Comparison of Forensic Virtual Autopsy and Conventional Autopsy Findings in China: A 10-year Retrospective Study

Background: This study evaluates the noninvasive virtual autopsy (virtopsy), which uses imaging technologies like computed tomography (CT) and magnetic resonance imaging to examine deceased internal structures, as an alternative to traditional autopsies due to its less invasive nature and greater fa...

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Main Authors: Ya-Wen Liu, Zhuo-Qun Wang, Zhi-Ling Tian, He-Wen Dong, Yuan-Yuan Liu, En-Hao Fu, Jiang Huang, Dong-Hua Zou, Ning-Guo Liu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Forensic Science and Medicine
Subjects:
Online Access:https://journals.lww.com/10.4103/jfsm.jfsm_156_24
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author Ya-Wen Liu
Zhuo-Qun Wang
Zhi-Ling Tian
He-Wen Dong
Yuan-Yuan Liu
En-Hao Fu
Jiang Huang
Dong-Hua Zou
Ning-Guo Liu
author_facet Ya-Wen Liu
Zhuo-Qun Wang
Zhi-Ling Tian
He-Wen Dong
Yuan-Yuan Liu
En-Hao Fu
Jiang Huang
Dong-Hua Zou
Ning-Guo Liu
author_sort Ya-Wen Liu
collection DOAJ
description Background: This study evaluates the noninvasive virtual autopsy (virtopsy), which uses imaging technologies like computed tomography (CT) and magnetic resonance imaging to examine deceased internal structures, as an alternative to traditional autopsies due to its less invasive nature and greater family acceptance. Aims and Objectives: The aim was to assess virtopsy’s effectiveness by comparing it with traditional autopsies in 322 cases from the Academy of Forensic Science in China over a decade, focusing on various anatomical regions and tissues. Materials and Methods: Postmortem computed tomography (PMCT) and PMCT angiography (PMCTA) were performed on 204 cadavers before traditional autopsies, with the agreement between virtopsy and autopsy findings assessed using Cohen kappa values. Results: Virtopsy showed higher sensitivity in detecting fractures, particularly in hard-to-access bones, but was less sensitive to rib fractures. Autopsy was more effective for intracranial injuries and organ pathologies, while PMCTA excelled at revealing vascular lesions and injuries. Conclusion: Virtopsy is effective for certain tissues and organs, serving as an auxiliary and guiding tool in traditional autopsies, thus enhancing forensic diagnosis and case resolution.
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2455-0094
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publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Forensic Science and Medicine
spelling doaj-art-9437452ca79a4d3b83841c8ccb61315f2025-01-11T10:18:55ZengWolters Kluwer Medknow PublicationsJournal of Forensic Science and Medicine2349-50142455-00942024-12-0110429630310.4103/jfsm.jfsm_156_24Comparison of Forensic Virtual Autopsy and Conventional Autopsy Findings in China: A 10-year Retrospective StudyYa-Wen LiuZhuo-Qun WangZhi-Ling TianHe-Wen DongYuan-Yuan LiuEn-Hao FuJiang HuangDong-Hua ZouNing-Guo LiuBackground: This study evaluates the noninvasive virtual autopsy (virtopsy), which uses imaging technologies like computed tomography (CT) and magnetic resonance imaging to examine deceased internal structures, as an alternative to traditional autopsies due to its less invasive nature and greater family acceptance. Aims and Objectives: The aim was to assess virtopsy’s effectiveness by comparing it with traditional autopsies in 322 cases from the Academy of Forensic Science in China over a decade, focusing on various anatomical regions and tissues. Materials and Methods: Postmortem computed tomography (PMCT) and PMCT angiography (PMCTA) were performed on 204 cadavers before traditional autopsies, with the agreement between virtopsy and autopsy findings assessed using Cohen kappa values. Results: Virtopsy showed higher sensitivity in detecting fractures, particularly in hard-to-access bones, but was less sensitive to rib fractures. Autopsy was more effective for intracranial injuries and organ pathologies, while PMCTA excelled at revealing vascular lesions and injuries. Conclusion: Virtopsy is effective for certain tissues and organs, serving as an auxiliary and guiding tool in traditional autopsies, thus enhancing forensic diagnosis and case resolution.https://journals.lww.com/10.4103/jfsm.jfsm_156_24autopsyforensic pathologypostmortem computed tomographypostmortem examinationpostmortem imaging technology
spellingShingle Ya-Wen Liu
Zhuo-Qun Wang
Zhi-Ling Tian
He-Wen Dong
Yuan-Yuan Liu
En-Hao Fu
Jiang Huang
Dong-Hua Zou
Ning-Guo Liu
Comparison of Forensic Virtual Autopsy and Conventional Autopsy Findings in China: A 10-year Retrospective Study
Journal of Forensic Science and Medicine
autopsy
forensic pathology
postmortem computed tomography
postmortem examination
postmortem imaging technology
title Comparison of Forensic Virtual Autopsy and Conventional Autopsy Findings in China: A 10-year Retrospective Study
title_full Comparison of Forensic Virtual Autopsy and Conventional Autopsy Findings in China: A 10-year Retrospective Study
title_fullStr Comparison of Forensic Virtual Autopsy and Conventional Autopsy Findings in China: A 10-year Retrospective Study
title_full_unstemmed Comparison of Forensic Virtual Autopsy and Conventional Autopsy Findings in China: A 10-year Retrospective Study
title_short Comparison of Forensic Virtual Autopsy and Conventional Autopsy Findings in China: A 10-year Retrospective Study
title_sort comparison of forensic virtual autopsy and conventional autopsy findings in china a 10 year retrospective study
topic autopsy
forensic pathology
postmortem computed tomography
postmortem examination
postmortem imaging technology
url https://journals.lww.com/10.4103/jfsm.jfsm_156_24
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