Does imaging technology overcome problems of conventional postmortem examination? A trial of computed tomography imaging for postmortem examination

Does imaging technology overcome problems of conventional postmortem examination? A trial of computed tomography imaging for postmortem examination
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DOI:
10.1007/s00414-005-0038-x
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发表时间:
2006-01-01
影响因子:
2.1
通讯作者:
Iwase, H
Iwase, H
中科院分区:
医学3区
文献类型:
--
作者:
Hayakawa, M;Yamamoto, S;Iwase, H

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我们使用移动计算机断层扫描(CT)装置对死者进行尸检,以了解日本在死因诊断上犯了多少错误。20例中有5例CT确定的死亡原因与尸检结果不一致。其中1例表面检查提示无外伤,而头颅CT图像显示硬膜下血肿。我们的结论是,在日本,尸检在筛查犯罪或事故时并不有效。在尸检中使用移动CT扫描仪可能是一种可行的死因筛查方法,尽管它不能作为尸检的替代品。
We used a mobile computed tomography (CT) unit for postmortem examinations of deceased subjects to see how many mistakes on cause-of-death diagnoses were made in Japan. In 5 of 20 cases, the cause of death determined by CT was different from the diagnosis made by superficial postmortem examination. In one case, the superficial examination suggested no trauma, whereas a subdural hematoma was found on cranial CT images. We concluded that postmortem examinations in Japan were not effective when screening for crimes or accidents. Using a mobile CT scanner in postmortem examination may be a viable method of screening for causes of deaths, although it cannot be used as a substitute for autopsy.