15283-B-Blokker

148 Chapter 8 Table 2. Image-guided biopsy protocol Organ Targets aimed at Brain Normal parenchyma and suspected pathology Lungs Both lungs, normal parenchyma and suspected pathology Heart Left ventricle: lateral wall, apex, normal myocardium and suspected pathology. Right ventricle: on indication Kidneys Both kidneys, normal parenchyma and suspected pathology Spleen Sub-capsular parenchyma and suspected pathology Liver Normal parenchyma and suspected pathology Other Region of interest Table 3. Scoring list of PMCT and PMMR features of postmortem changes in the brain Postmortem imaging feature Category Postmortem process 1. Hyperdense superior sagittal sinus Gravity dependent changes Blood sedimentation 2. Hyperdense veins Gravity dependent changes Blood sedimentation 3. Hyperdense arteries Gravity dependent changes Blood sedimentation 4. Thickened / irregular falx Gravity dependent changes Blood sedimentation 5. Liquid in paranasal sinus Decomposition Cell wall leakage 6. Intracranial air Decomposition Putrefaction 7. High T1 signal basal ganglia Algor mortis Temperature change 8. Low T2 signal basal ganglia Algor mortis Temperature change 9. Diffusion restriction Algor mortis Temperature change 10. Insufficient suppression of liquor on Flair Algor mortis Temperature change 11. Loss of grey-white matter differentiation Miscellaneous Cerebral hypoxia 12. Sulcal effacement Miscellaneous Cerebral hypoxia 13. Compression cisterns Miscellaneous Cerebral hypoxia 14. Cerebellar tonsillar herniation Miscellaneous Cerebral hypoxia