Comparison between postmortem computed tomography and autopsy in the detection of traumatic head injuries - 10/01/20
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Abstract |
Introduction |
The aim of this study was to assess the agreement between postmortem computed tomography (PMCT) and autopsy in detecting traumatic head injuries.
Materials and Methods |
Consecutive cases of death that underwent both unenhanced PMCT and conventional autopsy were collected from our institution database during a period of 3 years and reviewed retrospectively. PMCT images were reviewed for the presence of fractures (cranial vault, skull base, facial bones and atlas/axis) and intracranial hemorrhage. Kappa values were calculated to determine the agreement between PMCT and autopsy reports.
Results |
73 cases were included, of which 44 (60%) had head trauma. Agreement between PMCT and autopsy was almost perfect (κ = 0.95) for fractures and substantial (κ = 0.75) for intracranial hemorrhage. PMCT was superior to autopsy in detecting facial bone and upper cervical spine fractures, and intraventricular hemorrhage. However, in some cases thin extra-axial blood collections were missed on PMCT.
Conclusions |
The agreement between PMCT and autopsy in detecting traumatic head injuries was good. Using a combination of both techniques increases the quality of postmortem evaluation because more lesions are detected.
El texto completo de este artículo está disponible en PDF.Keywords : Postmortem computed tomography, Autopsy, Traumatic head injuries, Hemorrhage, Fracture
Esquema
Vol 47 - N° 1
P. 5-12 - février 2020 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.
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