Медицинская литература. Новинки

 

 

 

 

 

 

Посмертная магнитно-резонансная томография плодов и новорожденных

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Приведены данные литературы о применении магнитно-резонансной томографии (МРТ) для выявления патологических процессов у погибших плодов и умерших новорожденных. Показано, что выполнение посмертной МРТ позволяет провести объективный и четкий анализ патологических процессов с возможностью их документации и последующего анализа. Наиболее высокие показатели чувствительности и специфичности МРТ отмечаются при выявлении поражений головного и спинного мозга. Нередко результаты МРТ-исследования превосходят данные традиционной аутопсии. Отмечено, что посмертная МРТ не может являться альтернативой патологоанатомического вскрытия, поскольку не позволяет проводить гистологическое, микробиологическое и молекулярно-генетическое исследования образцов тканей и органов. МРТ должна использоваться как дополнение к патологоанатомическому исследованию, в том числе в качестве своеобразного гида для лучшего выявления патологии во время аутопсии.

Ключевые слова:
аутопсия, магнитно-резонансная томография, плод, новорожденный, autopsy, postmortem magnetic resonance imaging, fetus, newborn

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Postmortem Magnetic Resonance Tomography of Fetuses and Newborns

Given the literature data on the use of magnetic resonance imaging (MRI) for the detection of pathological processes in the dead fetuses and dead newborns. It is shown that the implementation of postmortem MRI allows to an objective and clear analysis of the pathological processes with their documentation and subsequent analysis. The highest indices of sensitivity and specificity of MRI were observed in the detection of lesions of the brain and spinal cord. Often the results of the MRI studies are superior to traditional autopsy data. It is noted that postmortem MRI cannot be the alternative for conducting autopsies, since it does not allow for histological, microbiological and molecular-genetic study of tissue samples and organs. MRI should be used as a complement to pathology examination, including as a kind of guide for better detection of pathology during autopsy.

Keywords:
аутопсия, магнитно-резонансная томография, плод, новорожденный, autopsy, postmortem magnetic resonance imaging, fetus, newborn