Concordancia entre la resonancia magnética post mortem y la autopsia clínica en la detección de malformaciones mayores en cadáveres de fetos y neonatos.
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| Title: | Concordancia entre la resonancia magnética post mortem y la autopsia clínica en la detección de malformaciones mayores en cadáveres de fetos y neonatos. |
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| Alternate Title: | Comparison of Postmortem Magnetic Resonance Imaging and Clinical Autopsy in Detection of Major Congenital Abnormalities in Corpses of Fetus and Infants. |
| Authors: | MONTES LOAIZA, GUILLERMO ANDRÉS1 gmontex@hotmail.com, ESCALANTE ABRIL, PAOLA ANDREA2, URIZA CARRASCO, LUIS FELIPE3, OLAYA CONTRERAS, MERCEDES4, RIVERA MARIÑO, DIEGO MIGUEL5, DE CASTRO ASÍS, ALFREDO FERNÁNDEZ5, GIL LAVERDE, FABIÁN ARMANDO6 |
| Source: | Universitas Médica. ene-mar2014, Vol. 55 Issue 1, p10-17. 8p. |
| Subjects: | AUTOPSY, HUMAN abnormalities, DIAGNOSTIC imaging research, CAUSES of fetal death, NEONATAL death, MAGNETIC resonance imaging, CONGENITAL disorders, DIAGNOSIS |
| Abstract (English): | Introduction: The use of diagnostic imaging in clinical and forensic autopsies, is a practice that is taking place in countries other than our own, especially in autopsies of particular difficulty such as fetuses and neonates. It is important to know the correlation between magnetic resonance imaging postmortem and clinical autopsy to recommend its routine use in our midst. Materials and methods: Autopsies performed on 20 fetuses and neonates and took total body MRI thereof, comparing imaging findings with autopsy findings. Information obtained was tabulated and Kappa value was rated to determine the concordance between the two diagnostic methods. Results: We calculated the correlation between MRI and clinical autopsy in detecting major malformations per system, calculating a kappa index for major malformations in the central nervous system of 0.273, for head and neck of 0.459, to the respiratory system of 0, for cardiovascular system from 0.459, for the gastrointestinal tract and the abdomen of 0, and urinary system of 0.643. Conclusions: Despite the poor correlation between MRI and postmortem clinical autopsy in detecting major malformations is considered in this case to the clinical autopsy as an imperfect gold standard and recommended the use of magnetic resonance imaging study mode can support a clinical autopsy in detecting major malformations in difficult cases in fetuses and neonates. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: La utilización de imágenes diagnósticas en autopsias clínicas y médicolegales es una práctica que viene llevándose a cabo en países diferentes al nuestro, en especial en autopsias de particular dificultad como las de fetos y neonatos. Es importante conocer la concordancia entre la resonancia magnética post mortem y la autopsia clínica para recomendar su uso rutinario en nuestro medio. Materiales y métodos: Se realizó autopsia a 20 fetos y neonatos y se tomó resonancia magnética corporal total, comparando los hallazgos por imágenes con los hallazgos de la autopsia. Se tabuló la información obtenida y se calculó el valor kappa nominal para determinar la concordancia entre los dos métodos diagnósticos. Resultados: Se calculó la concordancia entre la resonancia magnética y la autopsia clínica en la detección de malformaciones mayores por sistema, calculando un índice de kappa para malformaciones mayores en sistema nervioso central de 0,273, para cabeza y cuello de 0,459, para sistema respiratorio de 0, para sistema cardiovascular de 0,459, para tubo digestivo y abdomen de 0 y para sistema urinario de 0,643. Conclusiones: A pesar de la mala concordancia entre la resonancia magnética post mortem y la autopsia clínica en la detección de malformaciones mayores, se considera en este caso la autopsia clínica como un patrón de referencia imperfecto y se recomienda el uso de la resonancia como modalidad de estudio que puede servir de apoyo a la autopsia clínica en la detección de malformaciones mayores en casos difíciles en fetos y neonatos. [ABSTRACT FROM AUTHOR] |
| Copyright of Universitas Médica is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 97949952 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Concordancia entre la resonancia magnética post mortem y la autopsia clínica en la detección de malformaciones mayores en cadáveres de fetos y neonatos. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Comparison of Postmortem Magnetic Resonance Imaging and Clinical Autopsy in Detection of Major Congenital Abnormalities in Corpses of Fetus and Infants. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22MONTES+LOAIZA%2C+GUILLERMO+ANDRÉS%22">MONTES LOAIZA, GUILLERMO ANDRÉS</searchLink><relatesTo>1</relatesTo><i> gmontex@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22ESCALANTE+ABRIL%2C+PAOLA+ANDREA%22">ESCALANTE ABRIL, PAOLA ANDREA</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22URIZA+CARRASCO%2C+LUIS+FELIPE%22">URIZA CARRASCO, LUIS FELIPE</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22OLAYA+CONTRERAS%2C+MERCEDES%22">OLAYA CONTRERAS, MERCEDES</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22RIVERA+MARIÑO%2C+DIEGO+MIGUEL%22">RIVERA MARIÑO, DIEGO MIGUEL</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22DE+CASTRO+ASÍS%2C+ALFREDO+FERNÁNDEZ%22">DE CASTRO ASÍS, ALFREDO FERNÁNDEZ</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22GIL+LAVERDE%2C+FABIÁN+ARMANDO%22">GIL LAVERDE, FABIÁN ARMANDO</searchLink><relatesTo>6</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Universitas+Médica%22">Universitas Médica</searchLink>. ene-mar2014, Vol. 55 Issue 1, p10-17. 8p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22AUTOPSY%22">AUTOPSY</searchLink><br /><searchLink fieldCode="DE" term="%22HUMAN+abnormalities%22">HUMAN abnormalities</searchLink><br /><searchLink fieldCode="DE" term="%22DIAGNOSTIC+imaging+research%22">DIAGNOSTIC imaging research</searchLink><br /><searchLink fieldCode="DE" term="%22CAUSES+of+fetal+death%22">CAUSES of fetal death</searchLink><br /><searchLink fieldCode="DE" term="%22NEONATAL+death%22">NEONATAL death</searchLink><br /><searchLink fieldCode="DE" term="%22MAGNETIC+resonance+imaging%22">MAGNETIC resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22CONGENITAL+disorders%22">CONGENITAL disorders</searchLink><br /><searchLink fieldCode="DE" term="%22DIAGNOSIS%22">DIAGNOSIS</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: The use of diagnostic imaging in clinical and forensic autopsies, is a practice that is taking place in countries other than our own, especially in autopsies of particular difficulty such as fetuses and neonates. It is important to know the correlation between magnetic resonance imaging postmortem and clinical autopsy to recommend its routine use in our midst. Materials and methods: Autopsies performed on 20 fetuses and neonates and took total body MRI thereof, comparing imaging findings with autopsy findings. Information obtained was tabulated and Kappa value was rated to determine the concordance between the two diagnostic methods. Results: We calculated the correlation between MRI and clinical autopsy in detecting major malformations per system, calculating a kappa index for major malformations in the central nervous system of 0.273, for head and neck of 0.459, to the respiratory system of 0, for cardiovascular system from 0.459, for the gastrointestinal tract and the abdomen of 0, and urinary system of 0.643. Conclusions: Despite the poor correlation between MRI and postmortem clinical autopsy in detecting major malformations is considered in this case to the clinical autopsy as an imperfect gold standard and recommended the use of magnetic resonance imaging study mode can support a clinical autopsy in detecting major malformations in difficult cases in fetuses and neonates. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: La utilización de imágenes diagnósticas en autopsias clínicas y médicolegales es una práctica que viene llevándose a cabo en países diferentes al nuestro, en especial en autopsias de particular dificultad como las de fetos y neonatos. Es importante conocer la concordancia entre la resonancia magnética post mortem y la autopsia clínica para recomendar su uso rutinario en nuestro medio. Materiales y métodos: Se realizó autopsia a 20 fetos y neonatos y se tomó resonancia magnética corporal total, comparando los hallazgos por imágenes con los hallazgos de la autopsia. Se tabuló la información obtenida y se calculó el valor kappa nominal para determinar la concordancia entre los dos métodos diagnósticos. Resultados: Se calculó la concordancia entre la resonancia magnética y la autopsia clínica en la detección de malformaciones mayores por sistema, calculando un índice de kappa para malformaciones mayores en sistema nervioso central de 0,273, para cabeza y cuello de 0,459, para sistema respiratorio de 0, para sistema cardiovascular de 0,459, para tubo digestivo y abdomen de 0 y para sistema urinario de 0,643. Conclusiones: A pesar de la mala concordancia entre la resonancia magnética post mortem y la autopsia clínica en la detección de malformaciones mayores, se considera en este caso la autopsia clínica como un patrón de referencia imperfecto y se recomienda el uso de la resonancia como modalidad de estudio que puede servir de apoyo a la autopsia clínica en la detección de malformaciones mayores en casos difíciles en fetos y neonatos. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Universitas Médica is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 8 StartPage: 10 Subjects: – SubjectFull: AUTOPSY Type: general – SubjectFull: HUMAN abnormalities Type: general – SubjectFull: DIAGNOSTIC imaging research Type: general – SubjectFull: CAUSES of fetal death Type: general – SubjectFull: NEONATAL death Type: general – SubjectFull: MAGNETIC resonance imaging Type: general – SubjectFull: CONGENITAL disorders Type: general – SubjectFull: DIAGNOSIS Type: general Titles: – TitleFull: Concordancia entre la resonancia magnética post mortem y la autopsia clínica en la detección de malformaciones mayores en cadáveres de fetos y neonatos. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: MONTES LOAIZA, GUILLERMO ANDRÉS – PersonEntity: Name: NameFull: ESCALANTE ABRIL, PAOLA ANDREA – PersonEntity: Name: NameFull: URIZA CARRASCO, LUIS FELIPE – PersonEntity: Name: NameFull: OLAYA CONTRERAS, MERCEDES – PersonEntity: Name: NameFull: RIVERA MARIÑO, DIEGO MIGUEL – PersonEntity: Name: NameFull: DE CASTRO ASÍS, ALFREDO FERNÁNDEZ – PersonEntity: Name: NameFull: GIL LAVERDE, FABIÁN ARMANDO IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: ene-mar2014 Type: published Y: 2014 Identifiers: – Type: issn-print Value: 00419095 Numbering: – Type: volume Value: 55 – Type: issue Value: 1 Titles: – TitleFull: Universitas Médica Type: main |
| ResultId | 1 |
