Application of postmortem imaging modalities in cases of sudden death due to cardiovascular diseases–current achievements and limitations from a pathology perspective: Endorsed by the Association for European Cardiovascular Pathology and by the International Society of Forensic Radiology and Imaging

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Titel: Application of postmortem imaging modalities in cases of sudden death due to cardiovascular diseases–current achievements and limitations from a pathology perspective: Endorsed by the Association for European Cardiovascular Pathology and by the International Society of Forensic Radiology and Imaging
Autoren: Katarzyna Michaud, Christina Jacobsen, Cristina Basso, Jytte Banner, Britt M. Blokker, Hans H. de Boer, Fabrice Dedouit, Chris O’Donnell, Carla Giordano, Virginie Magnin, Silke Grabherr, S. Kim Suvarna, Krzysztof Wozniak, Sarah Parsons, Allard C. van der Wal
Quelle: Virchows Arch
Virchows Archiv, vol. 482, no. 2, pp. 385-406
Michaud, K, Jacobsen, C, Basso, C, Banner, J, Blokker, B M, de Boer, H H, Dedouit, F, O'Donnell, C, Giordano, C, Magnin, V, Grabherr, S, Suvarna, S K, Wozniak, K, Parsons, S & van der Wal, A C 2023, ' Application of postmortem imaging modalities in cases of sudden death due to cardiovascular diseases-current achievements and limitations from a pathology perspective : Endorsed by the Association for European Cardiovascular Pathology and by the International Society of Forensic Radiology and Imaging ', Virchows Archiv, vol. 482, pp. 385–406 . https://doi.org/10.1007/s00428-022-03458-6
Verlagsinformationen: Springer Science and Business Media LLC, 2022.
Publikationsjahr: 2022
Schlagwörter: Myocardium, Humans, Autopsy/methods, Cardiovascular Diseases/diagnostic imaging, Cardiovascular Diseases/pathology, Death, Sudden, Cardiac/etiology, Death, Sudden, Cardiac/pathology, Myocardium/pathology, Radiology, Aorta, Autopsy, Coronary arteries, Myocardial infarction, PMCTA, PMMR, Postmortem imaging, Sudden cardiac death, 3. Good health, 03 medical and health sciences, 0302 clinical medicine, Death, Sudden, Cardiac, Cardiovascular Diseases, Original Article
Beschreibung: Postmortem imaging (PMI) is increasingly used in postmortem practice and is considered a potential alternative to a conventional autopsy, particularly in case of sudden cardiac deaths (SCD). In 2017, the Association for European Cardiovascular Pathology (AECVP) published guidelines on how to perform an autopsy in such cases, which is still considered the gold standard, but the diagnostic value of PMI herein was not analyzed in detail. At present, significant progress has been made in the PMI diagnosis of acute ischemic heart disease, the most important cause of SCD, while the introduction of postmortem CT angiography (PMCTA) has improved the visualization of several parameters of coronary artery pathology that can support a diagnosis of SCD. Postmortem magnetic resonance (PMMR) allows the detection of acute myocardial injury-related edema. However, PMI has limitations when compared to clinical imaging, which severely impacts the postmortem diagnosis of myocardial injuries (ischemic versus non-ischemic), the age-dating of coronary occlusion (acute versus old), other potentially SCD-related cardiac lesions (e.g., the distinctive morphologies of cardiomyopathies), aortic diseases underlying dissection or rupture, or pulmonary embolism. In these instances, PMI cannot replace a histopathological examination for a final diagnosis. Emerging minimally invasive techniques at PMI such as image-guided biopsies of the myocardium or the aorta, provide promising results that warrant further investigations. The rapid developments in the field of postmortem imaging imply that the diagnosis of sudden death due to cardiovascular diseases will soon require detailed knowledge of both postmortem radiology and of pathology.
Publikationsart: Article
Other literature type
Dateibeschreibung: application/pdf
Sprache: English
ISSN: 1432-2307
0945-6317
DOI: 10.1007/s00428-022-03458-6
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/36565335
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Rights: CC BY
URL: http://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) .
Dokumentencode: edsair.doi.dedup.....85a8b66479f32d3e840554b5762d61a5
Datenbank: OpenAIRE
Beschreibung
Abstract:Postmortem imaging (PMI) is increasingly used in postmortem practice and is considered a potential alternative to a conventional autopsy, particularly in case of sudden cardiac deaths (SCD). In 2017, the Association for European Cardiovascular Pathology (AECVP) published guidelines on how to perform an autopsy in such cases, which is still considered the gold standard, but the diagnostic value of PMI herein was not analyzed in detail. At present, significant progress has been made in the PMI diagnosis of acute ischemic heart disease, the most important cause of SCD, while the introduction of postmortem CT angiography (PMCTA) has improved the visualization of several parameters of coronary artery pathology that can support a diagnosis of SCD. Postmortem magnetic resonance (PMMR) allows the detection of acute myocardial injury-related edema. However, PMI has limitations when compared to clinical imaging, which severely impacts the postmortem diagnosis of myocardial injuries (ischemic versus non-ischemic), the age-dating of coronary occlusion (acute versus old), other potentially SCD-related cardiac lesions (e.g., the distinctive morphologies of cardiomyopathies), aortic diseases underlying dissection or rupture, or pulmonary embolism. In these instances, PMI cannot replace a histopathological examination for a final diagnosis. Emerging minimally invasive techniques at PMI such as image-guided biopsies of the myocardium or the aorta, provide promising results that warrant further investigations. The rapid developments in the field of postmortem imaging imply that the diagnosis of sudden death due to cardiovascular diseases will soon require detailed knowledge of both postmortem radiology and of pathology.
ISSN:14322307
09456317
DOI:10.1007/s00428-022-03458-6