Call for global health-systems impact assessments.

نویسندگان

  • R Chad Swanson
  • Henry Mosley
  • David Sanders
  • David Egilman
  • Jan De Maeseneer
  • Mushtaque Chowdhury
  • Claudio F Lanata
  • Kirk Dearden
  • Malcolm Bryant
چکیده

www.thelancet.com Vol 374 August 8, 2009 433 misinterpretation during MRI. Radiologists with a background in fetal MRI or antenatal ultrasound might be the best placed to develop post-mortem MRI in the fetus, or a perinatal pathologist with a detailed understanding of development and pathological changes. A new specialty in radiology seems to be emerging. In the future, specialists might work in a multidisciplinary team with pathologists to undertake the complete minimally invasive autopsy. Although a multidisciplinary team is expensive, it is probably necessary to reduce error and maintain skills in both specialties. Whatever our personal thoughts are, minimally invasive autopsy is here to stay. The public have been made aware of the procedure through the media and television dramas, and therefore a relative requesting an MRI as an alternative is not unusual, especially when there are religious reasons for objection to an autopsy. Indeed, if the Coroners and Justice Bill completes its parliamentary passage, alternative options to the autopsy should be made available throughout the UK. Crucial to the future of the minimally invasive autopsy is the progress of the techniques and the development of specialist centres, allowing trained personnel to correctly use post-mortem imaging to ensure that the full diagnostic information is obtained. The specialist centres will involve bereavement counsellors, coroners, and forensic medicine experts working alongside radiologists and pathologists. Until we have established how to select cases in which imaging can be part of a minimally invasive autopsy, the traditional autopsy with imaging as an adjunct should be encouraged.

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عنوان ژورنال:
  • Lancet

دوره 374 9688  شماره 

صفحات  -

تاریخ انتشار 2009