eprintid: 1536933 rev_number: 34 eprint_status: archive userid: 608 dir: disk0/01/53/69/33 datestamp: 2017-01-22 01:16:43 lastmod: 2021-12-07 23:32:50 status_changed: 2017-03-21 13:00:32 type: article metadata_visibility: show creators_name: Arthurs, OJ creators_name: Hutchinson, JC creators_name: Sebire, NJ title: Current issues in postmortem imaging of perinatal and forensic childhood deaths ispublished: pub divisions: UCL divisions: B02 divisions: D13 divisions: G26 divisions: G25 keywords: Autopsy, Forensic, Imaging, MRI, Pediatric, Perinatal note: Copyright © The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. abstract: Perinatal autopsy practice is undergoing a state of change with the introduction of evidence-based cross-sectional imaging, driven primarily by parental choice. In particular, the introduction of post mortem magnetic resonance imaging (PMMR) has helped to advance less-invasive perinatal autopsy in the United Kingdom (UK) and Europe. However, there are limitations to PMMR and other imaging techniques which need to be overcome, particularly with regard to imaging very small fetuses. Imaging is also now increasingly used to investigate particular deaths in childhood, such as suspected non-accidental injury (NAI) and sudden unexpected death in infancy (SUDI). Here we focus on current topical developments the field, with particular emphasis on the application of imaging to perinatal autopsy, and pediatric forensic deaths. Different imaging modalities and their relative advantages and disadvantages are discussed, together with other benefits of more advanced cross-sectional imaging which currently lie in the research domain. Whilst variations in local imaging service provision and need may determine different practice patterns, and access to machines and professionals with appropriate expertise and experience to correctly interpret the findings may limit current practices, we propose that gold standard perinatal and pediatric autopsy services would include complete PMMR imaging prior to autopsy, with PMCT in suspicious childhood deaths. This approach would provide maximal diagnostic yield to the pathologist, forensic investigator and most importantly, the parents. date: 2017-01-12 date_type: published official_url: http://dx.doi.org/10.1007/s12024-016-9821-x oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1203347 doi: 10.1007/s12024-016-9821-x pii: 10.1007/s12024-016-9821-x lyricists_name: Arthurs, Owen lyricists_name: Hutchinson, John lyricists_name: Sebire, Neil lyricists_id: OARTH57 lyricists_id: JCHUT45 lyricists_id: NJSEB45 actors_name: Arthurs, Owen actors_name: Allington-Smith, Dominic actors_id: OARTH57 actors_id: DAALL44 actors_role: owner actors_role: impersonator full_text_status: public publication: Forensic Science, Medicine, and Pathology volume: 13 number: 1 pagerange: 58-66 event_location: United States issn: 1556-2891 citation: Arthurs, OJ; Hutchinson, JC; Sebire, NJ; (2017) Current issues in postmortem imaging of perinatal and forensic childhood deaths. Forensic Science, Medicine, and Pathology , 13 (1) pp. 58-66. 10.1007/s12024-016-9821-x <https://doi.org/10.1007/s12024-016-9821-x>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/1536933/1/Arthurs_art%25253A10.1007%25252Fs12024-016-9821-x.pdf