Current utilization of pediatric postmortem imaging in North America: a questionnaire-based survey

Area of Science:

• Radiology
• Medical Imaging
• Forensic Pathology

Background:

• Conventional autopsy rates have declined, increasing reliance on postmortem imaging.
• Postmortem imaging adoption lags in North America compared to Europe, Asia, and Oceania.
• Key areas for development include education, standardized protocols, resources, and incentives.

Purpose of the Study:

• To assess current postmortem imaging practices.
• To identify barriers hindering its implementation in the US and Canada.
• To inform strategies for expanding postmortem imaging services.

Main Methods:

• An online survey was distributed to members of the Society for Pediatric Radiology (SPR).
• The survey addressed utilization, indications, personnel, practicalities, barriers, and solutions for postmortem imaging.
• Data were collected from institutions regarding their postmortem imaging practices.

Main Results:

• Over 50% of responding institutions utilize postmortem computed tomography; 24% use postmortem magnetic resonance imaging.
• Radiologists predominantly interpret postmortem imaging studies.
• Significant barriers include lack of funding and clinician interest; education is also a concern.
• Formal correlation with autopsy and established medical examiner relationships are infrequent.

Conclusions:

• Pediatric postmortem imaging practices are inconsistent across institutions.
• Limited funding and educational opportunities impede wider implementation.
• Addressing these barriers with support from organizations like the SPR can promote acceptance and value recognition.