Publications by authors named "Max G Mentink"

A 21-year-old man presented at the radiology department with a focal swelling on the right forearm that became apparent when making a fist. A dynamic ultrasound assessment revealed a defect of the fascia overlying the flexor muscles, through which a herniation of muscle tissue occurs during contraction.

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Aims: The aim of this study is to evaluate whether agreement with autopsy-determined cause of death (COD) increases by use of postmortem CT (PMCT) or PMCT in combination with postmortem sampling (PMS), when compared with clinical assessment only.

Methods: This prospective observational study included deceased patients from the intensive care unit and internal medicine wards between October 2013 and August 2017. The primary outcome was percentage agreement on COD between the reference standard (autopsy) and the alternative postmortem examinations (clinical assessment vs PMCT or PMCT+PMS).

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Article Synopsis
  • The study analyzes unexpected findings from post-mortem computed tomography (PMCT) in hospitalized patients, emphasizing their importance alongside the primary cause of death.
  • Of the 120 decedents evaluated, 302 unexpected findings were identified via PMCT, with 24 of these classified as clinically relevant after comparison with autopsy results.
  • The research highlights that many clinically relevant findings were missed by autopsy alone, suggesting that combining PMCT with traditional autopsy could improve clinical evaluations.
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Aim: The aim of this implementation study was to assess the effect of postmortem CT (PMCT) and postmortem sampling (PMS) on (traditional) autopsy and postmortem examination rates. Additionally, the feasibility of PMCT and PMS in daily practice was assessed.

Methods: For a period of 23 months, PMCT and PMS were used as additional modalities to the autopsy at the Department of Internal Medicine.

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