• L J P Sonnemans, M E M Vester, E E M Kolsteren, J J H M Erwich, NikkelsP G JPGJDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands., P A M Kint, R R van Rijn, W M Klein, and Dutch post-mortem imaging guideline group.
• Department of Radiology, Radboud University Medical Center, Nijmegen, The Netherlands.
• Eur. J. Pediatr. 2018 Jun 1; 177 (6): 791-803.

AbstractClinical post-mortem radiology is a relatively new field of expertise and not common practice in most hospitals yet. With the declining numbers of autopsies and increasing demand for quality control of clinical care, post-mortem radiology can offer a solution, or at least be complementary. A working group consisting of radiologists, pathologists and other clinical medical specialists reviewed and evaluated the literature on the diagnostic value of post-mortem conventional radiography (CR), ultrasonography, computed tomography (PMCT), magnetic resonance imaging (PMMRI), and minimally invasive autopsy (MIA). Evidence tables were built and subsequently a Dutch national evidence-based guideline for post-mortem radiology was developed. We present this evaluation of the radiological modalities in a clinical post-mortem setting, including MIA, as well as the recently published Dutch guidelines for post-mortem radiology in foetuses, neonates, and children. In general, for post-mortem radiology modalities, PMMRI is the modality of choice in foetuses, neonates, and infants, whereas PMCT is advised in older children. There is a limited role for post-mortem CR and ultrasonography. In most cases, conventional autopsy will remain the diagnostic method of choice.

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