胎儿与新生儿死后MRI标准化结构化报告：ESPR死后工作组建议
最终模板包括预期死后改变、脑结构、颈胸结构、腹部结构与四肢等子标题及结论，并沿用既往共识推荐规范适应证与技术部分。
要点
- 死后MRI报告应采用结构化模板，按脑、颈胸、腹部与四肢等解剖区域逐项评估。
- 模板包含预期死后改变、各解剖结构清单及结论，并规范适应证与技术描述。
核心结论
- 通过专家共识制定了胎儿与新生儿死后MRI标准化结构化报告模板，以促进报告完整、清晰和一致并改善沟通。
研究设计与样本
- 调查条目来源于专家组临床使用的MRI报告模板，共识定义为≥75%同意。
诊断标准与关键数值
- 共识阈值定义为≥75%同意，达到该标准的条目纳入最终床旁模板。
- 最终结构化报告模板包含子标题：预期死后改变、脑结构、颈胸结构、腹部结构与四肢，每个子标题附有需评估的解剖结构清单，后接结论。
临床应用与阅片要点
- 日常报告可按模板子标题逐项描述预期死后改变及各解剖结构，并给出结论。
- 适应证与技术部分应参照ESPR死后工作组既往共识推荐书写。
局限性
- 原文未明确报告模板在临床实践中的验证数据或推广效果。
以上解读依据论文摘要（全文未开放获取或许可不允许翻译转载）。
英文原文（摘要）· 点击展开
BACKGROUND: The use of standardised structured radiology reports improves the consistency, reproducibility and overall quality of radiological reporting while enhancing communication with referring physicians and ultimately contributing to improved patient care.
OBJECTIVE: To develop a standardised structured report template for fetal and neonatal postmortem magnetic resonance imaging through expert consensus.
MATERIALS AND METHODS: A Delphi survey was conducted between September and December 2025 among members of the ESPR Postmortem Task Force and other recommended international PM imaging experts. The surveyed items were derived from clinically used MRI reporting templates across the expert group. Consensus was defined using a ≥75% agreement threshold, and items meeting this criterion were incorporated into the final point-of-care template.
RESULTS: Twenty-four postmortem imaging specialists from 22 centres worldwide (Europe, USA, Canada, Australia, New Zealand, India and South America) formed our expert panel and completed the survey. By consensus, the final structured PMMRI report template includes the following subheadings: expected postmortem changes, cerebral structures, cervicothoracic structures, abdominal structures and extremities, each accompanied by a defined list of anatomical structures to be assessed, followed by a conclusion. In addition, the indication and technique sections of the report were based on prior consensus recommendations from the ESPR PM Task Force.
CONCLUSION: A standardised and structured reporting template for fetal and neonatal PMMRI was developed through expert consensus to promote complete, clear and consistent reporting and to facilitate communication. These recommendations aim to promote standardisation and wider adoption of perinatal PMMRI in clinical practice.
引用
- D'Hondt A, Cassart M, Miller E, et al. Standardised structured fetal and neonatal postmortem magnetic resonance imaging reporting: recommendations from the European Society of Paediatric Radiology Postmortem Task Force. Pediatr Radiol. 2026. PMID: 42118285. doi:10.1007/s00247-026-06634-x
供执业医师工作参考，不替代临床判断；数值与分级以指南原文为准。