Targeted cardiac post-mortem computed tomography angiography: a pictorial review

Guy Rutty1, Sarah Saunders, Bruno Morgan

  • 1East Midlands Forensic Pathology Unit, Robert Kilpatrick Building, Level 3 Leicester Royal Infirmary, Leicester LE2 7LX, UK. gnr3@le.ac.uk

Insights

Targeted post-mortem computed tomography (PMCT) angiography allows non-invasive assessment of coronary arteries and the left ventricle. This pictorial review aids radiologists and pathologists in interpreting these crucial cardiac structures after death.

Area of Science:

  • Forensic Radiology
  • Cardiovascular Imaging
  • Post-mortem Diagnostics

Background:

  • Traditional autopsies can be invasive and time-consuming.
  • Advancements in imaging technology offer less invasive alternatives.
  • Post-mortem computed tomography (PMCT) is increasingly utilized in forensic investigations.

Purpose of the Study:

  • To provide an educational guide for interpreting PMCT angiography of the heart.
  • To serve as a pictorial review for radiologists and pathologists.
  • To detail a systematic approach for assessing coronary arteries and the left ventricle post-mortem.

Main Methods:

  • Utilizing targeted coronary artery angiography with PMCT.
  • Employing both positive and negative (air) contrast media in a scanning protocol.
  • Adapting principles of clinical cardiac angiography for post-mortem imaging.

Main Results:

  • Demonstration of a systematic approach to cardiac PMCT angiography.
  • Visual examples of coronary artery and left ventricle assessment.
  • Guidance on interpreting findings in post-mortem cardiac imaging.

Conclusions:

  • Targeted PMCT angiography offers a valuable non-invasive method for cardiac assessment post-mortem.
  • This pictorial review serves as a practical learning tool for professionals.
  • The described protocol facilitates systematic interpretation of cardiac structures using PMCT.