Current status of paediatric post-mortem imaging: an ESPR questionnaire-based survey
Current status of paediatric post-mortem imaging: an ESPR questionnaire-based survey
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DOI：
10.1007/s00247-013-2827-6
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发表时间：
2014-03-01
影响因子：
2.3
通讯作者：
Sebire, Neil J.
中科院分区：
文献类型：
--
作者：
Arthurs, Owen J.;van Rijn, Rick R.;Sebire, Neil J.
尸检成像的使用越来越多，包括骨骼X光照相、CT和MRI，为传统尸检技术提供了一种微创的替代方法。正在鼓励制定临床指南和国家标准，特别是横断面技术。为了概述欧洲儿科放射学会(ESPR)成员目前的尸检成像实践。我们于2013年1月通过电子邮件向ESPR成员发送了一份关于当前尸检服务供应的在线问卷。这项调查包括提供什么服务、接受成像的人口、使用的当前技术、成像协议、报告经验和未来打算参与的活动等直接问题。在返回调查的中心中，71%(47/66)的中心报告对儿童进行了某种形式的身体成像，其中81%进行了X光检查，51%进行了CT检查，38%进行了核磁共振检查。87%的影像是在放射科或影像科室内进行的，通常由放射技师(75%)进行，89%由放射科医生报告，其中%由儿科放射科医生报告。总体而言，72%的阳性受访者有标准化的X光摄影方案，但只有32%的人有这样的CT方案，27%的人有MRI方案。61%的受访者表示，这是一个需要发展的重要领域。总体而言，大多数中心都提供一些尸检成像服务，其中大部分是在成像部门内进行的，并由儿科放射科医生报告。然而，不同机构成像的人口以及提供的服务细节差异很大，缺乏标准化。我们已经确定了有兴趣将这项工作向前推进的人。
The use of post-mortem imaging, including skeletal radiography, CT and MRI, is increasing, providing a minimally invasive alternative to conventional autopsy techniques. The development of clinical guidelines and national standards is being encouraged, particularly for cross-sectional techniques.To outline the current practice of post-mortem imaging amongst members of the European Society of Paediatric Radiology (ESPR).We e-mailed an online questionnaire of current post-mortem service provisions to members of the ESPR in January 2013. The survey included direct questions about what services were offered, the population imaged, current techniques used, imaging protocols, reporting experience and intended future involvement.Seventy-one percent (47/66) of centres from which surveys were returned reported performing some form of post-mortem imaging in children, of which 81 % perform radiographs, 51% CT and 38% MRI. Eighty-seven percent of the imaging is performed within the radiology or imaging departments, usually by radiographers (75%), and 89% is reported by radiologists, of which 64% is reported by paediatric radiologists. Overall, 72% of positive respondents have a standardised protocol for radiographs, but only 32% have such a protocol for CT and 27% for MRI. Sixty-one percent of respondents wrote that this is an important area that needs to be developed.Overall, the majority of centres provide some post-mortem imaging service, most of which is performed within an imaging department and reported by a paediatric radiologist. However, the populations imaged as well as the details of the services offered are highly variable among institutions and lack standardisation. We have identified people who would be interested in taking this work forwards.