Assessment protocol of mesothelioma and relevance of SEM-EDS analysis through a case studies of legal medicine of Brescia (Italy)

•This study evaluates the assessment protocol of mesothelioma with SEM-EDS.•The quantity of asbestos fibres was evaluated by SEM.•The SEM-EDS allows to identify the mineralogical species of each fibre.•The microscopic analysis should be introduced in the evaluation protocol. This study evaluates the...

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Published inLegal medicine (Tokyo, Japan) Vol. 57; p. 102076
Main Authors Maghin, Francesca, Antonietti, Anna, Cerri, Nicoletta, Lancini, Liliana Maria, Maccarinelli, Andrea, Manzoni, Samuele, Restori, Mario, Rota, Matteo, Ruffini, Daniela, Verzeletti, Andrea, Conti, Adelaide
Format Journal Article
LanguageEnglish
Published Ireland Elsevier B.V 01.07.2022
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Online AccessGet full text
ISSN1344-6223
1873-4162
1873-4162
DOI10.1016/j.legalmed.2022.102076

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Abstract •This study evaluates the assessment protocol of mesothelioma with SEM-EDS.•The quantity of asbestos fibres was evaluated by SEM.•The SEM-EDS allows to identify the mineralogical species of each fibre.•The microscopic analysis should be introduced in the evaluation protocol. This study evaluates the assessment protocol that allows the correlation between the development of mesothelioma to a specific exposure, with particular focus on investigations with Scanning Electron Microscope with Energy Dispersion Spectroscopy. This retrospective study includes 80 subjects who died from mesothelioma in the period 2001–2019. A judicial autopsy was performed for each case to confirm cause of death and correlate the disease with specific asbestos exposure. In 28 cases investigations were carried out to determine the pulmonary load of the asbestos fibres and corpuscles in the lung tissue through microscopic investigations, in order to confirm the suspicion of occupational exposure. Our data agree with the scientific literature reported, but it is interesting to underline how the present study uses a different systematic approach than others, which are mainly based on epidemiological and environmental studies without considering the lung content of fibres and corpuscles. It would be desirable that the use of the microscopic analysis was introduced in the evaluation protocol: it should always be carried out if the suspicion of asbestos-related disease is raised and not only as a possible integration to the less expensive anamnestic evaluation, even more so if the work or personal history should be suggestive of exposure to asbestos fibres.
AbstractList •This study evaluates the assessment protocol of mesothelioma with SEM-EDS.•The quantity of asbestos fibres was evaluated by SEM.•The SEM-EDS allows to identify the mineralogical species of each fibre.•The microscopic analysis should be introduced in the evaluation protocol. This study evaluates the assessment protocol that allows the correlation between the development of mesothelioma to a specific exposure, with particular focus on investigations with Scanning Electron Microscope with Energy Dispersion Spectroscopy. This retrospective study includes 80 subjects who died from mesothelioma in the period 2001–2019. A judicial autopsy was performed for each case to confirm cause of death and correlate the disease with specific asbestos exposure. In 28 cases investigations were carried out to determine the pulmonary load of the asbestos fibres and corpuscles in the lung tissue through microscopic investigations, in order to confirm the suspicion of occupational exposure. Our data agree with the scientific literature reported, but it is interesting to underline how the present study uses a different systematic approach than others, which are mainly based on epidemiological and environmental studies without considering the lung content of fibres and corpuscles. It would be desirable that the use of the microscopic analysis was introduced in the evaluation protocol: it should always be carried out if the suspicion of asbestos-related disease is raised and not only as a possible integration to the less expensive anamnestic evaluation, even more so if the work or personal history should be suggestive of exposure to asbestos fibres.
This study evaluates the assessment protocol that allows the correlation between the development of mesothelioma to a specific exposure, with particular focus on investigations with Scanning Electron Microscope with Energy Dispersion Spectroscopy. This retrospective study includes 80 subjects who died from mesothelioma in the period 2001-2019. A judicial autopsy was performed for each case to confirm cause of death and correlate the disease with specific asbestos exposure. In 28 cases investigations were carried out to determine the pulmonary load of the asbestos fibres and corpuscles in the lung tissue through microscopic investigations, in order to confirm the suspicion of occupational exposure. Our data agree with the scientific literature reported, but it is interesting to underline how the present study uses a different systematic approach than others, which are mainly based on epidemiological and environmental studies without considering the lung content of fibres and corpuscles. It would be desirable that the use of the microscopic analysis was introduced in the evaluation protocol: it should always be carried out if the suspicion of asbestos-related disease is raised and not only as a possible integration to the less expensive anamnestic evaluation, even more so if the work or personal history should be suggestive of exposure to asbestos fibres.
This study evaluates the assessment protocol that allows the correlation between the development of mesothelioma to a specific exposure, with particular focus on investigations with Scanning Electron Microscope with Energy Dispersion Spectroscopy.INTRODUCTIONThis study evaluates the assessment protocol that allows the correlation between the development of mesothelioma to a specific exposure, with particular focus on investigations with Scanning Electron Microscope with Energy Dispersion Spectroscopy.This retrospective study includes 80 subjects who died from mesothelioma in the period 2001-2019. A judicial autopsy was performed for each case to confirm cause of death and correlate the disease with specific asbestos exposure. In 28 cases investigations were carried out to determine the pulmonary load of the asbestos fibres and corpuscles in the lung tissue through microscopic investigations, in order to confirm the suspicion of occupational exposure.METHODSThis retrospective study includes 80 subjects who died from mesothelioma in the period 2001-2019. A judicial autopsy was performed for each case to confirm cause of death and correlate the disease with specific asbestos exposure. In 28 cases investigations were carried out to determine the pulmonary load of the asbestos fibres and corpuscles in the lung tissue through microscopic investigations, in order to confirm the suspicion of occupational exposure.Our data agree with the scientific literature reported, but it is interesting to underline how the present study uses a different systematic approach than others, which are mainly based on epidemiological and environmental studies without considering the lung content of fibres and corpuscles.RESULTSOur data agree with the scientific literature reported, but it is interesting to underline how the present study uses a different systematic approach than others, which are mainly based on epidemiological and environmental studies without considering the lung content of fibres and corpuscles.It would be desirable that the use of the microscopic analysis was introduced in the evaluation protocol: it should always be carried out if the suspicion of asbestos-related disease is raised and not only as a possible integration to the less expensive anamnestic evaluation, even more so if the work or personal history should be suggestive of exposure to asbestos fibres.CONCLUSIONIt would be desirable that the use of the microscopic analysis was introduced in the evaluation protocol: it should always be carried out if the suspicion of asbestos-related disease is raised and not only as a possible integration to the less expensive anamnestic evaluation, even more so if the work or personal history should be suggestive of exposure to asbestos fibres.
ArticleNumber 102076
Author Maccarinelli, Andrea
Restori, Mario
Maghin, Francesca
Antonietti, Anna
Ruffini, Daniela
Cerri, Nicoletta
Verzeletti, Andrea
Manzoni, Samuele
Conti, Adelaide
Lancini, Liliana Maria
Rota, Matteo
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  surname: Maghin
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  givenname: Nicoletta
  surname: Cerri
  fullname: Cerri, Nicoletta
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  givenname: Samuele
  surname: Manzoni
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  givenname: Mario
  surname: Restori
  fullname: Restori, Mario
  organization: Forensic Medicine Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, ASST Spedali Civili of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, Italy
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  givenname: Daniela
  surname: Ruffini
  fullname: Ruffini, Daniela
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  givenname: Andrea
  surname: Verzeletti
  fullname: Verzeletti, Andrea
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  givenname: Adelaide
  surname: Conti
  fullname: Conti, Adelaide
  organization: Forensic Medicine Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, ASST Spedali Civili of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, Italy
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Keywords Fibres
Mesothelioma
Asbestos
SEM-EDS
Protocol
ReNaM
Language English
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Snippet •This study evaluates the assessment protocol of mesothelioma with SEM-EDS.•The quantity of asbestos fibres was evaluated by SEM.•The SEM-EDS allows to...
This study evaluates the assessment protocol that allows the correlation between the development of mesothelioma to a specific exposure, with particular focus...
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SubjectTerms Asbestos
Fibres
Mesothelioma
Protocol
ReNaM
SEM-EDS
Title Assessment protocol of mesothelioma and relevance of SEM-EDS analysis through a case studies of legal medicine of Brescia (Italy)
URI https://www.clinicalkey.com/#!/content/1-s2.0-S1344622322000645
https://dx.doi.org/10.1016/j.legalmed.2022.102076
https://www.ncbi.nlm.nih.gov/pubmed/35472827
https://www.proquest.com/docview/2656201302
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