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British Neuropathological Society and International Society of Forensic Radiology and Imaging expert consensus statement for post mortem neurological imaging

Shelmerdine, SC; Hutchinson, JC; Al-Sarraj, S; Cary, N; Dawson, T; Plessis, DD; Ince, PG; ... International Society of Forensic Radiology and Imaging, .; + view all (2018) British Neuropathological Society and International Society of Forensic Radiology and Imaging expert consensus statement for post mortem neurological imaging. Neuropathology and Applied Neurobiology , 44 (7) pp. 663-672. 10.1111/nan.12482. Green open access

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Abstract

AIMS: To develop an expert consensus statement regarding appropriate clinical and forensic post-mortem neurological imaging. METHODS: An expert panel of clinicians were recruited from registered members of the British Neuropathological Society (BNS) and the International Society of Forensic Radiology and Imaging (ISFRI) with post-mortem expertise. Following a focus group meeting, 16 core statements were incorporated into an online modified Delphi survey and each panellist was asked to score their level of agreement. Following the first iteration, two statements that failed to reach consensus were modified and re-rated. Consensus was predefined as 75% agreement across responders. RESULTS: 17 experts joined the panel and 12 (70.6%) attended the focus group meeting. 14 (82%) completed both iterations of the survey. Consensus was reached for need of adequate clinical history, multidisciplinary discussion, establishment of special interest groups to discuss cases, gathering further evidence to inform imaging choices, establishment of methods for quality assessment in reporting standards and adequate funding for imaging services. The panel agreed that pathologists should be responsible for neuroimaging referrals, collating results of ancillary tests, and producing the final post-mortem report. Areas requiring further discussion include the impact of double reporting, indications for neuroimaging, and utilities of 3D printing. CONCLUSION: The BNS / ISFRI statement represents current views of an expert panel of health professionals engaged in post-mortem neuroimaging. We hope this provides a working guideline for less experienced operators, stimulates discussion, and highlights the most pressing clinical and research questions.

Type: Article
Title: British Neuropathological Society and International Society of Forensic Radiology and Imaging expert consensus statement for post mortem neurological imaging
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/nan.12482
Publisher version: https://doi.org/10.1111/nan.12482
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Autopsy, Brain, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Neuroimaging, Neurology, Postmortem, Radiology
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Neurosciences Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10045976
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