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Effectiveness of Post-Mortem Computed Tomography (PMCT) in comparison with conventional autopsy: a systematic review

Background: With the advancement of technology, Computed Tomography (CT) scan imaging can be used to gain deeper insight into the cause of death. Aims: The purpose of this study was to perform a systematic review of the efficacy of Post- Mortem Computed Tomography (PMCT) scan compared with the conve...

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Main Authors: Uthandi, Deveshini, Sabarudin, Akmal, Mohd, Zanariah, Abd Rahman, Mohd Amiruddin, Abdul Karim, Muhammad Khalis
Format: Article
Language:English
Published: Bentham Science 2020
Online Access:http://psasir.upm.edu.my/id/eprint/88677/1/ABSTRACT.pdf
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spelling oai:psasir.upm.edu.my:88677 http://psasir.upm.edu.my/id/eprint/88677/ Effectiveness of Post-Mortem Computed Tomography (PMCT) in comparison with conventional autopsy: a systematic review Uthandi, Deveshini Sabarudin, Akmal Mohd, Zanariah Abd Rahman, Mohd Amiruddin Abdul Karim, Muhammad Khalis Background: With the advancement of technology, Computed Tomography (CT) scan imaging can be used to gain deeper insight into the cause of death. Aims: The purpose of this study was to perform a systematic review of the efficacy of Post- Mortem Computed Tomography (PMCT) scan compared with the conventional autopsies gleaned from literature published in English between the year 2009 and 2016. Methodology: A literature search was conducted on three databases, namely PubMed, MEDLINE, and Scopus. A total of 387 articles were retrieved, but only 21 studies were accepted after meeting the review criteria. Data, such as the number of victims, the number of radiologists and forensic pathologists involved, causes of death, and additional and missed diagnoses in PMCT scans were tabulated and analysed by two independent reviewers. Results: Compared with the conventional autopsy, the accuracy of PMCT scans in detecting injuries and causes of death was observed to range between 20% and 80%. The analysis also showed that PMCT had more advantages in detecting fractures, fluid in airways, gas in internal organs, major hemorrhages, fatty liver, stones, and bullet fragments. Despite its benefits, PMCT could also miss certain important lesions in a certain region such as cardiovascular injuries and minor vascular injuries. Conclusion: This systematic review suggests that PMCT can replace most of the conventional autopsies in specific cases and is also a good complementary tool in most cases. Bentham Science 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/88677/1/ABSTRACT.pdf Uthandi, Deveshini and Sabarudin, Akmal and Mohd, Zanariah and Abd Rahman, Mohd Amiruddin and Abdul Karim, Muhammad Khalis (2020) Effectiveness of Post-Mortem Computed Tomography (PMCT) in comparison with conventional autopsy: a systematic review. Current Medical Imaging Reviews, 16 (6). 669 - 676. ISSN 1573-4056; ESSN: 1875-6603 https://pubmed.ncbi.nlm.nih.gov/32407281/ 10.2174/1573405615666190821115426
institution UPM IR
collection UPM IR
language English
description Background: With the advancement of technology, Computed Tomography (CT) scan imaging can be used to gain deeper insight into the cause of death. Aims: The purpose of this study was to perform a systematic review of the efficacy of Post- Mortem Computed Tomography (PMCT) scan compared with the conventional autopsies gleaned from literature published in English between the year 2009 and 2016. Methodology: A literature search was conducted on three databases, namely PubMed, MEDLINE, and Scopus. A total of 387 articles were retrieved, but only 21 studies were accepted after meeting the review criteria. Data, such as the number of victims, the number of radiologists and forensic pathologists involved, causes of death, and additional and missed diagnoses in PMCT scans were tabulated and analysed by two independent reviewers. Results: Compared with the conventional autopsy, the accuracy of PMCT scans in detecting injuries and causes of death was observed to range between 20% and 80%. The analysis also showed that PMCT had more advantages in detecting fractures, fluid in airways, gas in internal organs, major hemorrhages, fatty liver, stones, and bullet fragments. Despite its benefits, PMCT could also miss certain important lesions in a certain region such as cardiovascular injuries and minor vascular injuries. Conclusion: This systematic review suggests that PMCT can replace most of the conventional autopsies in specific cases and is also a good complementary tool in most cases.
format Article
author Uthandi, Deveshini
Sabarudin, Akmal
Mohd, Zanariah
Abd Rahman, Mohd Amiruddin
Abdul Karim, Muhammad Khalis
spellingShingle Uthandi, Deveshini
Sabarudin, Akmal
Mohd, Zanariah
Abd Rahman, Mohd Amiruddin
Abdul Karim, Muhammad Khalis
Effectiveness of Post-Mortem Computed Tomography (PMCT) in comparison with conventional autopsy: a systematic review
author_facet Uthandi, Deveshini
Sabarudin, Akmal
Mohd, Zanariah
Abd Rahman, Mohd Amiruddin
Abdul Karim, Muhammad Khalis
author_sort Uthandi, Deveshini
title Effectiveness of Post-Mortem Computed Tomography (PMCT) in comparison with conventional autopsy: a systematic review
title_short Effectiveness of Post-Mortem Computed Tomography (PMCT) in comparison with conventional autopsy: a systematic review
title_full Effectiveness of Post-Mortem Computed Tomography (PMCT) in comparison with conventional autopsy: a systematic review
title_fullStr Effectiveness of Post-Mortem Computed Tomography (PMCT) in comparison with conventional autopsy: a systematic review
title_full_unstemmed Effectiveness of Post-Mortem Computed Tomography (PMCT) in comparison with conventional autopsy: a systematic review
title_sort effectiveness of post-mortem computed tomography (pmct) in comparison with conventional autopsy: a systematic review
publisher Bentham Science
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/88677/1/ABSTRACT.pdf
_version_ 1819300274736463872
score 13.4562235

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