Chevallier Christine, Michaud Katarzyna, Palmiere Cristian, Alamo Leonor, Mangin Patrice, Grabherr Silke
From the *University Center of Legal Medicine Lausanne-Geneva; and †Department of Radiology and Interventional Radiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Am J Forensic Med Pathol. 2015 Dec;36(4):239-44. doi: 10.1097/PAF.0000000000000189.
Postmortem imaging techniques, especially postmortem computed tomography, have become integral tools in forensic investigations. Multiphase postmortem computed tomography angiography (MPMCTA) visualizes the vascular system in detail and makes it possible to evaluate the perfusion of even the smallest vessels. Although the technique has been well described for adults, no pediatric cases have been reported and no pediatric protocol has been established for this type of investigation. We present the case a 7-year-old child for which we used a previously described MPMCTA protocol and adapted values of perfusion, with the same technical equipment as for adult cases. Our main objective was to propose a perfusion protocol adapted for the investigation of infants and children. Moreover, we discuss both the difficulties that we encountered and possible ways to further improve the investigation of pediatric cases by MPMCTA.
尸检成像技术，尤其是尸检计算机断层扫描，已成为法医调查中不可或缺的工具。多期尸检计算机断层扫描血管造影（MPMCTA）能详细显示血管系统，甚至可以评估最小血管的灌注情况。尽管该技术在成人中已有详细描述，但尚无儿科病例报告，也未针对此类检查制定儿科方案。我们报告了一例7岁儿童的病例，我们使用了先前描述的MPMCTA方案并调整了灌注值，使用的技术设备与成人病例相同。我们的主要目的是提出一种适用于婴幼儿和儿童检查的灌注方案。此外，我们还讨论了遇到的困难以及通过MPMCTA进一步改进儿科病例检查的可能方法。
