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Summary

Low-field MRI provides valuable diagnostic information in post-mortem fetal examinations for forensic pathology. This affordable imaging technique aids in identifying abnormalities, especially in cases where conventional autopsy is limited or declined.

Keywords:
Pediatric pathologyPerinatal deathPostmortem MRIPostmortem imagingVirtopsyVirtual autopsy

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Area of Science:

  • Forensic Pathology
  • Medical Imaging
  • Perinatal Medicine

Background:

  • Post-mortem imaging is crucial in perinatal pathology and forensic medicine, serving as an alternative to autopsy when needed.
  • High-field MRI is the current standard for fetal post-mortem imaging but is often unavailable in forensic settings.
  • Low-field MRI offers advantages in cost, installation, and infrastructure requirements.

Purpose of the Study:

  • To assess the diagnostic utility of a 0.31 Tesla low-field MRI scanner for post-mortem fetal examinations in a forensic context.
  • To evaluate the concordance between low-field MRI findings and autopsy results.
  • To determine the added value of low-field MRI in forensic perinatal cases.

Main Methods:

  • Three fetuses underwent low-field MRI prior to autopsy and histopathological examination.
  • Imaging findings from low-field MRI were compared with autopsy results.
  • Diagnostic concordance and potential added value were evaluated.

Main Results:

  • Low-field MRI successfully identified key anatomical abnormalities in all three fetuses.
  • A cerebral lesion in Fetus #1 was detected by MRI but missed during autopsy due to autolysis.
  • Diaphragmatic hernia in Fetus #2 and gastroschisis with a renal abnormality in Fetus #3 were identified.
  • MRI findings complemented autopsy results, enhancing diagnostic certainty.

Conclusions:

  • The 0.31 Tesla low-field MRI scanner provides diagnostically relevant information for post-mortem fetal examinations in forensic settings.
  • Low-field MRI can improve documentation and interpretation in perinatal forensic cases, especially with decomposed or fragile remains.
  • It offers a viable alternative to autopsy when conventional methods are limited or declined due to parental refusal or legal constraints.