4.3 Article

Microfocus computed tomography for fetal postmortem imaging: an overview

Journal

PEDIATRIC RADIOLOGY
Volume 53, Issue 4, Pages 632-639

Publisher

SPRINGER
DOI: 10.1007/s00247-022-05517-1

Keywords

Anatomy; Autopsy; Diffusible iodine-based contrast-enhanced computed tomography; Fetus; Human; Intrauterine fetal demise; Microfocus computed tomography; Postmortem; Stillbirth

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In recent years, fetal postmortem micro-CT imaging has gained popularity as a substitute for autopsy, especially in early gestation fetuses. This article provides an overview of the latest research in this field, including the use of contrast-enhanced micro-CT, endovascular staining, and placental studies.
Over the last few years, fetal postmortem microfocus computed tomography (micro-CT) imaging has increased in popularity for both diagnostic and research purposes. Micro-CT imaging could be a substitute for autopsy, particularly in very early gestation fetuses for whom autopsy can be technically challenging and is often unaccepted by parents. This article provides an overview of the latest research in fetal postmortem micro-CT imaging with a focus on diagnostic accuracy, endovascular staining approaches, placental studies and the reversibility of staining. It also discusses new methods that could prove helpful for micro-CT of larger fetuses. While more research is needed, contrast-enhanced micro-CT has the potential to become a suitable alternative to fetal autopsy. Further research using this novel imaging tool could yield wider applications, such as its practise in imaging rare museum specimens.

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