Fetal and neonatal post-mortem imaging referral template: recommendations from the European Society of Paediatric Radiology Post-mortem Task Force.

IF 2.1 3区 医学 Q2 PEDIATRICS
Pediatric Radiology Pub Date : 2024-09-01 Epub Date: 2024-08-08 DOI:10.1007/s00247-024-06017-0
Aurélie D'Hondt, Susan Shelmerdine, Owen Arthurs
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引用次数: 0

Abstract

Background: In post-mortem (PM) fetal and neonatal imaging, relevant clinical information is crucial for accurate interpretation and diagnosis; however, it is usually incomplete.

Objective: To propose a standardized template for PM fetal and neonatal imaging referrals to enhance communication between referring clinicians and reporting radiologists.

Materials and methods: A modified Delphi approach was conducted amongst members of the European Society of Paediatric Radiology (ESPR) PM Task Force and other recommended PM imaging specialists worldwide to determine consensus on necessary information. These were based on three pre-existing referral templates already in use across a variety of centers. The study ran for 4 months (December 2023-April 2024).

Results: Nineteen specialists from 17 centers worldwide formed our expert panel. The final agreed referral template information includes the patient's identification details (mother and fetus when available), fetal/neonatal information (gestational age, sex, type of demise (including type of termination of pregnancy (i.e., surgical or medical)), date and time of fetal demise (+ delivery) or neonatal death, singleton/multiple pregnancy, clinical information (obstetrical history, prenatal imaging findings, amniocentesis findings, physical external examination findings), provisional clinical diagnosis, and ordering physician's information.

Conclusion: A comprehensive referral template has been created, representing expert consensus on the minimum data required for the conduct of quality PM fetal and neonatal imaging, with the goal of facilitating accuracy of image interpretation.

Abstract Image

胎儿和新生儿死后成像转诊模板:欧洲儿科放射学会死后工作组的建议。
背景:在胎儿和新生儿死后(PM)成像中,相关临床信息对于准确解释和诊断至关重要;然而,这些信息通常并不完整:目的:为胎儿和新生儿死后成像转诊提出一个标准化模板,以加强转诊临床医生和报告放射科医生之间的沟通:在欧洲儿科放射学会(ESPR)胎儿和新生儿影像学工作组的成员以及全球其他推荐的胎儿和新生儿影像学专家中采用改良德尔菲法,以就必要信息达成共识。这些信息都是基于各中心已在使用的三个现有转诊模板。研究为期 4 个月(2023 年 12 月至 2024 年 4 月):来自全球 17 个中心的 19 位专家组成了我们的专家小组。最终商定的转诊模板信息包括患者的身份信息(母亲和胎儿(如有))、胎儿/新生儿信息(胎龄、性别、夭折类型(包括终止妊娠类型(即手术或药物))、胎儿夭折(+分娩)或新生儿死亡的日期和时间、单胎/多胎妊娠、临床信息(产科病史、产前影像学检查结果、羊膜腔穿刺检查结果、体格外部检查结果)、临时临床诊断以及下单医生信息:我们创建了一个全面的转诊模板,它代表了专家们对进行优质胎儿和新生儿造影所需的最低数据的共识,其目的是提高图像解读的准确性。
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来源期刊
Pediatric Radiology
Pediatric Radiology 医学-核医学
CiteScore
4.40
自引率
17.40%
发文量
300
审稿时长
3-6 weeks
期刊介绍: Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
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