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Evolution of post-mortem coronary imaging: from selective coronary arteriography to post-mortem CT-angiography and beyond
- Source :
- La Radiologia medica. 123(5)
- Publication Year :
- 2017
-
Abstract
- Since the 1970s, remarkable efforts have been made in the post-mortem coronary study, especially by angiography, as an added tool to diagnose heart-related deaths. In more recent times, post-mortem CT (PMCT) and post-mortem CT-angiography (PMCTA) have become an established practice in numerous forensic units, because of the undeniable advantages these diagnostic instruments can offer: data acquisition times are increasingly fast, costs have become lower and, once acquired, data can be re-utilized and re-evaluated at any given time. This review aims to chart the history of post-mortem cardiac imaging, highlighting its evolution both in terms of methodology and technology as well as the contribution that forensic radiology has been able to offer to forensic pathology, not as an alternative to autopsy but as a guide and aid when performing one. Finally, the latest advances in the study of cardiac deaths are explored, namely by cardiac post-mortem MRI (PMMR), able to visualize all the various stages of a myocardial infarction, post-mortem MRI-angiography (PMMRA), useful in investigating coronary artery pathology and post-mortem cardiac micro-CT, able to provide near-histological levels of myocardial, coronary and valvular detail.
- Subjects :
- medicine.medical_specialty
Forensic pathology
Post-mortem magnetic resonance imaging
Computed Tomography Angiography
Autopsy
Post-mortem angiography
Post-mortem computed tomography
Post-mortem computed tomography angiography
Post-mortem magnetic resonance angiography
Post-mortem micro computed tomography
Coronary Angiography
Forensic Pathology
Humans
Radiology, Nuclear Medicine and Imaging
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Nuclear Medicine and Imaging
Medicine
Radiology, Nuclear Medicine and imaging
030216 legal & forensic medicine
Myocardial infarction
Radiology
Cardiac imaging
Neuroradiology
medicine.diagnostic_test
business.industry
Interventional radiology
General Medicine
medicine.disease
Angiography
Forensic radiology
business
Subjects
Details
- ISSN :
- 18266983
- Volume :
- 123
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- La Radiologia medica
- Accession number :
- edsair.doi.dedup.....188e0517fc9abf8de1b770fc70e0730d