Volume 379, Issue 9811, Pages (January 2012)

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Presentation transcript:

Volume 379, Issue 9811, Pages 136-142 (January 2012) Post-mortem imaging as an alternative to autopsy in the diagnosis of adult deaths: a validation study Prof Ian SD Roberts, FRCPath, Rachel E Benamore, FRCR, Emyr W Benbow, FRCPath, Stephen H Lee, FRCR, Jonathan N Harris, FRCR, Prof Alan Jackson, FRCR, Susan Mallett, DPhil, Tufail Patankar, FRCR, Charles Peebles, FRCR, Prof Carl Roobottom, FRCR, Zoe C Traill, FRCR The Lancet Volume 379, Issue 9811, Pages 136-142 (January 2012) DOI: 10.1016/S0140-6736(11)61483-9 Copyright © 2012 Elsevier Ltd Terms and Conditions

Figure 1 Protocol for radiology reporting The Lancet 2012 379, 136-142DOI: (10.1016/S0140-6736(11)61483-9) Copyright © 2012 Elsevier Ltd Terms and Conditions

Figure 2 Post-mortem changes and pathologies (A) Axial CT image through the upper abdomen showing extensive intravascular gas (arrowhead), in keeping with decomposition. Free intraperitoneal gas (arrow) is due to decomposition in this patient, but creates difficulty for exclusion of a perforated intra-abdominal viscus. (B) Axial CT image through the brain showing extensive intracranial gas due to decomposition. Differentiation between grey and white matter is poor. (C) Axial CT image showing rupture of an abdominal aortic aneurysm (arrowhead) with extensive retroperitoneal haemorrhage on the left (arrow). (D) Oblique axial (short-axis view) T2-weighted MRI image showing a haemopericardium (arrowhead) due to rupture of a myocardial infarct (arrow). The Lancet 2012 379, 136-142DOI: (10.1016/S0140-6736(11)61483-9) Copyright © 2012 Elsevier Ltd Terms and Conditions

Figure 3 Frequency of formulation errors in the general radiologist causes of death for the first six batches Major formulation errors are either unsupported modes of death or sequence errors for which no logical causal relation exists between parts Ia, b, and c of the medical certificate of cause of death. The Lancet 2012 379, 136-142DOI: (10.1016/S0140-6736(11)61483-9) Copyright © 2012 Elsevier Ltd Terms and Conditions