Implementation of pediatric and fetal postmortem imaging into clinical practice: a multi-society statement from the ESPR, SPR, SLARP, AOSPR, WFPI, and IAFR
Postmortem imaging (PMI) following fetal, perinatal, and pediatric demise is increasingly requested and used in clinical practice, either as a non-invasive adjunct or alternative to conventional autopsy. Use of such techniques in clinical departments may face numerous barriers and challenges, varying between centers, countries, and continents, influenced by differences in healthcare systems, funding sources, and local regulations. Furthermore, different issues arise for each specific indication of pediatric PMI (such as intra-uterine demise, termination of pregnancy for confirmation of anatomical abnormalities, and forensic investigations of infants and childhood deaths) since the processes, goals of the investigation, and involved teams vary with indication and/or resource setting. This multi-society position statement describes how different countries currently deal with those challenges, and proposes universal consensus recommendations, enablers, and practical tips to facilitate the successful implementation of fetal and pediatric PMI across medical imaging departments. Implementation to a minimum standard will help resource allocation, collaboration between centers, and multi-center studies in a new field where patient data is scarce.
Authors
- Ajay Taranath (ORCID: https://orcid.org/0000-0002-2910-2436)
- Elka Miller (ORCID: https://orcid.org/0000-0003-1075-5952)
- Owen J. Arthurs (ORCID: https://orcid.org/0000-0003-1213-3516)
- Aurélie D’Hondt (ORCID: https://orcid.org/0000-0003-0158-7678)
- Osamu Miyazaki (ORCID: https://orcid.org/0000-0002-1793-4892)
- Teresa Victoria (ORCID: https://orcid.org/0000-0002-5927-4220)
- Marta Gomez-Chiari
- Susan Shelmerdine
- Lizbet Perez-Marrero
- Stacy Goergen
- David Perry (ORCID: https://orcid.org/0000-0002-6662-1358)
- Padma Rao
- Willemijn Klein
- Sharon Gould
- Rick R van Rijn
- Maiko Yoshida
- Michael Aertsen
- Manisha Jana
Institutions
- Hospital Sant Joan de Déu Barcelona (ES)
- Royal Adelaide Hospital (AU)
- The Royal Melbourne Hospital (AU)
- Université Libre de Bruxelles (BE)
- Royal Children's Hospital (AU)
- Radboud University Nijmegen (NL)
- Thomas Jefferson University (US)
- Chiba University (JP)
- University of Toronto (CA)
- Great Ormond Street Hospital (GB)
- Universitair Ziekenhuis Leuven (BE)
- Women's and Children's Hospital (AU)
- Hospital for Sick Children (CA)
- Clínica Alemana (CL)
- Radboud University Medical Center (NL)
- Massachusetts General Hospital (US)
- Nemours Children's Health System (US)
- Monash Health (AU)
- National Center For Child Health and Development (JP)
- SickKids Foundation (CA)
- Starship Children's Health (NZ)
- Amsterdam University Medical Centers (NL)
- University College London (GB)
- Monash University (AU)
- The University of Adelaide (AU)
- All India Institute of Medical Sciences (IN)
- KU Leuven (BE)
Publication Details
- Journal
- Pediatric Radiology
- Published
- 2026-05-23
- DOI
- https://doi.org/10.1007/s00247-026-06639-6
- Primary Topic
- Autopsy Techniques and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00