Saunders Sarah L, Morgan Bruno, Raj Vimal, Rutty Guy N
East Midlands Forensic Pathology Unit, University of Leicester, Robert Kilpatrick Building, Leicester Royal Infirmary, Leicester, LE2 7LX, UK.
Forensic Sci Med Pathol. 2011 Sep;7(3):271-7. doi: 10.1007/s12024-010-9208-3. Epub 2010 Dec 12.
The role of imaging has been long established in forensic practice as an adjunct to the conventional autopsy. Recently with the development of MDCT, there has been a large international push towards the development of the so called "near virtual autopsy." Currently a large obstacle to the acceptance of "near virtual autopsies" is the failure of post-mortem imaging to yield detailed information about the coronary arteries. This is a major deficiency of post-mortem MDCT and MRI compared to conventional autopsy as standard clinical angiography relies on circulation. One possible way to overcome this is by the use of post-mortem MDCT angiography. This review paper considers the past, current and future advances in cadaver cardiac imaging which, if successful, will take radiological imaging one step closer to the widespread introduction of near virtual autopsies.
影像学在法医实践中作为传统尸检的辅助手段已有很长时间。最近，随着多层螺旋CT（MDCT）的发展，国际上大力推动所谓“近乎虚拟尸检”的发展。目前，“近乎虚拟尸检”被接受的一个主要障碍是死后成像无法提供有关冠状动脉的详细信息。与传统尸检相比，这是死后MDCT和磁共振成像（MRI）的一个主要缺陷，因为标准临床血管造影依赖于血液循环。克服这一问题的一种可能方法是使用死后MDCT血管造影。这篇综述文章探讨了尸体心脏成像的过去、现在和未来进展，如果成功，将使放射成像更接近广泛引入近乎虚拟尸检。
