TY  - JOUR
PY  - 2019//
TI  - Comparison between postmortem computed tomography and autopsy in the detection of traumatic head injuries
JO  - Journal of neuroradiology
A1  - Legrand, L.
A1  - Delabarde, T.
A1  - Souillard-Scemama, R.
A1  - Sec, I.
A1  - Plu, I.
A1  - Laborie, J-M
A1  - Delannoy, Y.
A1  - Hamza, L.
A1  - Taccoen, M.
A1  - De Jong, L.
A1  - Benzakoun, J.
A1  - Edjlali, M.
A1  - Méder, J-f
A1  - Oppenheim, C.
A1  - Ludes, B.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: - The aim of this study was to assess the agreement between postmortem computed tomography (PMCT) and autopsy in detecting traumatic head injuries. <br><br>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. <br><br>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. <br><br>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.<br><br>Copyright © 2019. Published by Elsevier Masson SAS.<p />  <p>Language: en</p>
LA  - en
SN  - 0150-9861
UR  - http://dx.doi.org/10.1016/j.neurad.2019.03.008
ID  - ref1
ER  -