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Can Computed Tomography Replace or Supplement Autopsy? by Sarah L. Lathrop; Philip W. Wiest; Sam W. Andrews; Jamie Elifritz; Janet P. Price; Gary W. Mlady; Ross E. Zumwalt; Chandra Y. Gerrard; Valerie L. Poland; Kurt B. Nolte is a Biochemistry, Genetics and Molecular Biology article available to read on EtoBox.

What is Can Computed Tomography Replace or Supplement Autopsy? about?

Postmortem computed tomography (PMCT) has been integrated into the practice of many forensic pathologists. To evaluate the utility of PMCT in supplementing and/or supplanting medicolegal autopsy, we conducted a prospective double-blind comparison of abnormal findings reported by the autopsy pathologist with those reported by a radiologist reviewing the PMCT. We reviewed 890 cases: 167 with blunt force injury (BFI), 63 with pediatric trauma (under 5 years), 203 firearm injuries, and 457 drug poisoning deaths. Autopsy and radiology reports were coded using the Abbreviated Injury Scale and abnormal findings and cause of death (COD) were compared for congruence in consensus conferences with novel pathologists and radiologists. Overall sensitivity for recognizing abnormal findings was 71% for PMCT and 74.6% for autopsy. Sensitivities for PMCT/ autopsy were 74%/73.1% for BFI, 61.5%/71.4% for pediatric trauma, 84.9%/83.7% for firearm injuries, and 56.5%/66.4% for drug poisoning deaths. COD assigned by reviewing PMCT/autopsy was correct in 88%/95.8% of BFI cases, 99%/99.5% of firearm fatalities, 82.5%/98.5% of pediatric trauma deaths, and 84%/100% of drug poisoning deaths of individuals yo

Who reads Can Computed Tomography Replace or Supplement Autopsy??

Author

Sarah L. Lathrop; Philip W. Wiest; Sam W. Andrews; Jamie Elifritz; Janet P. Price; Gary W. Mlady; Ross E. Zumwalt; Chandra Y. Gerrard; Valerie L. Poland; Kurt B. Nolte

Publisher

Wiley

Published

2023

Language

EN

Field

Biochemistry, Genetics and Molecular Biology (Life Sciences)