int J Cardiovasc Imaging 28:1807–1822CrossRefPubMed Michaud K, Grabherr S, Doenz F, Mangin P (2012) Evaluation of postmortem MDCT and MDCT-angiography for the investigation of sudden death related atherosclerotic coronary artery disease. Int J Cardiovasc Imaging 28:1807–1822CrossRefPubMed
23.
Zurück zum Zitat Palmiere C, Binaghi S, Doenz F, Bize P, Chevallier C, Mangin P, Grabherr S (2012) Detection of hemorrhage source: the diagnostic value of post-mortem CT-angiography. Forensic Sci Int 222:33–39CrossRefPubMed Palmiere C, Binaghi S, Doenz F, Bize P, Chevallier C, Mangin P, Grabherr S (2012) Detection of hemorrhage source: the diagnostic value of post-mortem CT-angiography. Forensic Sci Int 222:33–39CrossRefPubMed
24.
Zurück zum Zitat Pomara C, Bello S, Serinelli S, Fineschi V (2015) A rare and lethal case of right common carotid pseudoaneurysm following whiplash trauma. Forensic Sci Med Pathol 11:69–73CrossRefPubMed Pomara C, Bello S, Serinelli S, Fineschi V (2015) A rare and lethal case of right common carotid pseudoaneurysm following whiplash trauma. Forensic Sci Med Pathol 11:69–73CrossRefPubMed
25.
Zurück zum Zitat Inokuchi G, Yajima D, Hayakawa M, Motomura A, Chiba F, Torimitsu S, Makino Y, Iwase H (2014) Postmortem dynamic cerebral angiography for detecting aneurysm and bleeding sites in cases of subarachnoid hemorrhage. Forensic Sci Med Pathol 10:487–495CrossRefPubMed Inokuchi G, Yajima D, Hayakawa M, Motomura A, Chiba F, Torimitsu S, Makino Y, Iwase H (2014) Postmortem dynamic cerebral angiography for detecting aneurysm and bleeding sites in cases of subarachnoid hemorrhage. Forensic Sci Med Pathol 10:487–495CrossRefPubMed
26.
Zurück zum Zitat Aghayev E, Thali M, Jackowski C, Sonnenschein M, Yen K, Vock P, Dirnhofer R (2004) Virtopsy—fatal motor vehicle accident with head injury. J Forensic Sci 49:809–813CrossRefPubMed Aghayev E, Thali M, Jackowski C, Sonnenschein M, Yen K, Vock P, Dirnhofer R (2004) Virtopsy—fatal motor vehicle accident with head injury. J Forensic Sci 49:809–813CrossRefPubMed
27.
Zurück zum Zitat Ikegaya H, Yajima D, Iwase H (2008) Vertebral artery rupture in a sudden death case after mild trauma. Am J Forensic Med Pathol 29:276–278CrossRefPubMed Ikegaya H, Yajima D, Iwase H (2008) Vertebral artery rupture in a sudden death case after mild trauma. Am J Forensic Med Pathol 29:276–278CrossRefPubMed
28.
Zurück zum Zitat Lardi C, Lobrinus JA, Doenz F, Fracasso T, Augsburger M, Mangin P, Grabherr S (2014) Acute aortic dissection with carotid and coronary malperfusion: from imaging to pathology. Am J Forensic Med Pathol 35:157–162CrossRefPubMed Lardi C, Lobrinus JA, Doenz F, Fracasso T, Augsburger M, Mangin P, Grabherr S (2014) Acute aortic dissection with carotid and coronary malperfusion: from imaging to pathology. Am J Forensic Med Pathol 35:157–162CrossRefPubMed
29.
Zurück zum Zitat Fleischmann D, Mitchell RS, Miller DC (2008) Acute aortic syndromes: new insights from electrocardiographically gated computed tomography. Semin Thorac Cardiovasc Surg 20:340–347CrossRefPubMed Fleischmann D, Mitchell RS, Miller DC (2008) Acute aortic syndromes: new insights from electrocardiographically gated computed tomography. Semin Thorac Cardiovasc Surg 20:340–347CrossRefPubMed
30.
Zurück zum Zitat Hiratzka LF, Bakris GL, Beckman JA et al (2010) Guidelines for the diagnosis and management of patients with thoracic aortic disease: executive summary. JACC 55:1509–1544CrossRef Hiratzka LF, Bakris GL, Beckman JA et al (2010) Guidelines for the diagnosis and management of patients with thoracic aortic disease: executive summary. JACC 55:1509–1544CrossRef
31.
Zurück zum Zitat Hagan PG, Nienaber CA, Isselbacher EM et al (2000) The international registry of acute aortic dissection (IRAD): new insights into an old disease. JAMA 283:897–903CrossRefPubMed Hagan PG, Nienaber CA, Isselbacher EM et al (2000) The international registry of acute aortic dissection (IRAD): new insights into an old disease. JAMA 283:897–903CrossRefPubMed
32.
Zurück zum Zitat Oyama N, Oyama N, Komuro K, Nambu T, Manning WJ, Miyasaka K (2004) Computed tomography and magnetic resonance imaging of the pericardium: anatomy and pathology. Magn Reson Med Sci 3:145–152CrossRefPubMed Oyama N, Oyama N, Komuro K, Nambu T, Manning WJ, Miyasaka K (2004) Computed tomography and magnetic resonance imaging of the pericardium: anatomy and pathology. Magn Reson Med Sci 3:145–152CrossRefPubMed
33.
Zurück zum Zitat Restrepo CS, Lemos DF, Lemos JA, Velasquez E, Diethelm L, Ovella TA, Martinez S, Carrillo J, Moncada R, Klein JS (2007) Imaging findings in cardiac tamponade with emphasis on CT. Radiographics 27:1595–1610CrossRefPubMed Restrepo CS, Lemos DF, Lemos JA, Velasquez E, Diethelm L, Ovella TA, Martinez S, Carrillo J, Moncada R, Klein JS (2007) Imaging findings in cardiac tamponade with emphasis on CT. Radiographics 27:1595–1610CrossRefPubMed
34.
Zurück zum Zitat Ebert LC, Ampanozi G, Ruder TD, Hatch G, Thali MJ, Germerott T (2012) CT based volume measurement and estimation in cases of pericardial effusion. J Forensic Leg Med 19:126–131CrossRefPubMed Ebert LC, Ampanozi G, Ruder TD, Hatch G, Thali MJ, Germerott T (2012) CT based volume measurement and estimation in cases of pericardial effusion. J Forensic Leg Med 19:126–131CrossRefPubMed
35.
Zurück zum Zitat Filograna L, Flach PM, Bolliger SA, Thali MJ (2014) The role of post-mortem CT (PMCT) imaging in the diagnosis of pericardial tamponade due to hemopericardium: a case report. Leg Med Tokyo 16:150–153CrossRefPubMed Filograna L, Flach PM, Bolliger SA, Thali MJ (2014) The role of post-mortem CT (PMCT) imaging in the diagnosis of pericardial tamponade due to hemopericardium: a case report. Leg Med Tokyo 16:150–153CrossRefPubMed
36.
Zurück zum Zitat Filograna L, Hatch G, Ruder T, Ross SG, Bolliger SA, Thali MJ (2013) The role of post-mortem imaging in a case of sudden death due to ascending aorta aneurysm rupture. Forensic Sci Int 228:e76–e80CrossRefPubMed Filograna L, Hatch G, Ruder T, Ross SG, Bolliger SA, Thali MJ (2013) The role of post-mortem imaging in a case of sudden death due to ascending aorta aneurysm rupture. Forensic Sci Int 228:e76–e80CrossRefPubMed
37.
Zurück zum Zitat Huang P, Wan L, Qin Z, Zhang J, Liu N, Zou D, Chen Y (2012) Post-mortem MSCT diagnosis of acute pericardial tamponade caused by blunt trauma to the chest in a motor-vehicle collision. Rom J Leg Med 20:117–122CrossRef Huang P, Wan L, Qin Z, Zhang J, Liu N, Zou D, Chen Y (2012) Post-mortem MSCT diagnosis of acute pericardial tamponade caused by blunt trauma to the chest in a motor-vehicle collision. Rom J Leg Med 20:117–122CrossRef
38.
Zurück zum Zitat Shiotani S, Watanabe K, Kohno M, Ohashi N, Yamazaki K, Nakayama H (2004) Postmortem computed tomographic (PMCT) findings of pericardial effusion due to acute aortic dissection. Radiat Med 22:405–407PubMed Shiotani S, Watanabe K, Kohno M, Ohashi N, Yamazaki K, Nakayama H (2004) Postmortem computed tomographic (PMCT) findings of pericardial effusion due to acute aortic dissection. Radiat Med 22:405–407PubMed
39.
Zurück zum Zitat Bello S, Neri M, Grilli G, Pascale N, Pomara C, Riezzo I, Turillazzi E, Fineschi V (2014) Multi-phase post-mortem ct-angiography (MPMCTA) is a very significant tool to explain cardiovascular pathologies. A sudden cardiac death case. Exp Clin Cardiol 20:1419–1430 Bello S, Neri M, Grilli G, Pascale N, Pomara C, Riezzo I, Turillazzi E, Fineschi V (2014) Multi-phase post-mortem ct-angiography (MPMCTA) is a very significant tool to explain cardiovascular pathologies. A sudden cardiac death case. Exp Clin Cardiol 20:1419–1430
40.
Zurück zum Zitat Chugh SS, Reinier K, Teodorescu C, Evanado A, Kehr E, Al Samara M, Mariani R, Gunson K, Jui J (2008) Epidemiology of sudden cardiac death: clinical and research implications. Prog Cardiovasc Dis 51:213–228PubMedCentralCrossRefPubMed Chugh SS, Reinier K, Teodorescu C, Evanado A, Kehr E, Al Samara M, Mariani R, Gunson K, Jui J (2008) Epidemiology of sudden cardiac death: clinical and research implications. Prog Cardiovasc Dis 51:213–228PubMedCentralCrossRefPubMed
41.
Zurück zum Zitat Saunders SL, Morgan B, Raj V, Robinson CE, Rutty GN (2011) Targeted post-mortem computed tomography cardiac angiography: proof of concept. Int J Legal Med 125:609–616CrossRefPubMed Saunders SL, Morgan B, Raj V, Robinson CE, Rutty GN (2011) Targeted post-mortem computed tomography cardiac angiography: proof of concept. Int J Legal Med 125:609–616CrossRefPubMed
42.
Zurück zum Zitat Roberts IS, Benamore RE, Peebles C, Roobottom C, Traill ZC (2011) Technical report: diagnosis of coronary artery disease using minimally invasive autopsy: evaluation of a novel method of post-mortem coronary CT angiography. Clin Radiol 66:645–650CrossRefPubMed Roberts IS, Benamore RE, Peebles C, Roobottom C, Traill ZC (2011) Technical report: diagnosis of coronary artery disease using minimally invasive autopsy: evaluation of a novel method of post-mortem coronary CT angiography. Clin Radiol 66:645–650CrossRefPubMed
43.
Zurück zum Zitat Michaud K, Grabherr S, Jackowski C, Bollmann MD, Doenz F, Mangin P (2014) Postmortem imaging of sudden cardiac death. Int J Legal Med 128:127–137CrossRefPubMed Michaud K, Grabherr S, Jackowski C, Bollmann MD, Doenz F, Mangin P (2014) Postmortem imaging of sudden cardiac death. Int J Legal Med 128:127–137CrossRefPubMed
44.
Zurück zum Zitat Jeffery AJ (2010) The role of computed tomography in adult post-mortem examinations: an overview. Diagn Histopathol 16:546–551CrossRef Jeffery AJ (2010) The role of computed tomography in adult post-mortem examinations: an overview. Diagn Histopathol 16:546–551CrossRef
45.
Zurück zum Zitat O’Donnell C (2010) An image of sudden death: utility of routine post-mortem computed tomography scanning in medico-legal autopsy practice. Diagn Histopathol 16:552–555CrossRef O’Donnell C (2010) An image of sudden death: utility of routine post-mortem computed tomography scanning in medico-legal autopsy practice. Diagn Histopathol 16:552–555CrossRef
46.
Zurück zum Zitat Weustink AC, Hunink MGM, van Dijke CF, Renken NS, Krestin GP, Oosterhuis JW (2009) Minimally invasive autopsy: an alternative to conventional autopsy? Radiology 250:897–904CrossRefPubMed Weustink AC, Hunink MGM, van Dijke CF, Renken NS, Krestin GP, Oosterhuis JW (2009) Minimally invasive autopsy: an alternative to conventional autopsy? Radiology 250:897–904CrossRefPubMed
47.
Zurück zum Zitat Oudkerk M, Stillman A, Halliburton S, Kalender W, Mohlenkamp S, McCollough C, Vliegenthart R, Shaw L, Stanford W, Taylor A, van Ooijen P, Wexler L, Raggi P (2008) Coronary artery calcium screening: current status and recommendations from the European society of cardiac radiology and North American society for cardiovascularimaging. Int J Cardiovasc Imaging 24:645–671PubMedCentralCrossRefPubMed Oudkerk M, Stillman A, Halliburton S, Kalender W, Mohlenkamp S, McCollough C, Vliegenthart R, Shaw L, Stanford W, Taylor A, van Ooijen P, Wexler L, Raggi P (2008) Coronary artery calcium screening: current status and recommendations from the European society of cardiac radiology and North American society for cardiovascularimaging. Int J Cardiovasc Imaging 24:645–671PubMedCentralCrossRefPubMed
48.
Zurück zum Zitat Sanz J, Moreno PR, Fuster V (2010) The year in atherothrombosis. J Am Coll Cardiol 55:1487–1498CrossRefPubMed Sanz J, Moreno PR, Fuster V (2010) The year in atherothrombosis. J Am Coll Cardiol 55:1487–1498CrossRefPubMed
49.
Zurück zum Zitat Palmiere C, Lobrinus JA, Mangin P, Grabherr S (2013) Detection of coronary thrombosis after multi-phase postmortem CT-angiography. Leg Med (Tokyo) 15:12–18CrossRef Palmiere C, Lobrinus JA, Mangin P, Grabherr S (2013) Detection of coronary thrombosis after multi-phase postmortem CT-angiography. Leg Med (Tokyo) 15:12–18CrossRef
50.
Zurück zum Zitat Tsokos M (2005) Forensic pathology reviews, vol 3. Humana Press Inc., Totowa, p 286CrossRef Tsokos M (2005) Forensic pathology reviews, vol 3. Humana Press Inc., Totowa, p 286CrossRef
51.
Zurück zum Zitat Consensus-Conference (2002) College of American pathologists consensus conference XXXVI: diagnostic issues in thrombophilia. Arch Pathol Lab Med 126:1277–1433 Consensus-Conference (2002) College of American pathologists consensus conference XXXVI: diagnostic issues in thrombophilia. Arch Pathol Lab Med 126:1277–1433
52.
Zurück zum Zitat Wood KE (2002) Major pulmonary embolism: review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest 121:877–905CrossRefPubMed Wood KE (2002) Major pulmonary embolism: review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest 121:877–905CrossRefPubMed
53.
Zurück zum Zitat White RH (2003) The epidemiology of venous thromboembolism. Circulation 107:14–18CrossRef White RH (2003) The epidemiology of venous thromboembolism. Circulation 107:14–18CrossRef
54.
Zurück zum Zitat Burke MP, Bedford P, Baber Y (2014) Can forensic pathologists diagnose pulmonary thromboembolism on postmortem computed tomography pulmonary angiography? Am J Forensic Med Pathol 35:124–131CrossRefPubMed Burke MP, Bedford P, Baber Y (2014) Can forensic pathologists diagnose pulmonary thromboembolism on postmortem computed tomography pulmonary angiography? Am J Forensic Med Pathol 35:124–131CrossRefPubMed
55.
Zurück zum Zitat Kikuchi K, Kawahara K, Tsuji C, Tajima Y et al (2010) Post mortem contrast-enhanced computed tomography in a case of sudden death from acute pulmonary thromboembolism. Exp Ther Med 1:503–505 Kikuchi K, Kawahara K, Tsuji C, Tajima Y et al (2010) Post mortem contrast-enhanced computed tomography in a case of sudden death from acute pulmonary thromboembolism. Exp Ther Med 1:503–505
56.
Zurück zum Zitat Vogel B, Heinemann A, Gehl A, Hasegawa I, Höpker WW, Poodendaen C, Tzikas A, Gulbins H, Reichenspurner H, Püschel K, Vogel H (2013) Post-mortem computed tomography (PMCT) and PMCT-angiography after transvascular cardiac interventions. Arch Med Sadowej Kryminol. 63:255–266PubMed Vogel B, Heinemann A, Gehl A, Hasegawa I, Höpker WW, Poodendaen C, Tzikas A, Gulbins H, Reichenspurner H, Püschel K, Vogel H (2013) Post-mortem computed tomography (PMCT) and PMCT-angiography after transvascular cardiac interventions. Arch Med Sadowej Kryminol. 63:255–266PubMed
57.
Zurück zum Zitat Vogel B, Heinemann A, Tzikas A, Poodendaen C, Gulbins H, Reichenspurner H, Püschel K, Vogel H (2013) Post-mortem computed tomography (PMCT) and PMCT-angiography after cardiac surgery. Possibilities and limits. Arch Med Sadowej Kryminol 63:155–171PubMed Vogel B, Heinemann A, Tzikas A, Poodendaen C, Gulbins H, Reichenspurner H, Püschel K, Vogel H (2013) Post-mortem computed tomography (PMCT) and PMCT-angiography after cardiac surgery. Possibilities and limits. Arch Med Sadowej Kryminol 63:155–171PubMed
58.
Zurück zum Zitat Sogawa N, Michiue T, Ishikawa T, Kawamoto O, Oritani S, Maeda H (2014) Postmortem volumetric CT data analysis of pulmonary air/gas content with regard to the cause of death for investigating terminal respiratory function in forensic autopsy. Forensic Sci Int 241:112–117CrossRefPubMed Sogawa N, Michiue T, Ishikawa T, Kawamoto O, Oritani S, Maeda H (2014) Postmortem volumetric CT data analysis of pulmonary air/gas content with regard to the cause of death for investigating terminal respiratory function in forensic autopsy. Forensic Sci Int 241:112–117CrossRefPubMed
59.
Zurück zum Zitat Maiese A, Gitto L, dell’Aquila M, Bolino G (2014) When the hidden features become evident: the usefulness of PMCT in a strangulation-related death. Leg Med (Tokyo) 16:364–366CrossRef Maiese A, Gitto L, dell’Aquila M, Bolino G (2014) When the hidden features become evident: the usefulness of PMCT in a strangulation-related death. Leg Med (Tokyo) 16:364–366CrossRef
60.
Zurück zum Zitat Oshima T, Hayashida M, Ohtani M, Hashimoto M, Takahashi S, Ishiyama K, Otani T, Koga M, Sugawara M, Mimasaka S (2014) Spinal hyperostosis as an important sign indicating spine injuries on postmortem computed tomography. Leg Med (Tokyo) 16:197–200CrossRef Oshima T, Hayashida M, Ohtani M, Hashimoto M, Takahashi S, Ishiyama K, Otani T, Koga M, Sugawara M, Mimasaka S (2014) Spinal hyperostosis as an important sign indicating spine injuries on postmortem computed tomography. Leg Med (Tokyo) 16:197–200CrossRef
61.
Zurück zum Zitat Maiese A, Gitto L, De Matteis A, Panebianco V, Bolino G (2014) Post mortem computed tomography: useful or unnecessary in gunshot wounds deaths? Two case reports. Leg Med (Tokyo) 16:357–363CrossRef Maiese A, Gitto L, De Matteis A, Panebianco V, Bolino G (2014) Post mortem computed tomography: useful or unnecessary in gunshot wounds deaths? Two case reports. Leg Med (Tokyo) 16:357–363CrossRef
62.
Zurück zum Zitat Lee WI, Lee J, Bassed R, O’Donnell C (2014) Post-mortem CT findings in a case of necrotizing cellulitis of the floor of the mouth (Ludwig angina). Forensic Sci Med Pathol 10:109–113CrossRefPubMed Lee WI, Lee J, Bassed R, O’Donnell C (2014) Post-mortem CT findings in a case of necrotizing cellulitis of the floor of the mouth (Ludwig angina). Forensic Sci Med Pathol 10:109–113CrossRefPubMed
63.
Zurück zum Zitat Lo Re G, Vernuccio F, Galfano MC, Picone D, Milone L, La Tona G, Argo A, Zerbo S, Salerno S, Procaccianti P, Midiri M, Lagalla R (2014) Role of virtopsy in the post-mortem diagnosis of drowning. Radiol Med. doi:10.1007/s11547-014-0438-4 Lo Re G, Vernuccio F, Galfano MC, Picone D, Milone L, La Tona G, Argo A, Zerbo S, Salerno S, Procaccianti P, Midiri M, Lagalla R (2014) Role of virtopsy in the post-mortem diagnosis of drowning. Radiol Med. doi:10.​1007/​s11547-014-0438-4
65.
Zurück zum Zitat Flach PM, Egli TC, Bolliger SA, Berger N, Ampanozi G, Thali MJ, Schweitzer W (2014) “Blind spots” in forensic autopsy: improved detection of retrobulbar hemorrhage and orbital lesions by postmortem computed tomography (PMCT). Leg Med (Tokyo) 16:274–282CrossRef Flach PM, Egli TC, Bolliger SA, Berger N, Ampanozi G, Thali MJ, Schweitzer W (2014) “Blind spots” in forensic autopsy: improved detection of retrobulbar hemorrhage and orbital lesions by postmortem computed tomography (PMCT). Leg Med (Tokyo) 16:274–282CrossRef
66.
Zurück zum Zitat Sieswerda-Hoogendoorn T, Soerdjbalie-Maikoe V, Maes A, van Rijn RR (2013) The value of post-mortem CT in neonaticide in case of severe decomposition: description of 12 cases. Forensic Sci Int 233:298–303CrossRefPubMed Sieswerda-Hoogendoorn T, Soerdjbalie-Maikoe V, Maes A, van Rijn RR (2013) The value of post-mortem CT in neonaticide in case of severe decomposition: description of 12 cases. Forensic Sci Int 233:298–303CrossRefPubMed
67.
Zurück zum Zitat Schulze C, Hoppe H, Schweitzer W, Schwendener N, Grabherr S, Jackowski C (2013) Rib fractures at postmortem computed tomography (PMCT) validated against the autopsy. Forensic Sci Int 233:90–98CrossRefPubMed Schulze C, Hoppe H, Schweitzer W, Schwendener N, Grabherr S, Jackowski C (2013) Rib fractures at postmortem computed tomography (PMCT) validated against the autopsy. Forensic Sci Int 233:90–98CrossRefPubMed
68.
Zurück zum Zitat Noda Y, Yoshimura K, Tsuji S, Ohashi A, Kawasaki H, Kaneko K, Ikeda S, Kurokawa H, Tanigawa N (2013) Postmortem computed tomography imaging in the investigation of nontraumatic death in infants and children. Biomed Res Int 2013:327903PubMedCentralCrossRefPubMed Noda Y, Yoshimura K, Tsuji S, Ohashi A, Kawasaki H, Kaneko K, Ikeda S, Kurokawa H, Tanigawa N (2013) Postmortem computed tomography imaging in the investigation of nontraumatic death in infants and children. Biomed Res Int 2013:327903PubMedCentralCrossRefPubMed
69.
Zurück zum Zitat Daly B, Abboud S, Ali Z, Sliker C, Fowler D (2013) Comparison of whole-body post mortem 3D CT and autopsy evaluation in accidental blunt force traumatic death using the abbreviated injury scale classification. Forensic Sci Int 225:20–26CrossRefPubMed Daly B, Abboud S, Ali Z, Sliker C, Fowler D (2013) Comparison of whole-body post mortem 3D CT and autopsy evaluation in accidental blunt force traumatic death using the abbreviated injury scale classification. Forensic Sci Int 225:20–26CrossRefPubMed
70.
Zurück zum Zitat Sano R, Hirasawa S, Awata S, Kobayashi S, Shimada T, Takei H, Takahashi Y, Kominato Y (2013) Use of postmortem computed tomography to reveal acute subdural hematoma in a severely decomposed body with advanced skeletonization. Leg Med (Tokyo) 15:32–34CrossRef Sano R, Hirasawa S, Awata S, Kobayashi S, Shimada T, Takei H, Takahashi Y, Kominato Y (2013) Use of postmortem computed tomography to reveal acute subdural hematoma in a severely decomposed body with advanced skeletonization. Leg Med (Tokyo) 15:32–34CrossRef
71.
Zurück zum Zitat Makino Y, Shimofusa R, Hayakawa M, Yajima D, Inokuchi G, Motomura A, Iwase H (2013) Massive gas embolism revealed by two consecutive postmortem computed-tomography examinations. Forensic Sci Int 231:e4–e10CrossRefPubMed Makino Y, Shimofusa R, Hayakawa M, Yajima D, Inokuchi G, Motomura A, Iwase H (2013) Massive gas embolism revealed by two consecutive postmortem computed-tomography examinations. Forensic Sci Int 231:e4–e10CrossRefPubMed
72.
Zurück zum Zitat Ampanozi G, Schwendener N, Krauskopf A, Thali MJ, Bartsch C (2013) Incidental occult gunshot wound detected by postmortem computed tomography. Forensic Sci Med Pathol 9:68–72CrossRefPubMed Ampanozi G, Schwendener N, Krauskopf A, Thali MJ, Bartsch C (2013) Incidental occult gunshot wound detected by postmortem computed tomography. Forensic Sci Med Pathol 9:68–72CrossRefPubMed
73.
Zurück zum Zitat Okuda T, Shiotani S, Hayakawa H, Kikuchi K, Kobayashi T, Ohno Y (2013) A case of fatal cervical discoligamentous hyperextension injury without fracture: correlation of postmortem imaging and autopsy findings. Forensic Sci Int 225:71–74CrossRefPubMed Okuda T, Shiotani S, Hayakawa H, Kikuchi K, Kobayashi T, Ohno Y (2013) A case of fatal cervical discoligamentous hyperextension injury without fracture: correlation of postmortem imaging and autopsy findings. Forensic Sci Int 225:71–74CrossRefPubMed
74.
Zurück zum Zitat Bin Abdul Rashid SN, Krauskopf A, Vonlanthen B, Thali MJ, Ruder TD (2013) Sudden death in a case of sickle cell anemia: post-mortem computed tomography and autopsy correlation from a radiologist’s perspective. Leg Med (Tokyo) 15:213–216CrossRef Bin Abdul Rashid SN, Krauskopf A, Vonlanthen B, Thali MJ, Ruder TD (2013) Sudden death in a case of sickle cell anemia: post-mortem computed tomography and autopsy correlation from a radiologist’s perspective. Leg Med (Tokyo) 15:213–216CrossRef
75.
Zurück zum Zitat Bin Abdul Rashid SN, Rahim AS, Thali MJ, Flach PM (2013) Death by ‘ice’: fatal methamphetamine intoxication of a body packer case detected by postmortem computed tomography (PMCT) and validated by autopsy. Forensic Sci Med Pathol 9:82–87CrossRefPubMed Bin Abdul Rashid SN, Rahim AS, Thali MJ, Flach PM (2013) Death by ‘ice’: fatal methamphetamine intoxication of a body packer case detected by postmortem computed tomography (PMCT) and validated by autopsy. Forensic Sci Med Pathol 9:82–87CrossRefPubMed
76.
Zurück zum Zitat Fischer F, Grimm J, Kirchhoff C, Reiser MF, Graw M, Kirchhoff S (2012) Postmortem 24-h interval computed tomography findings on intrahepatic gas development and changes of liver parenchyma radiopacity. Forensic Sci Int 214:118–123CrossRefPubMed Fischer F, Grimm J, Kirchhoff C, Reiser MF, Graw M, Kirchhoff S (2012) Postmortem 24-h interval computed tomography findings on intrahepatic gas development and changes of liver parenchyma radiopacity. Forensic Sci Int 214:118–123CrossRefPubMed
77.
Zurück zum Zitat Høyer CB, Nielsen TS, Nagel LL, Uhrenholt L, Boel LW (2012) Investigation of a fatal airplane crash: autopsy, computed tomography, and injury pattern analysis used to determine who was steering the plane at the time of the accident. A case report. Forensic Sci Med Pathol 8:179–188CrossRefPubMed Høyer CB, Nielsen TS, Nagel LL, Uhrenholt L, Boel LW (2012) Investigation of a fatal airplane crash: autopsy, computed tomography, and injury pattern analysis used to determine who was steering the plane at the time of the accident. A case report. Forensic Sci Med Pathol 8:179–188CrossRefPubMed
78.
Zurück zum Zitat Flach PM, Ross SG, Bolliger SA, Ampanozi G, Hatch GM, Schön C, Thali MJ, Germerott T (2012) Massive systemic fat embolism detected by postmortem imaging and biopsy. J Forensic Sci 57:1376–1380CrossRefPubMed Flach PM, Ross SG, Bolliger SA, Ampanozi G, Hatch GM, Schön C, Thali MJ, Germerott T (2012) Massive systemic fat embolism detected by postmortem imaging and biopsy. J Forensic Sci 57:1376–1380CrossRefPubMed
79.
Zurück zum Zitat Ishida M, Gonoi W, Hagiwara K, Takazawa Y, Akahane M, Fukayama M, Ohtomo K (2011) Intravascular gas distribution in the upper abdomen of non-traumatic in-hospital death cases on postmortem computed tomography. Leg Med (Tokyo) 13:174–179CrossRef Ishida M, Gonoi W, Hagiwara K, Takazawa Y, Akahane M, Fukayama M, Ohtomo K (2011) Intravascular gas distribution in the upper abdomen of non-traumatic in-hospital death cases on postmortem computed tomography. Leg Med (Tokyo) 13:174–179CrossRef
80.
Zurück zum Zitat Thali YA, Bolliger SA, Hatch GM, Ampanozi G, Thali MJ, Ruder TD (2011) Death by biscuit—exhumation, post-mortem CT, and revision of the cause of death one year after interment. Leg Med (Tokyo) 13:142–144CrossRef Thali YA, Bolliger SA, Hatch GM, Ampanozi G, Thali MJ, Ruder TD (2011) Death by biscuit—exhumation, post-mortem CT, and revision of the cause of death one year after interment. Leg Med (Tokyo) 13:142–144CrossRef
81.
Zurück zum Zitat Berens S, Ketterer T, Kneubuehl BP, Thali MJ, Ross S, Bolliger SA (2011) A case of homicidal intraoral gunshot and review of the literature Forensic. Sci Med Pathol 7:209–212CrossRef Berens S, Ketterer T, Kneubuehl BP, Thali MJ, Ross S, Bolliger SA (2011) A case of homicidal intraoral gunshot and review of the literature Forensic. Sci Med Pathol 7:209–212CrossRef
82.
Zurück zum Zitat Uhrenholt L, Boel LW (2010) Contributions from forensic imaging to the investigation of upper cervical fractures. J Forensic Sci 55:1598–1602CrossRefPubMed Uhrenholt L, Boel LW (2010) Contributions from forensic imaging to the investigation of upper cervical fractures. J Forensic Sci 55:1598–1602CrossRefPubMed
83.
Zurück zum Zitat Sochor MR, Trowbridge MJ, Boscak A, Maino JC, Maio RF (2008) Postmortem computed tomography as an adjunct to autopsy for analyzing fatal motor vehicle crash injuries: results of a pilot study. J Trauma 65:659–665CrossRefPubMed Sochor MR, Trowbridge MJ, Boscak A, Maino JC, Maio RF (2008) Postmortem computed tomography as an adjunct to autopsy for analyzing fatal motor vehicle crash injuries: results of a pilot study. J Trauma 65:659–665CrossRefPubMed
84.
Zurück zum Zitat Shiotani S, Kohno M, Ohashi N, Yamazaki K, Nakayama H, Watanabe K, Oyake Y, Itai Y (2004) Non-traumatic postmortem computed tomographic (PMCT) findings of the lung. Forensic Sci Int 139:39–48CrossRefPubMed Shiotani S, Kohno M, Ohashi N, Yamazaki K, Nakayama H, Watanabe K, Oyake Y, Itai Y (2004) Non-traumatic postmortem computed tomographic (PMCT) findings of the lung. Forensic Sci Int 139:39–48CrossRefPubMed
85.
Zurück zum Zitat Chevallier C, Doenz F, Vaucher P, Palmiere C, Dominguez A, Binaghi S, Mangin P, Grabherr S (2013) Postmortem computed tomography angiography vs. conventional autopsy: advantages and inconveniences of each method. Int J Legal Med 127:981–989CrossRefPubMed Chevallier C, Doenz F, Vaucher P, Palmiere C, Dominguez A, Binaghi S, Mangin P, Grabherr S (2013) Postmortem computed tomography angiography vs. conventional autopsy: advantages and inconveniences of each method. Int J Legal Med 127:981–989CrossRefPubMed
86.
Zurück zum Zitat Dirnhofer R, Jackowski C, Vock P et al (2006) VIRTOPSY: minimally invasive, imaging-guided virtual autopsy. Radiographics 26(5):1305–1333CrossRefPubMed Dirnhofer R, Jackowski C, Vock P et al (2006) VIRTOPSY: minimally invasive, imaging-guided virtual autopsy. Radiographics 26(5):1305–1333CrossRefPubMed
87.
Zurück zum Zitat Poulsen K, Simonsen J (2007) Computed tomography as a routine in connection with medico-legal autopsies. Forensic Sci Int 171(2–3):190–197CrossRefPubMed Poulsen K, Simonsen J (2007) Computed tomography as a routine in connection with medico-legal autopsies. Forensic Sci Int 171(2–3):190–197CrossRefPubMed
88.
Zurück zum Zitat Flach PM, Gascho D, Schweitzer W, Ruder TD, Berger N, Ross SG, Thali MJ, Ampanozi G (2014) Imaging in forensic radiology: an illustrated guide for postmortem computed tomography technique and protocols. Forensic Sci Med Pathol 10:583–606CrossRefPubMed Flach PM, Gascho D, Schweitzer W, Ruder TD, Berger N, Ross SG, Thali MJ, Ampanozi G (2014) Imaging in forensic radiology: an illustrated guide for postmortem computed tomography technique and protocols. Forensic Sci Med Pathol 10:583–606CrossRefPubMed
89.
Zurück zum Zitat Bruguier C, Mosimann PJ, Vaucher P, Uské A, Doenz F, Jackowski C, Mangin P, Grabherr S (2013) Multi-phase postmortem CT angiography: recognizing technique-related artefacts and pitfalls. Int J Legal Med 127:639–652CrossRefPubMed Bruguier C, Mosimann PJ, Vaucher P, Uské A, Doenz F, Jackowski C, Mangin P, Grabherr S (2013) Multi-phase postmortem CT angiography: recognizing technique-related artefacts and pitfalls. Int J Legal Med 127:639–652CrossRefPubMed
90.
Zurück zum Zitat Pomara C, Fineschi V, Scalzo G, Guglielmi G (2009) Virtopsy versus digital autopsy: virtuous autopsy. Radiol Med 114:1367–1382CrossRefPubMed Pomara C, Fineschi V, Scalzo G, Guglielmi G (2009) Virtopsy versus digital autopsy: virtuous autopsy. Radiol Med 114:1367–1382CrossRefPubMed
Metadaten
Titel
Postmortem-computed tomography and postmortem-computed tomography–angiography: a focused update
verfasst von
Francesco Paolo Busardò
Paola Frati
Giuseppe Guglielmi
Giampaolo Grilli
Antonio Pinto
Antonio Rotondo
Valeria Panebianco
Vittorio Fineschi
Publikationsdatum
01.09.2015
Verlag
Springer Milan
Erschienen in
La radiologia medica / Ausgabe 9/2015
Print ISSN: 0033-8362
Elektronische ISSN: 1826-6983
DOI
https://doi.org/10.1007/s11547-015-0559-4

Weitere Artikel der Ausgabe 9/2015

La radiologia medica 9/2015 Zur Ausgabe

ETHICS AND FORENSIC RADIOLOGY

Errors in neuroradiology

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Wie toxische Männlichkeit der Gesundheit von Männern schadet

08.04.2024 Andrologie Nachrichten

Stark, erfolgreich, allzeit belastbar – das sind Erwartungen, die Jungen und Männer von der Gesellschaft spüren. Das kann sie „toxisch“ werden lassen – und letztlich sogar der Gesundheit schaden, mahnt Dr. Dirk Sander von der Deutschen Aidshilfe.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.