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

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...

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Veröffentlicht in:Pediatric radiology 2024-09, Vol.54 (10), p.1713-1719
Hauptverfasser: D’Hondt, Aurélie, Shelmerdine, Susan, Arthurs, Owen
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creator D’Hondt, Aurélie
Shelmerdine, Susan
Arthurs, Owen
description 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. Graphical Abstract
doi_str_mv 10.1007/s00247-024-06017-0
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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. Graphical Abstract</description><identifier>ISSN: 1432-1998</identifier><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s00247-024-06017-0</identifier><identifier>PMID: 39112568</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Advisory Committees ; Amniocentesis ; Autopsy - methods ; Delphi method ; Delphi Technique ; Diagnosis ; Europe ; Female ; Fetal Death ; Fetus - diagnostic imaging ; Fetuses ; Gestational age ; Humans ; Image quality ; Imaging ; Infant, Newborn ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Neonates ; Neuroradiology ; Nuclear Medicine ; Oncology ; Original Article ; Pediatrics ; Pediatrics - standards ; Postmortem Imaging ; Pregnancy ; Radiology ; Referral and Consultation ; Societies, Medical ; Task forces ; Ultrasound</subject><ispartof>Pediatric radiology, 2024-09, Vol.54 (10), p.1713-1719</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. 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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. 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Shelmerdine, Susan ; Arthurs, Owen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-61e90eb1a34cb69fcc96d8c5bb4cc89165a4387c59d4ce14977e8a3181d09e0e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Advisory Committees</topic><topic>Amniocentesis</topic><topic>Autopsy - methods</topic><topic>Delphi method</topic><topic>Delphi Technique</topic><topic>Diagnosis</topic><topic>Europe</topic><topic>Female</topic><topic>Fetal Death</topic><topic>Fetus - diagnostic imaging</topic><topic>Fetuses</topic><topic>Gestational age</topic><topic>Humans</topic><topic>Image quality</topic><topic>Imaging</topic><topic>Infant, Newborn</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Neonates</topic><topic>Neuroradiology</topic><topic>Nuclear Medicine</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Pediatrics - standards</topic><topic>Postmortem Imaging</topic><topic>Pregnancy</topic><topic>Radiology</topic><topic>Referral and Consultation</topic><topic>Societies, Medical</topic><topic>Task forces</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>D’Hondt, Aurélie</creatorcontrib><creatorcontrib>Shelmerdine, Susan</creatorcontrib><creatorcontrib>Arthurs, Owen</creatorcontrib><creatorcontrib>ESPR Post-mortem Task Force, collaborators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; 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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. 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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Advisory Committees
Amniocentesis
Autopsy - methods
Delphi method
Delphi Technique
Diagnosis
Europe
Female
Fetal Death
Fetus - diagnostic imaging
Fetuses
Gestational age
Humans
Image quality
Imaging
Infant, Newborn
Medical imaging
Medicine
Medicine & Public Health
Neonates
Neuroradiology
Nuclear Medicine
Oncology
Original Article
Pediatrics
Pediatrics - standards
Postmortem Imaging
Pregnancy
Radiology
Referral and Consultation
Societies, Medical
Task forces
Ultrasound
title Fetal and neonatal post-mortem imaging referral template: recommendations from the European Society of Paediatric Radiology Post-mortem Task Force
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