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March 29, 2026Diagnostic and Interventional Radiology0 citationsOpen Access

Standardizing neuroradiological ancillary testing in brain death determination: a national clinical protocol from Türkiye

GHGul HatipogluKKKami̇l Karaali̇BKBurak Koçak

Key Points

  • The aim is to establish a standardized protocol for neuroradiological testing in brain death determination.
  • Developed national clinical protocol specific to Türkiye.
  • Outlined use of computed tomography angiography, digital subtraction angiography, and transcranial Doppler ultrasonography.
  • Emphasized structured reporting and practical examples for clinical use.
  • Aims to reduce variability in imaging practices for brain death assessment.
  • Improves interpretive reliability of neuroradiological tests.
  • Addresses pediatric considerations for brain death determination.

Abstract

This commentary introduces Türkiye's national clinical protocol for neuroradiological ancillary testing in brain death determination, which was developed to address persistent variability in imaging-based practice; it was first published in Turkish (2025) and subsequently translated into English (2026). It outlines a pragmatic national framework for the standardized use, interpretation, and reporting of computed tomography angiography, digital subtraction angiography, and transcranial Doppler ultrasonography while reaffirming that brain death remains a clinical diagnosis. By emphasizing practical examples, structured reporting, common pitfalls, and pediatric considerations, the protocol aims to improve consistency and interpretive reliability while contributing to the broader international discussion on ancillary testing.

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Cite This Study

Hatipoglu et al. (2026) studied this question.

synapsesocial.com/papers/69c8c25dde0f0f753b39ca6dhttps://doi.org/10.4274/dir.2026.263875
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