Histological artifacts induced by the contrast agent in Multi-Phase Post-Mortem CT Angiography (MPMCTA): Part I -

Jessika Camatti1, Bruno Giuliano Gangi2, Maria Paola Bonasoni3

  • 1University of Parma, Parma, Italy. jessika.camatti@unipr.it.

Abstract

Insights

Multiphase postmortem computed tomographic angiography (MPMCTA) using contrast agents can cause histological artifacts. Forensic pathologists must consider these changes, such as empty spaces and vessel dilation, during analysis.

Area of Science:

  • Forensic Pathology
  • Medical Imaging
  • Histopathology

Background:

  • Multiphase postmortem computed tomographic angiography (MPMCTA) visualizes the cardiovascular system using contrast agents in cadavers.
  • Understanding contrast-induced changes is crucial for accurate postmortem analysis.

Purpose of the Study:

  • To systematically describe histo-morphological changes and artifacts from contrast agent mixtures (Angiofil® and paraffin oil) used in MPMCTA.
  • To evaluate the impact of contrast media on histological findings.

Main Methods:

  • Analysis of 278 histological samples from 37 cases undergoing MPMCTA and autopsy.
  • Microscopic examination using an Olympus BX53 microscope and DP21 camera.
  • Evaluation by three experienced forensic pathologists.

Main Results:

  • Four main categories of artifacts were identified: optical empty spaces, compression of surrounding structures, hyperemia of small vessels, and vessel dilation.
  • These artifacts are induced by the contrast agent injection process.

Conclusions:

  • Postmortem angiography is valuable for vascular visualization.
  • Contrast media can introduce significant histological artifacts.
  • Careful consideration of these potential impacts is essential for interpreting MPMCTA results.