Wan Lei, Zhang Jian-hua, Huang Ping, Ying Chong-liang, Liu Ning-guo, Zhu Guang-you
Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, P.R.China, Shanghai 200063, China.
Fa Yi Xue Za Zhi. 2012 Oct;28(5):379-82.
It is never an easy thing to diagnose heart vascular disease only depending on the unenhanced postmortem computed tomography (PMCT). This article reported a case of sudden natural death after the complaint of anterior chest pain in which coronary artery calcification (CAC) was clearly displayed using PMCT scan. The entire coronary artery system was almost reconstructed via multiplanar reformation (MPR) and volume-rendering reconstruction (VR), and the total calcium score of the coronary arteries was obtained with CaScoring automatic analysis software. The results showed that CAC was conspicuous; the total calcium score was 640.3, considerably higher than 400. The pulmonary ground-glass opacity (GGO) and small amount of fluid both in the subglottic trachea and main bronchi were also found. The imaging results confirmed those of autopsy. In addition, the results concluded that PMCT might serve as an invaluable adjunct to the classic autopsy procedure.
仅依靠未增强的尸体计算机断层扫描（PMCT）来诊断心血管疾病绝非易事。本文报告了一例主诉前胸疼痛后突然自然死亡的病例，其中通过PMCT扫描清晰显示了冠状动脉钙化（CAC）。通过多平面重建（MPR）和容积再现重建（VR）几乎重建了整个冠状动脉系统，并使用CaScoring自动分析软件获得了冠状动脉的总钙化积分。结果显示CAC明显；总钙化积分为640.3，远高于400。还发现了肺磨玻璃影（GGO）以及声门下气管和主支气管内的少量液体。影像学结果与尸检结果一致。此外，结果表明PMCT可能是经典尸检程序的一项非常有价值的辅助手段。
