Stillbirth is a sad complication of pregnancy. Establishing the cause of death in intrauterine fetal demise (IUFD) is important to bring psychological closure to the family and crucial for reproductive counseling. The gold standard to establish the cause of IUFD is perinatal autopsy. However, perinatal autopsy rates are falling worldwide, largely attributed to patients and physicians discomfort with death and discussion of postmortem examinations as well as social and religious reasons. There is a lack of experience with minimally invasive perinatal autopsy in the United States and even more limited publications in the subject. Our main goal was to investigate the added value of postmortem MRI to conventional autopsy in the clinical setting. Our program has had successes and failures, of which learning opportunities exist for other institutions that desire to implement similar programs. This paper will discuss the timeline of our progress and share examples of potential roadblocks and keys to success in implementing such a program. Read More
Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018
Authors: Davis James
Keywords: Postmortem, MRI, Fetal
<b>Despite countless hours of work by experts in radiology and other fields to create the ACR Appropriateness Criteria, there remains a lack of understanding by ordering physicians on how and when to access the guidelines. The goal of this project is to identify the areas of misunderstanding among the clinicians at our institution and provide lectures in an attempt to improve compliance with the ACR Appropriateness Criteria.</b> Read More
Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017
Authors: Davis James, David Bloom, Gibson Donald, Sokhandon Farnoosh
Keywords: Appropriateness Criteria, Multidisciplinary Education