Postmortem computed tomography angiography vs. conventional autopsy: advantages and inconveniences of each method.

Details

Serval ID
serval:BIB_1AF4DA72028A
Type
Article: article from journal or magazin.
Collection
Publications
Title
Postmortem computed tomography angiography vs. conventional autopsy: advantages and inconveniences of each method.
Journal
International Journal of Legal Medicine
Author(s)
Chevallier C., Doenz F., Vaucher P., Palmiere C., Dominguez A., Binaghi S., Mangin P., Grabherr S.
ISSN
1437-1596 (Electronic)
ISSN-L
0937-9827
Publication state
Published
Issued date
2013
Volume
127
Number
5
Pages
981-989
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
PURPOSE: Postmortem computed tomography angiography (PMCTA) was introduced into forensic investigations a few years ago. It provides reliable images that can be consulted at any time. Conventional autopsy remains the reference standard for defining the cause of death, but provides only limited possibility of a second examination. This study compares these two procedures and discusses findings that can be detected exclusively using each method.
MATERIALS AND METHODS: This retrospective study compared radiological reports from PMCTA to reports from conventional autopsy for 50 forensic autopsy cases. Reported findings from autopsy and PMCTA were extracted and compared to each other. PMCTA was performed using a modified heart-lung machine and the oily contrast agent Angiofil® (Fumedica AG, Muri, Switzerland).
RESULTS: PMCTA and conventional autopsy would have drawn similar conclusions regarding causes of death. Nearly 60 % of all findings were visualized with both techniques. PMCTA demonstrates a higher sensitivity for identifying skeletal and vascular lesions. However, vascular occlusions due to postmortem blood clots could be falsely assumed to be vascular lesions. In contrast, conventional autopsy does not detect all bone fractures or the exact source of bleeding. Conventional autopsy provides important information about organ morphology and remains the only way to diagnose a vital vascular occlusion with certitude.
CONCLUSION: Overall, PMCTA and conventional autopsy provide comparable findings. However, each technique presents advantages and disadvantages for detecting specific findings. To correctly interpret findings and clearly define the indications for PMCTA, these differences must be understood.
Pubmed
Web of science
Create date
27/09/2013 19:41
Last modification date
20/08/2019 13:51
Usage data