AI Article Synopsis

  • Post-mortem CT (PMCT) is becoming a popular, non-invasive option for adult death investigations, addressing pathologist shortages while respecting cultural needs.
  • The article discusses various PMCT service structures tailored to different coronial jurisdictions, which face challenges like limited imaging access and logistical issues.
  • It further explores operational models for PMCT services, including who leads them, types of CT units used, and reporting structures, offering real-world examples for effective implementation.

Article Abstract

Post-mortem CT (PMCT) is increasingly used in adult post-mortem investigations as a non-invasive alternative to traditional autopsies. Using PMCT supports death investigations in the face of severe pathologist workforce shortages and the less invasive nature maintains respect for cultural sensitivities. This article reviews the diverse service structures of PMCT, highlighting the importance of customizing these structures to meet the specific needs of various coronial jurisdictions. These jurisdictions often face challenges such as limited access to imaging facilities and logistical issues with geographically dispersed mortuaries. We outline options for leading and operating PMCT services, including models led by pathologists, radiologist, or a hybrid of the two; use of static, relocatable, or mobile CT scanning units; as well as making the most of existing resources such as NHS or private scanning facility scanners already in place. We also explore different PMCT reporting structures through in-house NHS radiologists, combined in-house and teleradiology, or fully outsourced teleradiology services. Each of these offerings provides different levels of efficiency, cost-effectiveness, data security and challenges to set-up. Where applicable, we present and describe real-world examples as case studies for readers interested in replicating existing models.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568351PMC
http://dx.doi.org/10.1093/bjro/tzae036DOI Listing

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