The criminal justice system's considerations of so-called near-virtual autopsies: the East Midlands experience

J Clin Pathol. 2011 Aug;64(8):711-7. doi: 10.1136/jclinpath-2011-200008. Epub 2011 May 26.

Abstract

Background: While several research groups champion the potential for postmortem CT (PMCT) to replace the invasive postmortem (PM), many questions still remain.

Aims: Perhaps the two most important questions are whether PMCT can provide the same level of information as an invasive PM, and arguably more importantly, can it meet the needs of the end users of the PM report. Through a comparative analysis of invasive post-mortem and CT findings and a questionnaire based qualitative thematic analysis, the authors have sought to answer these questions.

Results and conclusion: Here, the authors show that PMCT is good at providing accurate causes of death and that the interpretation of cases is not significantly altered by the absence of histology. The authors show that in straightforward trauma deaths such as road traffic incidents, there exists the potential for the replacement of the invasive PM by PMCT examination. However, as yet, PMCT cannot provide all of the information that is expected by the criminal justice system in complex forensic cases.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Autopsy / methods
  • Autopsy / standards
  • Cause of Death
  • Death, Sudden / pathology*
  • England
  • Female
  • Forensic Pathology / methods*
  • Humans
  • Male
  • Middle Aged
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed*