12,314 results match your criteria: "Postmortem Radiology and Imaging"

A visual scale to rate amygdalar atrophy on MRI.

Eur Radiol

December 2024

Geneva Memory Center, Department of Rehabilitation and Geriatrics, Geneva University Hospitals, Geneva, Switzerland.

Background: Visual rating scales are routinely used in clinical radiology to assess brain atrophy on scans of patients with suspected neurodegenerative conditions. Limbic predominant age-related TDP-43 encephalopathy (LATE) has recently been described, featuring early and severe atrophy of the amygdala. However, there is currently no scoring system specifically designed to assess amygdalar atrophy on MRI.

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Background: External ventricular drain (EVD) insertion is one of the most commonly performed neurosurgical procedures. Herein, we introduce a new concept of a cranial fixation device for insertion of EVDs, that reduces reliance on freehand placement and drilling techniques and provides a simple, minimally invasive approach that provides strong fixation to minimal thickness skulls.

Methods: An experimental device for catheter insertion and fixation was designed and tested in both ex-vivo and in-vivo conditions to assess accurate cannulation of the ventricle and to test the strength of fixation to the skull.

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As spontaneous renal artery dissection (SRAD) is a rare cause of abdominal pain, bilateral dissection is an extremely rare event. Only approximately two hundred cases of SRAD have been reported in the literature. The diagnosis is often delayed due to the rarity of the disease and non-specific clinical presentations such as flank pain, hypertension, fever, nausea, vomiting, and hematuria, which can be often misdiagnosed as a genito-urinary infection or gastrointestinal or bowel disease.

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Aging is associated with an increased risk of fragility fractures at the hip, resulting from a loss of bone mass. While this loss is typically reported as a decreased mean areal bone mineral density (aBMD) in the proximal femur or the femoral neck, its evolution is spatially inhomogeneous, which might also contribute to the increased risk of fractures. Yet, little is known about the evolution of BMD distribution and cortical thickness with age in the proximal femur.

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A 68-year-old male with sudden, persistent chest and back pain was referred to our hospital. Contrast-enhanced computed tomography (CT) scans revealed 56 mm thoracic aortic aneurysm (TAA)located from the distal aortic arch to the proximal descending thoracic aorta and Stanford type B acute aortic dissection (AAD) with the patent false lumen distal to the aneurysm. The AAD was not extended within the TAA.

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Background: Lewy body disorders (LBD), encompassing Parkinson disease (PD), PD dementia (PDD), and dementia with Lewy bodies (DLB), are characterized by alpha-synuclein pathology but often are accompanied by Alzheimer's disease (AD) neuropathological change (ADNC). The medial temporal lobe (MTL) is a primary locus of tau accumulation and associated neurodegeneration in AD. However, it is unclear the extent to which AD copathology in LBD (LBD/AD+) contributes to MTL-specific patterns of degeneration.

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Objective: This study aims to assess the diagnostic value of post-mortem radiographic imaging compared with prenatal ultrasound in suspected fetal skeletal dysplasias in a large Finnish cohort.

Method: Prenatal ultrasound findings and their association with post-mortem radiographic imaging were evaluated in a cohort of 36 fetuses with prenatally suspected skeletal dysplasia.

Results: Prenatal ultrasound performed well in detecting skeletal dysplasias and severe forms of the disease.

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Description: Cerebral lymphomatosis (CL) is a rare subtype of primary central nervous system lymphoma (PCNSL). In CL, atypical lymphoid cells diffusely infiltrate the cerebral parenchyma without forming a discrete mass as seen with PCNSL. We report a case of a 66-year-old woman with diffuse CL and superimposed areas of PCNSL.

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Mapping fetal brain development of 10 weeks gestational age with 9.4T postmortem MRI and histological sections.

AJNR Am J Neuroradiol

December 2024

From the Department of Medical Imaging (Z.Z., X.W.), Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China; Department of Radiology (G.Y.), Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, Shandong, China; Research Center for Sectional and Imaging Anatomy (X.L., S.L.), Shandong University Cheeloo College of Medicine, Jinan, Shandong, China; Department of Imaging (H.X.), Heze Penoy people's Hospital, Heze, Shandong, China.

Background And Purpose: The 10th week of gestational age (GA) is a critical period for evaluating brain development, but there is limited knowledge regarding the specific characteristics at this GA. This study is to map the brain structures at 10 weeks GA using 9.4T MRI and histological sections.

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Technical note: An optimized protocol for standard unenhanced whole-body post-mortem Photon Counting CT imaging.

Forensic Sci Int

November 2024

Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

In recent years, Photon-counting detector CT (PCD CT) has emerged as a new and groundbreaking technology in clinical radiology. While clinical research and practical applications of PCD-CT are constantly evolving, it has not yet been integrated into post-mortem CT (PMCT) imaging. Documented research into the potential applications of PCD CT in the field of post-mortem human forensic pathology and anatomical pathology is scarce in literature.

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Foetal achondroplasia: Prenatal diagnosis, outcome and perspectives.

J Gynecol Obstet Hum Reprod

December 2024

URP FETUS 7328, Federation for Research into Innovative Explorations and Therapeutics in Utero, and LUMIERE Platform, University of Paris Cité, Paris, France; Department of Obstetrics and Gynecology, Pitié-Salpêtrière Hospital, APHP, Sorbonne University, Paris, France. Electronic address:

Article Synopsis
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Systematic review: oral and maxillofacial radiology as fundamental methods of virtual autopsy.

Forensic Sci Res

September 2023

Department of Oral and Maxillofacial Radiology-Forensic Odontology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia.

Article Synopsis
  • Refusal of autopsy can happen for reasons like religious beliefs and concerns about diseases, prompting interest in alternative methods like virtual forensic odontological autopsy.
  • The study systematically reviewed literature from December 2021 to October 2022 to assess the use of oral and maxillofacial radiology as a non-invasive technique for virtual autopsy.
  • Four main imaging techniques were identified for virtual autopsy in forensic odontology, including CT scanning (multidetector CT), cone beam CT, and magnetic resonance imaging, each with unique benefits.
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Generalized sarcoidosis associated with hypertrophic osteopathy in a Standardbred racehorse.

J Equine Vet Sci

November 2024

Department of Functional Sciences, Equine Division, Sports Medicine Section, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium. Electronic address:

Article Synopsis
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Article Synopsis
  • The study aimed to determine if a dilatation of the common bile duct (CBD) can be seen in postmortem CT scans of individuals who died from opiate/opioid intoxication and if this dilatation can also be measured for other drug groups.* -
  • Researchers analyzed 125 cases of lethal intoxication using postmortem CT and compared them to 88 control cases without toxic substances, finding a significant difference in CBD diameters between the intoxication group and controls.* -
  • The results showed that only opiate and opioid cases had a significantly wider CBD, suggesting dilatation may indicate lethal opioid intoxication, but this should be considered alongside other evidence in postmortem investigations.*
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Brain MRI Lesions in Alexia Without Agraphia: A Case-Control Study.

J Neuroophthalmol

November 2024

Kellogg Eye Center and Department of Ophthalmology and Visual Sciences (JNS, JDT, SK), University of Michigan, Ann Arbor, Michigan; Departments of Radiology (AS) and Neurology (JDT, SK), University of Michigan, Ann Arbor, Michigan; and Department of Ophthalmology (RDW), Medical College of Wisconsin, Milwaukee, Wisconsin.

Background: Alexia without agraphia (AWA) is an acquired reading disturbance associated with left posterior cerebral artery (PCA) infarction. Based on autopsy and neuroimaging, there are two explanations for its pathogenesis: a visual cortex-language cortex disconnection and a visual word-form agnosia. Our goal was to discover if more refined brain imaging in a case-control study would provide further imaging support for either of these hypotheses.

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Background: Despite the fact that the COVID-19 epidemic has already ended, there is no clear answer to the question - what is the nature of the imbalance in the hemocoagulation system, and which phenomena prevail - thrombosis or hemorrhage? More and more new works appear describing the occurrence of deep, extensive hematomas in patients with COVID-19. However, this experience requires further discussion and understanding.

Case Description: From October 2020 to January 2021, 7 (2,1% among all hospitalized with COVID-19 in this period) patients with developed hematomas were observed at the COVID-19 hospital.

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Article Synopsis
  • * Twelve Oncopigs were injected with a gene-inducing virus through bronchoscopy, resulting in significant cancer development observed via CT scans and confirmed through various analysis methods.
  • * The Oncopig model showed a high similarity in cancer gene expression patterns to human lung cancer, suggesting it could be a valuable tool for translating research findings into human clinical applications.
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Comparison of visible-light and infrared photography for visualizing hematomas postmortem.

Forensic Sci Int

January 2025

Institute of Forensic Medicine, Department of Biomedical Engineering, University of Basel, Basel,  Switzerland; Institute of Forensic Medicine, Health Department Basel-Stadt, Basel, Switzerland. Electronic address:

Article Synopsis
  • Forensic medicine heavily relies on photography to document evidence, with infrared (IR) photography capable of capturing wavelengths unseen by the human eye.
  • A study analyzed the effectiveness of IR photography in identifying 43 hematomas in deceased people, showing that IR accurately detected all cases, while visible-light photography only captured about 53.5%.
  • The tonal values obtained from IR images correlated well with the microscopic density of the hematomas, indicating that IR photography can be a valuable tool for identifying hematomas, potentially even in living individuals.
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Spinal navigation with AI-driven 3D-reconstruction of fluoroscopy images: an ex-vivo feasibility study.

BMC Musculoskelet Disord

November 2024

Research in Orthopedic Computer Science, Balgrist University Hospital, University of Zurich, Lengghalde 5, Zurich, 8008, Switzerland.

Article Synopsis
  • Increasing use of spinal instrumentation has led to the development of 3D surgical navigation to improve implant placement accuracy, but challenges like high radiation exposure and workflow disruptions have limited its adoption.
  • The X23D is a new AI-driven technique that creates a 3D spinal model from just four fluoroscopy images, designed to assist in real-time surgical navigation for placing lumbar pedicle screws.
  • An ex-vivo study found that while X23D navigation and traditional fluoroscopy had similar breach rates and execution times for screw placements, X23D showed reduced radiation exposure, indicating potential for further refinement and clinical use.
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We report a patient who presented clinically with progressive supranuclear palsy (PSP) but was pathologically diagnosed as having primary lateral sclerosis (PLS) with magnetic resonance imaging (MRI) with a quantitative susceptibility mapping (QSM) protocol. A 70-year-old man was clinically diagnosed with PSP due to early falls and unresponsiveness to levodopa therapy. Postmortem pathological examination revealed mild loss of Betz cells, gliosis, and transactive response DNA binding protein of 43 kDa (TDP-43)-positive inclusions in the motor cortex, leading to the pathological diagnosis of PLS.

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Prostate adenocarcinoma metastasis to brain has been reported to occur only up to 0.6% of patients and these are mostly diagnosed in autopsy series. In the setting of biochemical recurrence of prostate cancer, a suspected PSMA-avid (prostate-specific membrane antigen) lesion in the brain is still strongly suggestive of an intracranial metastasis of prostate cancer.

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Article Synopsis
  • Post-mortem CT (PMCT) is becoming a popular, non-invasive option for adult death investigations, addressing pathologist shortages while respecting cultural needs.
  • The article discusses various PMCT service structures tailored to different coronial jurisdictions, which face challenges like limited imaging access and logistical issues.
  • It further explores operational models for PMCT services, including who leads them, types of CT units used, and reporting structures, offering real-world examples for effective implementation.
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Microglial activation without peripheral immune cell infiltration characterises mouse and human cerebral small vessel disease.

Neuropathol Appl Neurobiol

December 2024

Institute of Physiological Chemistry and Pathobiochemistry and Cells-in-Motion Interfaculty Centre (CiMIC), University of Muenster, Muenster, Germany.

Aims: Cerebral small vessel diseases (SVDs) involve diverse pathologies of the brain's small blood vessels, leading to cognitive deficits. Cerebral magnetic resonance imaging (MRI) reveals white matter hyperintensities (WMHs), lacunes, microbleeds and enlarged perivascular spaces in SVD patients. Although correlations of MRI and histopathology help to understand the pathogenesis of SVD, they do not explain disease progression.

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