Correlation of postmortem MRI and CT appearances with neuropathology in brain trauma: a comparison of two methods
Postmortem magnetic resonance (MR) scans were performed on the brains of 12 victims of fatal head injuries. These were compared with neuropathological studies of the entire brain. The first six subjects were imaged with the brain in situ and comparison was also made with antemortem computed tomograp...
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| Published in: | Journal of clinical neuroscience Vol. 5; no. 1; pp. 73 - 79 |
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| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Ltd
1998
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| Abstract | Postmortem magnetic resonance (MR) scans were performed on the brains of 12 victims of fatal head injuries. These were compared with neuropathological studies of the entire brain. The first six subjects were imaged with the brain in situ and comparison was also made with antemortem computed tomography (CT). The brains from the subsequent six subjects were removed at autopsy, fixed in formalin and then imaged in a mitre box designed to overcome the problems encountered in the pilot study. Although both CT and MR imaging (MRI) detected all clinically relevant haemorrhagic lesions, many pathologically significant lesions were missed. MRI detected many more lesions than CT, but still failed to visualize areas of non-haemorrhagic axonal injury. |
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| AbstractList | Postmortem magnetic resonance (MR) scans were performed on the brains of 12 victims of fatal head injuries. These were compared with neuropathological studies of the entire brain. The first six subjects were imaged with the brain in situ and comparison was also made with antemortem computed tomography (CT). The brains from the subsequent six subjects were removed at autopsy, fixed in formalin and then imaged in a mitre box designed to overcome the problems encountered in the pilot study. Although both CT and MR imaging (MRI) detected all clinically relevant haemorrhagic lesions, many pathologically significant lesions were missed. MRI detected many more lesions than CT, but still failed to visualize areas of non-haemorrhagic axonal injury. |
| Author | Scott, Grace Simpson, Donald A McLean, A.Jack Jones, Nigel R Blumbergs, Peter C Perrett, Lance V Brown, Christopher J Sandhu, Avinder Manavis, James |
| Author_xml | – sequence: 1 givenname: Nigel R surname: Jones fullname: Jones, Nigel R organization: Department of Neurosurgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia – sequence: 2 givenname: Peter C surname: Blumbergs fullname: Blumbergs, Peter C organization: Neuropathology Laboratory, Institute of Medical and Veterinary Science, Frome Road, Adelaide, South Australia, Australia – sequence: 3 givenname: Christopher J surname: Brown fullname: Brown, Christopher J organization: Department of Neurosurgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia – sequence: 4 givenname: A.Jack surname: McLean fullname: McLean, A.Jack organization: NH&MRC Road Accident Research Unit, University of Adelaide, Adelaide, South Australia, Australia – sequence: 5 givenname: James surname: Manavis fullname: Manavis, James organization: Neuropathology Laboratory, Institute of Medical and Veterinary Science, Frome Road, Adelaide, South Australia, Australia – sequence: 6 givenname: Lance V surname: Perrett fullname: Perrett, Lance V organization: Department of Radiology, Royal Adelaide Hospital, Adelaide, South Australia, Australia – sequence: 7 givenname: Avinder surname: Sandhu fullname: Sandhu, Avinder organization: Department of Radiology, Royal Adelaide Hospital, Adelaide, South Australia, Australia – sequence: 8 givenname: Grace surname: Scott fullname: Scott, Grace organization: Neuropathology Laboratory, Institute of Medical and Veterinary Science, Frome Road, Adelaide, South Australia, Australia – sequence: 9 givenname: Donald A surname: Simpson fullname: Simpson, Donald A organization: NH&MRC Road Accident Research Unit, University of Adelaide, Adelaide, South Australia, Australia |
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| Cites_doi | 10.1148/radiology.173.3.2813768 10.1148/radiology.148.1.6856832 10.1001/archneur.1990.00530110059017 10.1227/00006123-198601000-00008 10.1016/S0009-9260(88)80008-4 10.1016/0090-3019(89)90049-9 10.1097/00004424-199003000-00016 10.1148/radiology.171.1.2928523 10.3171/jns.1987.66.5.0706 10.1016/S0025-6196(12)65470-6 10.1016/0730-725X(90)90103-9 10.1016/S0025-6196(12)65250-1 10.1001/jama.1990.03440120092044 10.3171/jns.1988.68.2.0246 10.1148/radiology.170.1.2535765 10.1001/archneur.1991.00530150061019 |
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| Keywords | CT axonal injury MRI head injury neuropathology Human Nervous system diseases Correlation Radiodiagnosis Craniocerebral Diseases of the osteoarticular system Postmortem Exploration Nuclear magnetic resonance imaging Trauma Cerebral disorder Pathology Central nervous system disease Skull disease Medical imagery Computerized axial tomography Comparative study Brain (vertebrata) |
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head injuries publication-title: J Neurosurg doi: 10.3171/jns.1987.66.5.0706 contributor: fullname: Levin – volume: 62 start-page: 450 year: 1987 ident: 10.1016/S0967-5868(98)90207-7_BIB2 article-title: Stereotactic histologic correlations of computed tomography and magnetic resonance imaging-defined abnormalities in patients with glial neoplasms publication-title: Mayo Clin Proc doi: 10.1016/S0025-6196(12)65470-6 contributor: fullname: Kelly – start-page: 65 year: 1985 ident: 10.1016/S0967-5868(98)90207-7_BIB10 article-title: Investigation of head injury mechanisms in motor vehicle accidents — a multidisciplinary approach contributor: fullname: Gibson – volume: 8 start-page: 303 year: 1990 ident: 10.1016/S0967-5868(98)90207-7_BIB21 article-title: Preautopsy magnetic resonance imaging: initial experience publication-title: Magn Reson Imaging doi: 10.1016/0730-725X(90)90103-9 contributor: fullname: Ros – volume: 64 start-page: 305 year: 1989 ident: 10.1016/S0967-5868(98)90207-7_BIB18 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year: 1987 ident: 10.1016/S0967-5868(98)90207-7_BIB24 article-title: Formalin fixed brains are useful for magnetic resonance imaging (MRI) study publication-title: J Neurosci contributor: fullname: Nagara – volume: 150 start-page: 673 year: 1988 ident: 10.1016/S0967-5868(98)90207-7_BIB14 article-title: MR imaging of head trauma : review of the distribution and radiopathologic features of traumatic lesions publication-title: Am J Radiol contributor: fullname: Gentry – volume: 170 start-page: 211 year: 1989 ident: 10.1016/S0967-5868(98)90207-7_BIB23 article-title: Human cerebral gliomas: correlation of postmortem MR imaging and neuropathologic findings publication-title: Radiology doi: 10.1148/radiology.170.1.2535765 contributor: fullname: Johnson – start-page: 3 year: 1996 ident: 10.1016/S0967-5868(98)90207-7_BIB11 article-title: A method for cotemporal and coplanar comparison of magnetic resonance imaging and neuropathology of formalin-fixed human brains publication-title: J Clin Neurosci contributor: fullname: Jones – volume: 27 start-page: 115 year: 1986 ident: 10.1016/S0967-5868(98)90207-7_BIB20 article-title: Proton magnetic resonance relaxation times TI and T2 related to post mortem interval contributor: fullname: Gyorffy-Wagner – volume: 48 start-page: 293 year: 1991 ident: 10.1016/S0967-5868(98)90207-7_BIB26 article-title: Comparison of postmortem magnetic resonance imaging and neuropathologic findings in the cerebral white matter publication-title: Arch Neurol doi: 10.1001/archneur.1991.00530150061019 contributor: fullname: Grafton – volume: 150 start-page: 1133 year: 1988 ident: 10.1016/S0967-5868(98)90207-7_BIB5 article-title: MR imaging of brain contusions: a comparative study with CT publication-title: Am J Radiol contributor: fullname: Hesselink |
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| Snippet | Postmortem magnetic resonance (MR) scans were performed on the brains of 12 victims of fatal head injuries. These were compared with neuropathological studies... |
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| SubjectTerms | axonal injury Biological and medical sciences head injury Injuries of the nervous system and the skull. Diseases due to physical agents Medical sciences MRI neuropathology Traumas. Diseases due to physical agents |
| Title | Correlation of postmortem MRI and CT appearances with neuropathology in brain trauma: a comparison of two methods |
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