Paediatric and perinatal postmortem imaging: the need for a subspecialty approach

Area of Science:

• Medical imaging
• Paediatric radiology
• Forensic pathology

Background:

• Paediatric postmortem imaging differs significantly from adult imaging due to unique disease causes and pathologies.
• Effective paediatric postmortem imaging demands specialized radiological expertise and techniques.
• Existing imaging approaches require adaptation for the paediatric population, including perinatal cases.

Purpose of the Study:

• To outline the essential training requirements for establishing a specialized paediatric postmortem imaging service.
• To define the necessary expertise for maximizing the clinical utility of paediatric postmortem imaging.
• To address the unique challenges in paediatric postmortem imaging, including perinatal pathology.

Main Methods:

• Review of current paediatric and adult postmortem imaging practices.
• Identification of key radiological skills and knowledge areas.
• Analysis of specific training needs for perinatal and paediatric pathologies.

Main Results:

• Paediatric postmortem imaging requires proficiency in plain radiography and cross-sectional modalities.
• Expertise in specialist imaging techniques is crucial for optimal diagnostic yield.
• Familiarity with a broad spectrum of paediatric and perinatal pathologies is essential.

Conclusions:

• A dedicated training framework is necessary to develop specialized paediatric postmortem imaging services.
• Standardized training will enhance the quality and consistency of paediatric postmortem imaging.
• Investment in specialized training is critical for advancing paediatric forensic and diagnostic imaging.