PubMed · 7783283
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C Marwick. 1995-06-28. Pathologists request autopsy revival.. https://doi.org/10.1001/jama.1995.03520480007002
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It is impossible to obtain a representative anatomical documentation of an entire body using classical X-ray methods, they subsume three-dimensional bodies into a two-dimensional level. We used the novel multislice-computed tomography (MSCT) technique in order to evaluate a case of homicide with putrefaction of the corpse before performing a classical forensic autopsy. This non-invasive method showed gaseous distension of the decomposing organs and tissues in detail as well as a complex fracture of the calvarium. MSCT also proved useful in screening for foreign matter in decomposing bodies, and full-body scanning took only a few minutes. In conclusion, we believe postmortem MSCT imaging is an excellent vizualisation tool with great potential for forensic documentation and evaluation of decomposed bodies.
OBJECTIVE: To investigate which reservations to autopsy general practitioners (GPs) experience in themselves and in relatives of the deceased. DESIGN: Focus-group discussions. METHOD: Three focus-group discussions were organised (24 GPs in total), comprising the following three types of GP: those involved in the training of new GPs, those who were able to request autopsies without encountering practical obstacles, and those who did have to overcome these obstacles when requesting an autopsy. RESULTS: Neither training nor day-to-day functioning as a GP equips Dutch physicians in regarding autopsy as a research tool. The reservations experienced by the GPs were based on emotional issues, organisational obstacles, and financial considerations.
OBJECTIVE: To determine the frequency of unexpected, clinically relevant findings in autopsies performed at the University Medical Centre, Nijmegen, the Netherlands, and the number of questions posed by the clinician that were answered by the pathologist performing the autopsy. DESIGN: Descriptive. METHOD: All 60 complete autopsy reports of patients older than 10 days for the period January 2000 to April 2000 were compared with the information available from the autopsy application forms and discharge letters. RESULTS: An unexpected, clinically relevant findings was found in 20 cases (33%). The percentage questions answered by the pathologist was 93% (174 out of 187 questions). CONCLUSION: Autopsy is an important instrument for improving the quality of medicine.