A Practical Guide to Virtual Autopsy: Why, When and How.

@article{Filograna2019APG,
  title={A Practical Guide to Virtual Autopsy: Why, When and How.},
  author={Laura Filograna and Luca Pugliese and Massimo Muto and Doriana Tatulli and Giuseppe Guglielmi and Michael Thali and Roberto Floris},
  journal={Seminars in ultrasound, CT, and MR},
  year={2019},
  volume={40 1},
  pages={
          56-66
        }
}
Postmortem imaging is considered a routine investigative modality in many forensic institutions worldwide. Because of its ability to provide a quick and complete documentation of skeletal system and major parenchymal alterations, postmortem computed tomography (PMCT) is the imaging technique most frequently applied in postmortem forensic investigations. Also postmortem magnetic resonance has been implemented in postmortem setting, but its use is mostly limited to focused analysis (eg, study of… 
Decoding death by unknown causes using post mortem image-guided virtopsy: A review of recent literature and the Malaysian experience.
TLDR
PMCT and PMMR, with particular emphasis on PMCTA, can provide higher accuracy than the other modalities and can be regarded as indispensable methods that should be applied to the routine autopsy protocol, thus improving the findings and accuracy of diagnosing the cause of death.
Post-mortem Computed Tomographic Angiography in Equine Distal Forelimbs: A Feasibility Study
TLDR
Recovering vascular perfusion of frozen-thawed equine distal limbs with a lipophilic contrast agent allows for high-quality 3D-visualization of the vasculature and may serve as a model for in situ vascular evaluation in the future.
Post-Mortem Investigation Through Virtual Autopsy Techniques: Proposal of a New Diagnostic Approach to Reduce the Risks of Operators During Emergencies
TLDR
Virtual autopsy by postmortem CT (PMCT) is proposed as a technique to facilitate post-mortem examinations on ascertained or suspected SARS-COV-2 cases and reduces the risk of infection for the operators that have to conduct the particular investigations during the emergencies.
Potentials of post-mortem CT investigations during SARS-COV-2 pandemic: a narrative review
TLDR
The application of PMCT techniques in the study of ascertained or suspected SARS-COV-2 infected deceased individuals as a screening technique and as a method of post-mortem investigation, to augment the numbers of case examined and significantly reducing infection risk for the operators.
The End
  • A. Wiles
  • Medicine
    AJSP: Reviews and Reports
  • 2021
Abstract Arguments in defense of the medical autopsy tend to be grounded in quantitative ideas of utility. As such, these defenses limit their techniques and core concepts to the same principles that
Best practices of highly infectious decedent management: Consensus recommendations from an international expert workshop
TLDR
These consensus recommendations on best practices in highly infectious decedent management are presented to underscore this overlooked area and serve as a starting point for much-needed conversations.

References

SHOWING 1-10 OF 42 REFERENCES
Postmortem CT angiography: capabilities and limitations in traumatic and natural causes of death.
TLDR
Postmortem CT angiography adds substantial value to the classic forensic autopsy; cross-sectional data can be reevaluated objectively at any time and are fully reproducible as counterexpertise, which is as useful in the fields of forensic medicine and pathology as in clinical research.
Imaging in forensic radiology: an illustrated guide for postmortem computed tomography technique and protocols
TLDR
This review should facilitate the implementation of a high-quality protocol that enables standardized reporting in morgues, associated hospitals or private practices that perform forensic scans to provide the same quality that clinical scans provide in court.
Postmortem imaging-guided biopsy as an adjuvant to minimally invasive autopsy with CT and postmortem angiography: a feasibility study.
TLDR
In light of increasing objections of the next of kin toward an autopsy and the necessity for medical examiners to assess the manner and cause of death, it is thought that the minimally invasive procedure described here may present a viable compromise in selected cases.
Virtopsy: postmortem minimally invasive angiography using cross section techniques--implementation and preliminary results.
TLDR
A minimally invasive angiography technique becomes necessary, in order to support the vascular cross section diagnostic, using an ex-vivo porcine coronary model to implement a noninvasive or minimallyvasive autopsy technique.
Virtopsy, a new imaging horizon in forensic pathology: virtual autopsy by postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI)--a feasibility study.
TLDR
Preliminary results, based on the concept of "virtopsy," are promising enough to introduce and evaluate these radiological techniques in forensic medicine.
The value of postmortem computed tomography as an alternative for autopsy in trauma victims: a systematic review
TLDR
PMCT has promising features in postmortem examination suggesting PMCT is a good alternative for a refused autopsy or a good adjunct to autopsy because it detects extra injuries overseen during autopsies.
Minimally invasive autopsy: an alternative to conventional autopsy?
TLDR
MIA is a feasible procedure with high diagnostic performance for detection of common causes of death such as pneumonia and sepsis; MIA failed to demonstrate cardiac diseases, such as acute myocardial infarction and endocarditis, as underlying cause of death.
...
...