Radiology：用不用将CT纳入尸检中呢？

2018-07-09 shaosai MedSci原创

本研究旨在验证尸检计算机体层成像（CT）和尸检CT血管造影是否有助于检出比活检更多的病变，评价每种方法的优缺点并定义指征。研究人员把结果发表在Radiology上。

本研究旨在验证尸检计算机体层成像（CT）和尸检CT血管造影是否有助于检出比活检更多的病变，评价每种方法的优缺点并定义指征。研究人员把结果发表在Radiology上。

本研究共纳入了500名人类尸体标本进行尸体CT血管造影检查，随后进行传统尸检。由一队有经验的人员在未知尸检结果的情况下分析所有的CT图像。该队人员包括病理学医生和放射科医生。记录每种方法的结果并通过解剖结构进行分类（骨骼、实质器官、软组织和血管）及法医鉴定中的重要性。

在18654个结果中，尸检、尸检CT和尸检CT血管造影分别辅助检出61.3% (11 433 / 18 654)、76.0% (14 179 / 18 654)、89.9% (16 780 / 18 654； P < .001)。尸检CT血管造影要优于传统尸检，尤其是有助于识别必要的骨骼病变(96.1% [625 of 650] vs 65.4% [425 / 650]； P < .001)和血管病变(93.5% [938 / 1003] vs 65.3% [655 / 1003]； P < .001)。在法医鉴定中必要的结果中，约有23.4% (1029 of 4393)未在传统尸检中检出，而仅有9.7% (428 of 4393)未在尸检血管造影中检出(P < .001)。当尸检CT血管造影结合传统尸检时，会获得最好的检查结果。

本研究表明，尸检CT、尸检CT血管造影和传统尸检每种方法都能检出各自不能检出的病变。通过结合尸检CT血管造影和传统尸检能够检出更多的病变，这从而有助于提高尸检诊断结果。

原始出处：

Grabherr S， Heinemann A， Vogel H. et al.Postmortem CT Angiography Compared with Autopsy： A Forensic Multicenter Study.Radiology.DOI：10.1148/radiol.2018170559

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#插入话题

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2018-07-11 zhouqu_8

#尸检#

60 0
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2018-07-10 贾玉改

传统尸检会不会破坏尸体?CT应该更能被家属接受.

118 0
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2018-07-10 phoebeyan520

学习了.谢谢分享

107 0
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2018-07-10 1ddf0692m34(暂无匿称)

学习了.长知识

104 0
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2018-07-10 龙胆草

学习谢谢分享

126 0
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2018-07-10 zb1235672

学习了!!!!!

110 0
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2018-07-10 1dd8c52fm63(暂无匿称)

了解了解.继续关注

0 0
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2018-07-10 sunfeifeiyang

阅

53 0
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2018-07-10 yjs木玉

好好好好好好好好

0 0

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