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Imaging findings of diabetes on post-mortem CT


Ruder, Thomas D; Schweitzer, Wolf; Ampanozi, Garyfalia; Gascho, Dominic; Flach, Patricia M; Thali, Michael J; Hatch, Gary M (2018). Imaging findings of diabetes on post-mortem CT. Journal of Forensic Radiology and Imaging, 13:27-41.

Abstract

Diabetes mellitus is a chronic, metabolic disease primarily defined by elevated levels of blood glucose. Long term effects of micro- and macrovascular damage may affect the cardio-vascular system, genitourinary tract, abdominal organs, nervous system, and musculoskeletal system. Diabetes can be challenging to detect at autopsy and if investigators are unaware of the medical history at the time of the autopsy the diagnosis may be missed. Postmortem computed tomography (PMCT) is able to detect a number of radiologic findings associated with diabetes, including obese stature, atherosclerosis, left ventricular hypertrophy, renal atrophy, residual opacification of the urinary tract from clinical CT, bladder over-distension, and calcification of the vas deferens. Signs of diabetes on pre-autopsy PMCT may direct additional investigations to confirm the diagnosis and account for the potential impact of diabetes on the cause of death.

Abstract

Diabetes mellitus is a chronic, metabolic disease primarily defined by elevated levels of blood glucose. Long term effects of micro- and macrovascular damage may affect the cardio-vascular system, genitourinary tract, abdominal organs, nervous system, and musculoskeletal system. Diabetes can be challenging to detect at autopsy and if investigators are unaware of the medical history at the time of the autopsy the diagnosis may be missed. Postmortem computed tomography (PMCT) is able to detect a number of radiologic findings associated with diabetes, including obese stature, atherosclerosis, left ventricular hypertrophy, renal atrophy, residual opacification of the urinary tract from clinical CT, bladder over-distension, and calcification of the vas deferens. Signs of diabetes on pre-autopsy PMCT may direct additional investigations to confirm the diagnosis and account for the potential impact of diabetes on the cause of death.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Legal Medicine
Dewey Decimal Classification:340 Law
610 Medicine & health
Language:English
Date:2018
Deposited On:27 Jul 2018 15:37
Last Modified:27 Jul 2018 15:37
Publisher:Elsevier
ISSN:2212-4780
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.jofri.2018.05.002

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