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儿科与围产期尸检影像学:采用亚专业方法的必要性。

Paediatric and perinatal postmortem imaging: the need for a subspecialty approach.

作者信息

Arthurs Owen J, van Rijn Rick R, Taylor Andrew M, Sebire Neil J

机构信息

Department of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, WC1N 3JH, UK,

出版信息

Pediatr Radiol. 2015 Apr;45(4):483-90. doi: 10.1007/s00247-014-3132-8. Epub 2014 Aug 30.

DOI:10.1007/s00247-014-3132-8
PMID:25172007
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4381088/
Abstract

Paediatric postmortem imaging is distinct and different from adult postmortem imaging due to differences in disease aetiology, pathology and imaging approaches, which require a particular skill set to maximise its yield and clinical utility. Practitioners need to have expertise in several aspects of radiology, including both plain radiographs and cross-sectional imaging modalities, knowledge of specialist techniques, and familiarity with the unique range of pathologies in this patient population, including perinatal pathology. Here we outline the training requirements that should be considered to establish such a service.

摘要

儿科尸检成像由于疾病病因、病理和成像方法的差异,与成人尸检成像不同,这需要一套特定的技能来使其收益和临床效用最大化。从业者需要在放射学的几个方面具备专业知识,包括普通X光片和断层成像模式、专业技术知识,以及熟悉该患者群体独特的病理学范围,包括围产期病理学。在此,我们概述了建立这样一项服务应考虑的培训要求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803a/4381088/284928106c00/247_2014_3132_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803a/4381088/ce721ce1f71c/247_2014_3132_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803a/4381088/d9491de43247/247_2014_3132_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803a/4381088/ada9d54278f3/247_2014_3132_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803a/4381088/284928106c00/247_2014_3132_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803a/4381088/ce721ce1f71c/247_2014_3132_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803a/4381088/d9491de43247/247_2014_3132_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803a/4381088/ada9d54278f3/247_2014_3132_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/803a/4381088/284928106c00/247_2014_3132_Fig4_HTML.jpg

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Post-mortem MRI versus conventional autopsy in fetuses and children: a prospective validation study.胎儿和儿童死后 MRI 与传统尸检的比较:一项前瞻性验证研究。
Lancet. 2013 Jul 20;382(9888):223-33. doi: 10.1016/S0140-6736(13)60134-8. Epub 2013 May 16.
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Perinatal mortality rate in the Netherlands compared to other European countries: a secondary analysis of Euro-PERISTAT data.荷兰与其他欧洲国家的围产儿死亡率比较:对欧洲围产儿统计数据的二次分析。
Midwifery. 2013 Aug;29(8):1011-8. doi: 10.1016/j.midw.2013.02.005. Epub 2013 Apr 10.
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Multi-phase postmortem CT angiography: recognizing technique-related artefacts and pitfalls.
一种基于证据的实用围产期尸检成像方法。
Insights Imaging. 2021 Jul 15;12(1):101. doi: 10.1186/s13244-021-01042-1.
4
Utility of unenhanced postmortem computed tomography for investigation of in-hospital nontraumatic death in children up to 3 years of age at a single Japanese tertiary care hospital.日本一家三级护理医院中,非增强型尸检计算机断层扫描在3岁及以下儿童院内非创伤性死亡调查中的应用
Medicine (Baltimore). 2020 May;99(19):e20130. doi: 10.1097/MD.0000000000020130.
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Maceration determines diagnostic yield of fetal and neonatal whole body post-mortem ultrasound.浸泡时间决定了胎儿和新生儿全身死后超声检查的诊断产量。
Prenat Diagn. 2020 Jan;40(2):232-243. doi: 10.1002/pd.5615. Epub 2019 Nov 29.
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Finite element modelling of the developing infant femur using paired CT and MRI scans.使用配对 CT 和 MRI 扫描对发育中婴儿股骨进行有限元建模。
PLoS One. 2019 Jun 18;14(6):e0218268. doi: 10.1371/journal.pone.0218268. eCollection 2019.
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Pediatric postmortem computed tomography: initial experience at a children's hospital in the United States.儿科尸检后计算机断层扫描:美国一家儿童医院的初步经验。
Pediatr Radiol. 2019 Aug;49(9):1113-1129. doi: 10.1007/s00247-019-04433-1. Epub 2019 Jun 14.
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Perinatal post mortem ultrasound (PMUS): a practical approach.围产期尸检超声检查(PMUS):一种实用方法。
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Int J Legal Med. 2018 Mar;132(2):579-587. doi: 10.1007/s00414-017-1763-7. Epub 2018 Jan 18.
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Whole-body post-mortem computed tomography angiography of a newborn revealing transposition of great arteries.一名新生儿的全身尸检计算机断层血管造影显示大动脉转位。
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多期死后 CT 血管造影:识别与技术相关的伪影和陷阱。
Int J Legal Med. 2013 May;127(3):639-52. doi: 10.1007/s00414-013-0840-9. Epub 2013 Mar 21.
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