围产儿磁共振成像的现状：基于欧洲儿科放射学会问卷调查的结果和建议。
Current state of perinatal postmortem magnetic resonance imaging: European Society of Paediatric Radiology questionnaire-based survey and recommendations.
机构信息
University of Sheffield and Sheffield Teaching Hospitals Foundation Trust, Jessop Wing, Tree Root Walk, Sheffield, S10 1SF, UK.
Academic Unit of Child Health, University of Sheffield, Sheffield, UK.
出版信息
Pediatr Radiol. 2021 May;51(5):792-799. doi: 10.1007/s00247-020-04905-9. Epub 2020 Dec 23.
Abstract
BACKGROUND
Postmortem magnetic resonance imaging (MRI) in perinatal and childhood deaths is increasingly used as a noninvasive adjunct or alternative to autopsy. Imaging protocols vary between centres and consensus guidelines do not exist.
OBJECTIVE
Our aim was to develop practical, standardised recommendations for perinatal postmortem MRI.
MATERIALS AND METHODS
Recommendations were based on the results of two surveys regarding local postmortem MRI practices sent electronically to all 14 members of the European Society of Paediatric Radiology (ESPR) Postmortem Imaging Task Force and 17 members of the International Society of Forensic Radiology and Imaging Task Force (25 different centres).
RESULTS
Overall, 11/14 (78.6%) respondents from different institutions perform postmortem MRI. All of these centres perform postmortem MRI for perinatal and neonatal deaths, but only 6/11 (54.5%) perform imaging in older children.
CONCLUSION
We propose a clinical standard for postmortem MRI sequences plus optional sequences for neuroimaging and cardiac anatomy depending on available scanning time and referral indications.
摘要
背景
在围产期和儿童死亡中，死后磁共振成像（MRI）越来越多地被用作尸检的非侵入性辅助手段或替代方法。成像方案在各中心之间存在差异，且没有共识指南。
目的
我们旨在为围产期死后 MRI 制定实用、标准化的建议。
材料和方法
建议基于针对当地死后 MRI 实践的两项调查结果，这些调查结果以电子方式发送给欧洲儿科放射学会（ESPR）死后成像工作组的 14 名成员和国际法医放射学和成像工作组的 17 名成员（25 个不同的中心）。
结果
来自不同机构的总共 11/14（78.6%）名受访者表示进行了死后 MRI。所有这些中心都对围产期和新生儿死亡进行了死后 MRI，但只有 6/11（54.5%）对较大的儿童进行了成像。
结论
我们提出了死后 MRI 序列的临床标准，以及根据可用扫描时间和转诊指征选择的神经影像学和心脏解剖学可选序列。
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