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Objective evaluation of chest findings in infants by postmortem computed tomography.
Shimbashi, Shogo; Hayata, Rina; Matoba, Kotaro; Saito, Atsuko; Matoba, Tomoko; Takeuchi, Akiko; Jin, Shigeki; Hyodoh, Hideki.
Afiliación
  • Shimbashi S; University of Fukui School of Medical Sciences, Department of Forensic Medicine, 23-3 Matsuoka, Shimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan.
  • Hayata R; Hokkaido University Faculty of Medicine, Department of Forensic Medicine, Kita 15 Nishi7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan.
  • Matoba K; Hokkaido University Faculty of Medicine, Department of Forensic Medicine, Kita 15 Nishi7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan.
  • Saito A; Hokkaido University Faculty of Medicine, Department of Forensic Medicine, Kita 15 Nishi7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan.
  • Matoba T; Hokkaido University Faculty of Medicine, Department of Forensic Medicine, Kita 15 Nishi7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan.
  • Takeuchi A; Hokkaido University Faculty of Medicine, Center for Cause of Death Investigtion, Kita 15 Nishi7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan.
  • Jin S; Hokkaido University Faculty of Medicine, Center for Cause of Death Investigtion, Kita 15 Nishi7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan.
  • Hyodoh H; University of Fukui School of Medical Sciences, Department of Forensic Medicine, 23-3 Matsuoka, Shimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan; Hokkaido University Faculty of Medicine, Department of Forensic Medicine, Kita 15 Nishi7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan. Electron
Leg Med (Tokyo) ; 60: 102178, 2023 Feb.
Article en En | MEDLINE | ID: mdl-36495780
PURPOSE: The purpose of this study was to review the findings of computed tomography (CT) performed early postmortem on infants and to clarify the postmortem CT lung findings that occur in the absence of abnormal histopathological findings. MATERIALS AND METHODS: From July 2016 to March 2022, 72 infants were autopsied with postmortem CT (41 boys 31 girls, aged 0-36 (mean 8.2) months). Autopsy and postmortem CT lung findings were compared with the causes of death identified by the autopsies, namely sudden infant death syndrome (n = 37), acute circulatory system disease (18), drowning (7), asphyxia (5), and dehydration/undernutrition (5). RESULTS: The %aerated lung volume (-700 HU or less) ranged from 0 % to 33 % (mean 1.5 %, median 0 %), being <1 % in 61 cases (84.7 %) and >3 % in 3/5 (60 %) of the dehydration/undernutrition group. The dehydration/undernutrition group showed significant preservation of lung field air content compared with the other causes of death groups (p < 0.05). Receiver characteristic curve analysis showed a cut off value of 0.8 % and area under the curve of 0.88806. The drowning group had significantly greater pleural cavity fluid retention than the other causes of death groups (p < 0.05). No correlation was found between postmortem interval and pleural cavity fluid retention. However, resuscitation time and pleural cavity fluid retention were correlated. CONCLUSION: Evaluation of CT values on postmortem lung fields of infants usually reveals a marked decrease in air content. When air content exceeds 0.8% on infant postmortem CT, dehydration/undernutrition should be considered in the differential diagnosis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desnutrición / Ahogamiento Tipo de estudio: Diagnostic_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Infant / Male Idioma: En Revista: Leg Med (Tokyo) Asunto de la revista: JURISPRUDENCIA Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Irlanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desnutrición / Ahogamiento Tipo de estudio: Diagnostic_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Infant / Male Idioma: En Revista: Leg Med (Tokyo) Asunto de la revista: JURISPRUDENCIA Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Irlanda