Loading…
Multimodality minimally invasive autopsy—A feasible and accurate approach to post-mortem examination
Abstract Background Autopsy examination has been the bedrock of western medicine. With the decline in the autopsy rate secondary to the negative psychological impact to the deceased's relatives, the benefits of autopsy have been undermined. Minimally invasive autopsy has been introduced but has...
Saved in:
| Published in: | Forensic science international 2010-02, Vol.195 (1), p.93-98 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c591t-fe716347ceb9077e655b174ee7802f48272066ce1f8f7c46ccced7db35b458633 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c591t-fe716347ceb9077e655b174ee7802f48272066ce1f8f7c46ccced7db35b458633 |
| container_end_page | 98 |
| container_issue | 1 |
| container_start_page | 93 |
| container_title | Forensic science international |
| container_volume | 195 |
| creator | Fan, Joe K.M Tong, Daniel K.H Poon, Jensen T.C Lo, Oswens S.H Beh, Philip S.L Patil, N.G Law, Wai Lun |
| description | Abstract Background Autopsy examination has been the bedrock of western medicine. With the decline in the autopsy rate secondary to the negative psychological impact to the deceased's relatives, the benefits of autopsy have been undermined. Minimally invasive autopsy has been introduced but has not been widely adopted as an alternative to the ‘traditional’ open approach. This technique not only provides information on the cause of death abut also minimizes the disfigurement induced to the deceased. Our study aims to explore the feasibility and evaluate the accuracy of this technique. Methods A series of coroner cases ordered for autopsy were examined by a group including an experienced forensic pathologist and two experienced laparoscopic surgeons using thoracoscopic, laparoscopic, endoluminal or endovascular approaches. The procedure was video-recorded and the provisional diagnoses and causes of death were made based on the findings. These findings were subsequently correlated with the full autopsy examination. A few limited clinical post-mortem examinations were also performed with consent from relatives. Results A total of 22 cases of minimally invasive autopsies were performed from November 2007 to March 2008. The median duration of the procedures was 78.3 ± 20.7 min. Thoracoscopies and laparoscopies were performed in 18 patients while additional arterioscopic examination with endoscope was performed in two patients with suspected aortic diseases. Four consented limited clinical autopsies were also performed: two of them involved thoracoscopic biopsies of lung tissues, one was a para-mortem upper endoscopy for the investigation of pathology of the stomach and the other one was laparoscopy for a patient, who died of unexplained acidosis. Comparison with full autopsies showed that the accuracy of the diagnosis was 94.4%, the sensitivity was 90%, the specificity was 100%, the positive predictive value was 100% and the negative predictive value was 88.9%. Conclusion Minimally invasive autopsy is a feasible approach, yielding accurate findings when compared with conventional autopsies. The former can be a valuable tool for obtaining more valuable information in situations when the next-of-kin of the deceased does not consent to a conventional autopsy. |
| doi_str_mv | 10.1016/j.forsciint.2009.11.019 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_889396325</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0379073809004769</els_id><sourcerecordid>2090164111</sourcerecordid><originalsourceid>FETCH-LOGICAL-c591t-fe716347ceb9077e655b174ee7802f48272066ce1f8f7c46ccced7db35b458633</originalsourceid><addsrcrecordid>eNqNkt2K1DAUx4so7rj6CloU8ao130lvhGHxC1a8UK9Dmp5ixrYZk3Swdz6ET-iTmDrjLiyIXoUcfud_Pv6nKB5hVGOExfNd3fsQrXNTqglCTY1xjXBzq9hgJUkliKK3iw2isqmQpOqsuBfjDiHEORF3i7OcQgVSalP07-YhudF3ZnBpKUc3udEMw1K66WCiO0Bp5uT3cfn5_ce27CHH2iEHp6401s7BpPzZ74M39nOZfLn3MVWjDwnGEr6ZrGeS89P94k5vhggPTu958enVy48Xb6rL96_fXmwvK8sbnKoeJBaUSQttg6QEwXmLJQOQCpGeKSIJEsIC7lUvLRPWWuhk11LeMq4EpefFs6Nu7ujrDDHp0UULw2Am8HPUSjW0EZTwf5KSUk4RpziTj2-QOz-HKY-hhWAUMypkhp78DcKIMsYF_03JI2WDjzFAr_ch7zssGdKrsXqnr4zVq7EaY52NzZkPT_pzO0J3lffHyQw8PQEmWjP0wUzWxWuOMEIkWze0PXKQbTg4CDpXgynv0QWwSXfe_UczL25o2CEfTi77BRaI15PrSDTSH9Y7XM8QNQgxKRr6C1V5224</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1034456567</pqid></control><display><type>article</type><title>Multimodality minimally invasive autopsy—A feasible and accurate approach to post-mortem examination</title><source>ScienceDirect Freedom Collection 2022-2024</source><creator>Fan, Joe K.M ; Tong, Daniel K.H ; Poon, Jensen T.C ; Lo, Oswens S.H ; Beh, Philip S.L ; Patil, N.G ; Law, Wai Lun</creator><creatorcontrib>Fan, Joe K.M ; Tong, Daniel K.H ; Poon, Jensen T.C ; Lo, Oswens S.H ; Beh, Philip S.L ; Patil, N.G ; Law, Wai Lun</creatorcontrib><description>Abstract Background Autopsy examination has been the bedrock of western medicine. With the decline in the autopsy rate secondary to the negative psychological impact to the deceased's relatives, the benefits of autopsy have been undermined. Minimally invasive autopsy has been introduced but has not been widely adopted as an alternative to the ‘traditional’ open approach. This technique not only provides information on the cause of death abut also minimizes the disfigurement induced to the deceased. Our study aims to explore the feasibility and evaluate the accuracy of this technique. Methods A series of coroner cases ordered for autopsy were examined by a group including an experienced forensic pathologist and two experienced laparoscopic surgeons using thoracoscopic, laparoscopic, endoluminal or endovascular approaches. The procedure was video-recorded and the provisional diagnoses and causes of death were made based on the findings. These findings were subsequently correlated with the full autopsy examination. A few limited clinical post-mortem examinations were also performed with consent from relatives. Results A total of 22 cases of minimally invasive autopsies were performed from November 2007 to March 2008. The median duration of the procedures was 78.3 ± 20.7 min. Thoracoscopies and laparoscopies were performed in 18 patients while additional arterioscopic examination with endoscope was performed in two patients with suspected aortic diseases. Four consented limited clinical autopsies were also performed: two of them involved thoracoscopic biopsies of lung tissues, one was a para-mortem upper endoscopy for the investigation of pathology of the stomach and the other one was laparoscopy for a patient, who died of unexplained acidosis. Comparison with full autopsies showed that the accuracy of the diagnosis was 94.4%, the sensitivity was 90%, the specificity was 100%, the positive predictive value was 100% and the negative predictive value was 88.9%. Conclusion Minimally invasive autopsy is a feasible approach, yielding accurate findings when compared with conventional autopsies. The former can be a valuable tool for obtaining more valuable information in situations when the next-of-kin of the deceased does not consent to a conventional autopsy.</description><identifier>ISSN: 0379-0738</identifier><identifier>EISSN: 1872-6283</identifier><identifier>DOI: 10.1016/j.forsciint.2009.11.019</identifier><identifier>PMID: 20036088</identifier><identifier>CODEN: FSINDR</identifier><language>eng</language><publisher>Kidlington: Elsevier Ireland Ltd</publisher><subject>Accuracy ; Adult ; Aged ; Aged, 80 and over ; Arteries - pathology ; Autopsies ; Autopsy - methods ; Bedrock ; Biological and medical sciences ; Biopsy ; Biopsy - methods ; Consents ; Death ; Diseases ; Endoscopes ; Endoscopy ; Feasibility ; Feasibility Studies ; Female ; Forensic medicine ; Forensic pathology ; Forensic Pathology - methods ; Forensic sciences ; General aspects ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Lung - pathology ; Male ; Medical sciences ; Middle Aged ; Minimally invasive autopsy ; Pathology ; Patients ; Psychological aspects ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Stomach - pathology</subject><ispartof>Forensic science international, 2010-02, Vol.195 (1), p.93-98</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2009 Elsevier Ireland Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2009 Elsevier Ireland Ltd. All rights reserved.</rights><rights>Copyright Elsevier Sequoia S.A. Feb 25, 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c591t-fe716347ceb9077e655b174ee7802f48272066ce1f8f7c46ccced7db35b458633</citedby><cites>FETCH-LOGICAL-c591t-fe716347ceb9077e655b174ee7802f48272066ce1f8f7c46ccced7db35b458633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22422743$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20036088$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fan, Joe K.M</creatorcontrib><creatorcontrib>Tong, Daniel K.H</creatorcontrib><creatorcontrib>Poon, Jensen T.C</creatorcontrib><creatorcontrib>Lo, Oswens S.H</creatorcontrib><creatorcontrib>Beh, Philip S.L</creatorcontrib><creatorcontrib>Patil, N.G</creatorcontrib><creatorcontrib>Law, Wai Lun</creatorcontrib><title>Multimodality minimally invasive autopsy—A feasible and accurate approach to post-mortem examination</title><title>Forensic science international</title><addtitle>Forensic Sci Int</addtitle><description>Abstract Background Autopsy examination has been the bedrock of western medicine. With the decline in the autopsy rate secondary to the negative psychological impact to the deceased's relatives, the benefits of autopsy have been undermined. Minimally invasive autopsy has been introduced but has not been widely adopted as an alternative to the ‘traditional’ open approach. This technique not only provides information on the cause of death abut also minimizes the disfigurement induced to the deceased. Our study aims to explore the feasibility and evaluate the accuracy of this technique. Methods A series of coroner cases ordered for autopsy were examined by a group including an experienced forensic pathologist and two experienced laparoscopic surgeons using thoracoscopic, laparoscopic, endoluminal or endovascular approaches. The procedure was video-recorded and the provisional diagnoses and causes of death were made based on the findings. These findings were subsequently correlated with the full autopsy examination. A few limited clinical post-mortem examinations were also performed with consent from relatives. Results A total of 22 cases of minimally invasive autopsies were performed from November 2007 to March 2008. The median duration of the procedures was 78.3 ± 20.7 min. Thoracoscopies and laparoscopies were performed in 18 patients while additional arterioscopic examination with endoscope was performed in two patients with suspected aortic diseases. Four consented limited clinical autopsies were also performed: two of them involved thoracoscopic biopsies of lung tissues, one was a para-mortem upper endoscopy for the investigation of pathology of the stomach and the other one was laparoscopy for a patient, who died of unexplained acidosis. Comparison with full autopsies showed that the accuracy of the diagnosis was 94.4%, the sensitivity was 90%, the specificity was 100%, the positive predictive value was 100% and the negative predictive value was 88.9%. Conclusion Minimally invasive autopsy is a feasible approach, yielding accurate findings when compared with conventional autopsies. The former can be a valuable tool for obtaining more valuable information in situations when the next-of-kin of the deceased does not consent to a conventional autopsy.</description><subject>Accuracy</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arteries - pathology</subject><subject>Autopsies</subject><subject>Autopsy - methods</subject><subject>Bedrock</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Biopsy - methods</subject><subject>Consents</subject><subject>Death</subject><subject>Diseases</subject><subject>Endoscopes</subject><subject>Endoscopy</subject><subject>Feasibility</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Forensic medicine</subject><subject>Forensic pathology</subject><subject>Forensic Pathology - methods</subject><subject>Forensic sciences</subject><subject>General aspects</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lung - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally invasive autopsy</subject><subject>Pathology</subject><subject>Patients</subject><subject>Psychological aspects</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Stomach - pathology</subject><issn>0379-0738</issn><issn>1872-6283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqNkt2K1DAUx4so7rj6CloU8ao130lvhGHxC1a8UK9Dmp5ixrYZk3Swdz6ET-iTmDrjLiyIXoUcfud_Pv6nKB5hVGOExfNd3fsQrXNTqglCTY1xjXBzq9hgJUkliKK3iw2isqmQpOqsuBfjDiHEORF3i7OcQgVSalP07-YhudF3ZnBpKUc3udEMw1K66WCiO0Bp5uT3cfn5_ce27CHH2iEHp6401s7BpPzZ74M39nOZfLn3MVWjDwnGEr6ZrGeS89P94k5vhggPTu958enVy48Xb6rL96_fXmwvK8sbnKoeJBaUSQttg6QEwXmLJQOQCpGeKSIJEsIC7lUvLRPWWuhk11LeMq4EpefFs6Nu7ujrDDHp0UULw2Am8HPUSjW0EZTwf5KSUk4RpziTj2-QOz-HKY-hhWAUMypkhp78DcKIMsYF_03JI2WDjzFAr_ch7zssGdKrsXqnr4zVq7EaY52NzZkPT_pzO0J3lffHyQw8PQEmWjP0wUzWxWuOMEIkWze0PXKQbTg4CDpXgynv0QWwSXfe_UczL25o2CEfTi77BRaI15PrSDTSH9Y7XM8QNQgxKRr6C1V5224</recordid><startdate>20100225</startdate><enddate>20100225</enddate><creator>Fan, Joe K.M</creator><creator>Tong, Daniel K.H</creator><creator>Poon, Jensen T.C</creator><creator>Lo, Oswens S.H</creator><creator>Beh, Philip S.L</creator><creator>Patil, N.G</creator><creator>Law, Wai Lun</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><general>Elsevier Limited</general><general>Elsevier Sequoia S.A</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U5</scope><scope>8FD</scope><scope>L7M</scope></search><sort><creationdate>20100225</creationdate><title>Multimodality minimally invasive autopsy—A feasible and accurate approach to post-mortem examination</title><author>Fan, Joe K.M ; Tong, Daniel K.H ; Poon, Jensen T.C ; Lo, Oswens S.H ; Beh, Philip S.L ; Patil, N.G ; Law, Wai Lun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c591t-fe716347ceb9077e655b174ee7802f48272066ce1f8f7c46ccced7db35b458633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Accuracy</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arteries - pathology</topic><topic>Autopsies</topic><topic>Autopsy - methods</topic><topic>Bedrock</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Biopsy - methods</topic><topic>Consents</topic><topic>Death</topic><topic>Diseases</topic><topic>Endoscopes</topic><topic>Endoscopy</topic><topic>Feasibility</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Forensic medicine</topic><topic>Forensic pathology</topic><topic>Forensic Pathology - methods</topic><topic>Forensic sciences</topic><topic>General aspects</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lung - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minimally invasive autopsy</topic><topic>Pathology</topic><topic>Patients</topic><topic>Psychological aspects</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Stomach - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fan, Joe K.M</creatorcontrib><creatorcontrib>Tong, Daniel K.H</creatorcontrib><creatorcontrib>Poon, Jensen T.C</creatorcontrib><creatorcontrib>Lo, Oswens S.H</creatorcontrib><creatorcontrib>Beh, Philip S.L</creatorcontrib><creatorcontrib>Patil, N.G</creatorcontrib><creatorcontrib>Law, Wai Lun</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest research library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Technology Research Database</collection><collection>Advanced Technologies Database with Aerospace</collection><jtitle>Forensic science international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fan, Joe K.M</au><au>Tong, Daniel K.H</au><au>Poon, Jensen T.C</au><au>Lo, Oswens S.H</au><au>Beh, Philip S.L</au><au>Patil, N.G</au><au>Law, Wai Lun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multimodality minimally invasive autopsy—A feasible and accurate approach to post-mortem examination</atitle><jtitle>Forensic science international</jtitle><addtitle>Forensic Sci Int</addtitle><date>2010-02-25</date><risdate>2010</risdate><volume>195</volume><issue>1</issue><spage>93</spage><epage>98</epage><pages>93-98</pages><issn>0379-0738</issn><eissn>1872-6283</eissn><coden>FSINDR</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>ObjectType-Article-2</notes><notes>ObjectType-Feature-1</notes><abstract>Abstract Background Autopsy examination has been the bedrock of western medicine. With the decline in the autopsy rate secondary to the negative psychological impact to the deceased's relatives, the benefits of autopsy have been undermined. Minimally invasive autopsy has been introduced but has not been widely adopted as an alternative to the ‘traditional’ open approach. This technique not only provides information on the cause of death abut also minimizes the disfigurement induced to the deceased. Our study aims to explore the feasibility and evaluate the accuracy of this technique. Methods A series of coroner cases ordered for autopsy were examined by a group including an experienced forensic pathologist and two experienced laparoscopic surgeons using thoracoscopic, laparoscopic, endoluminal or endovascular approaches. The procedure was video-recorded and the provisional diagnoses and causes of death were made based on the findings. These findings were subsequently correlated with the full autopsy examination. A few limited clinical post-mortem examinations were also performed with consent from relatives. Results A total of 22 cases of minimally invasive autopsies were performed from November 2007 to March 2008. The median duration of the procedures was 78.3 ± 20.7 min. Thoracoscopies and laparoscopies were performed in 18 patients while additional arterioscopic examination with endoscope was performed in two patients with suspected aortic diseases. Four consented limited clinical autopsies were also performed: two of them involved thoracoscopic biopsies of lung tissues, one was a para-mortem upper endoscopy for the investigation of pathology of the stomach and the other one was laparoscopy for a patient, who died of unexplained acidosis. Comparison with full autopsies showed that the accuracy of the diagnosis was 94.4%, the sensitivity was 90%, the specificity was 100%, the positive predictive value was 100% and the negative predictive value was 88.9%. Conclusion Minimally invasive autopsy is a feasible approach, yielding accurate findings when compared with conventional autopsies. The former can be a valuable tool for obtaining more valuable information in situations when the next-of-kin of the deceased does not consent to a conventional autopsy.</abstract><cop>Kidlington</cop><pub>Elsevier Ireland Ltd</pub><pmid>20036088</pmid><doi>10.1016/j.forsciint.2009.11.019</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0379-0738 |
| ispartof | Forensic science international, 2010-02, Vol.195 (1), p.93-98 |
| issn | 0379-0738 1872-6283 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_889396325 |
| source | ScienceDirect Freedom Collection 2022-2024 |
| subjects | Accuracy Adult Aged Aged, 80 and over Arteries - pathology Autopsies Autopsy - methods Bedrock Biological and medical sciences Biopsy Biopsy - methods Consents Death Diseases Endoscopes Endoscopy Feasibility Feasibility Studies Female Forensic medicine Forensic pathology Forensic Pathology - methods Forensic sciences General aspects Humans Investigative techniques, diagnostic techniques (general aspects) Lung - pathology Male Medical sciences Middle Aged Minimally invasive autopsy Pathology Patients Psychological aspects Public health. Hygiene Public health. Hygiene-occupational medicine Stomach - pathology |
| title | Multimodality minimally invasive autopsy—A feasible and accurate approach to post-mortem examination |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-21T23%3A25%3A36IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Multimodality%20minimally%20invasive%20autopsy%E2%80%94A%20feasible%20and%20accurate%20approach%20to%20post-mortem%20examination&rft.jtitle=Forensic%20science%20international&rft.au=Fan,%20Joe%20K.M&rft.date=2010-02-25&rft.volume=195&rft.issue=1&rft.spage=93&rft.epage=98&rft.pages=93-98&rft.issn=0379-0738&rft.eissn=1872-6283&rft.coden=FSINDR&rft_id=info:doi/10.1016/j.forsciint.2009.11.019&rft_dat=%3Cproquest_cross%3E2090164111%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c591t-fe716347ceb9077e655b174ee7802f48272066ce1f8f7c46ccced7db35b458633%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1034456567&rft_id=info:pmid/20036088&rfr_iscdi=true |