Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, UK.
Br J Radiol. 2014 Apr;87(1036):20130662. doi: 10.1259/bjr.20130662.
The use of post-mortem imaging is expanding throughout the world with increasing use of advanced imaging techniques, such as contrast-enhanced CT and MRI. The questions asked of post-mortem imaging are complex and can be very different, for example for natural sudden death investigation will focus on the cause, whereas for trauma the cause of death is often clear, but injury patterns may be very revealing in investigating the background to the incident. Post-mortem imaging is different to clinical imaging regarding both the appearance of pathology and the information required, but there is much to learn from many years of clinical research in the use of these techniques. Furthermore, it is possible that post-mortem imaging research could be used not only for investigating the cause of death but also as a model to conduct clinically relevant research. This article reviews challenges to the development of post-mortem imaging for trauma, identification and cardiorespiratory death, and how they may be influenced by current clinical thinking and practice.
随着先进成像技术（如增强 CT 和 MRI）的广泛应用，死后影像学的使用在全球范围内不断扩大。死后影像学的应用问题复杂多样，可能大相径庭。例如，自然性猝死调查的重点是死因，而对于创伤，死亡原因通常很明确，但受伤模式在调查事件背景方面可能具有很强的揭示性。死后影像学与临床影像学在病理学表现和所需信息方面都有所不同，但可以从多年来使用这些技术的临床研究中吸取很多经验。此外，死后影像学研究不仅有可能用于调查死因，还可能作为一种模型来开展具有临床相关性的研究。本文回顾了死后影像学在创伤、身份识别和心肺死亡方面的发展所面临的挑战，以及这些挑战如何受到当前临床思维和实践的影响。
