Abstract
Establishing an accurate medical cause of death is a policy requirement in the United Kingdom. It is also important for social and ethical reasons and for health care practice and planning. This leads to England and Wales having one of the highest autopsy rates in the world [1]. These autopsies are often performed for sudden and unexpected but natural deaths and therefore have a very different demographic from the cases undergoing investigation after traumatic or potentially homicidal deaths.
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References
Luce T. Coroners and death certification law reform: the coroners and justice act 2009 and its aftermath. Med Sci Law. 2010;50:171–8.
Rutty GN, Rutty JE. Perceptions of near virtual autopsies. J Forensic Leg Med. 2011;18:306–9.
Dirnhofer R, Jackowski C, Vock P, Potter K, Thali MJ. VIRTOPSY: minimally invasive, imaging-guided virtual autopsy. Radiographics. 2006;26:1305–33.
Rutty GN, Morgan B, O’Donnell C, Leth PM, Thali M. Forensic institutes across the world place CT or MRI scanners or both into their mortuaries. J Trauma. 2008;65:493–4.
Okuda T, Shiotani S, Sakamoto N, Kobayashi T. Background and current status of postmortem imaging in Japan: short history of “autopsy imaging (ai)”. Forensic Sci Int. 2013;225:3–8.
Roberts IS, Benamore RE, Benbow EW, Lee SH, Harris JN, Jackson A, et al. Post-mortem imaging as an alternative to autopsy in the diagnosis of adult deaths: a validation study. Lancet. 2012;379:136–42.
Wichmann D, Obbelode F, Vogel H, et al. Virtual autopsy as an alternative to traditional medical autopsy in the intensive care unit: a prospective cohort study. Ann Intern Med. 2012;156:123–30.
Kasahara S, Makino Y, Hayakawa M, Yajima D, Ito H, Iwase H. Diagnosable and non-diagnosable causes of death by postmortem computed tomography: a review of 339 forensic cases. Leg Med (Tokyo). 2012;14:239–45.
Biggs MJ, Brown LJ, Rutty GN. Can cause of death be predicted from the pre-necropsy information provided in coroners’ cases? J Clin Pathol. 2008;61:124–6.
Rutty GN, Duerden RM, Carter N, Clark JC. Are coroners’ necropsies necessary? A prospective study examining whether a “view and grant” system of death certification could be introduced into England and Wales. J Clin Pathol. 2001;54:279–84.
Saunders SL, Morgan B, Raj V, Robinson CE, Rutty GN. Targeted post-mortem computed tomography cardiac angiography: proof of concept. Int J Legal Med. 2011;125:609–16.
Roberts IS, Traill ZC. Minimally invasive autopsy employing post-mortem CT and targeted coronary angiography: evaluation of its application to a routine coronal service. Histopathology. 2014;64:211–7.
Morgan B, Biggs MJ, Barber J, Raj V, Amoroso J, Hollingbury FE, et al. Accuracy of targeted post-mortem computed tomography coronary angiography compared to assessment of serial histological sections. Int J Legal Med. 2013;127:809–17.
Michaud K, Grabherr S, Doenz F, Mangin P. Evaluation of postmortem MDCT and MDCT-angiography for the investigation of sudden cardiac death related to atherosclerotic coronary artery disease. Int J Cardiovasc Imaging. 2012;28:1807–22.
Dorries C. Coroners’ courts: a guide to law and practice. 2nd ed. Oxford: Oxford University Press; 2004.
Robinson C, Barber J, Amoroso J, Morgan B, Rutty G. Pump injector system applied to targeted post-mortem coronary artery angiography. Int J Legal Med. 2013;127:661–6.
Coghill SB, Nicoll SM, McKimmie A, Houston I, Matthew BM. Revitalising postmortem coronary angiography. J Clin Pathol. 1983;36:1406–9.
Roberts IS, Benamore RE, Peebles C, Roobottom C, Traill ZC. Technical report: diagnosis of coronary artery disease using minimally invasive autopsy: evaluation of a novel method of post-mortem coronary CT angiography. Clin Radiol. 2011;66:645–50.
Rutty GN, Barber J, Amoroso J, Morgan B, Graham EA. The effect on cadaver blood DNA identification by the use of targeted and whole body post-mortem computed tomography angiography. Forensic Sci Med Pathol. 2013;9:489–95.
Rutty GN, Smith P, Visser T, Barber J, Amorosa J, Morgan B. The effect on toxicology, biochemistry and immunology investigations by the use of targeted post-mortem computed tomography angiography. Forensic Sci Int. 2013;225:42–7.
Jackowski C, Bolliger S, Aghayev E, et al. Reduction of postmortem angiography-induced tissue edema by using polyethylene glycol as a contrast agent dissolver. J Forensic Sci. 2006;51:1134–7.
Grabherr S, Djonov V, Friess A, et al. Postmortem angiography after vascular perfusion with diesel oil and a lipophilic contrast agent. Am J Roentgenol. 2006;187:W515–23.
Kim RJ, Fieno DS, Parrish TB, Thali MJ, Ranner G, Vock P, Dirnhofer R. Relationship of MRI delayed contrast enhancement to irreversible injury, infarct age, and contractile function. Circulation. 1999;100:1992–2002.
Rahalkar AM, Rahalkar MD. Pictorial essay: coronary artery variants and anomalies. In J Radiol Imaging. 2009;19:49–53.
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Morgan, B., Robinson, C., Rutty, G.N. (2016). Targeted Coronary Postmortem Computed Tomography Angiography. In: Grabherr, S., Grimm, J., Heinemann, A. (eds) Atlas of Postmortem Angiography. Springer, Cham. https://doi.org/10.1007/978-3-319-28537-5_8
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DOI: https://doi.org/10.1007/978-3-319-28537-5_8
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