Virtual Autopsy and Digitalization of Medico-legal Records: A Need in Covid Era
DOI:
https://doi.org/10.48165/jiafm.2023.45.3.22Keywords:
Virtopsy, SARS-Covid 2019, Medico-legal reports, DigitalizationAbstract
Post-mortems are done as a tool in proceedings of medico-legal cases. Autopsy exposes the forensic medical practitioners to body cavities, underlying organs and biological fluids that may be major sources of contamination, especially during the pandemic era. Since death tolls have been higher during these times, to prevent spread of viral infections, post-mortem services had been completely halted. Virtual autopsy examinations were then considered by Forensic Medical experts throughout the world during the Covid outbreak and stands as an important future tool in the post-covid era too. Also, documents pertaining to medico-legal examination needs to be handled with integrity and ethics, which prompts its digitalization. This paper aims to study the risks encountered by forensic medical practitioners while conducting death investigations, techniques of virtual autopsy, its legal admissibility, online portals for maintaining reports, their current scenario and future prospects.
Downloads
References
Pell R, Suvarna SK, Cooper N, Rutty G, Green A, Osborn M, Roberts IS. Coronial post-mortem reports and indirect
as well as in the future.
:16.
Kanchan T, Saraf A, Krishan K, Surekha B, Garg P, Misra S. COVID-19 pandemic: a reminder to develop forensic radiology facility. J Infect Dev Ctries. 2021;15(11):1593- 1596.
Gupta SK. Protocol of Dignified Management of Covid-19 Dead Bodies. Retrieved 25 March 2022, Available from : https://www.aiims.edu/images/pdf/notice/COVID-19_ Forensic_stamdard%20guidline_6-5_20.pdf
https://timesofindia.indiatimes.com/city/nagpur/no-post mortem-in-57-unnatural-deaths-due-to-covid-norms rti/articleshow/78850683.cms
Malizia A, Filograna L, Ryan CP, Manenti G. Post-mortem investigation through virtual autopsy techniques: Proposal of a new diagnostic approach to reduce the risks of operators during emergencies. Int J Saf Secur. 2020;10(4): 535-541.
Manoj D, Johnson LR, James RI. Medicolegal practice in India: Is digitalization the way forward? Curr Med Issues. 2022; 20(2): 115-117.
Hao ZR, Wu JD, Liu XS, Chen BZ, Hu T, & Xing HW. Application of virtopsy in forensic science. Fa Yi Xue Za Zhi. 2007; 23(2): 142-144.
Vaishnav D, Bansal YS, Arora V, Mandal SP, Rao MG. Virtual autopsy in COVID19 positive sudden death of a young adult male; a forensic case report. Forensic Imaging. 2022;28: 200488.
Ahmad MU, Sharif KA, Qayyum H, Ehsanullah B, Balyasnikova S, Wale A, Kemp GJ. Assessing the use of magnetic resonance imaging virtopsy as an alternative to autopsy: a systematic review and meta-analysis. Postgrad Med. 2017; 93(1105): 671-678.
Thali MJ, Jackowski C, Oesterhelweg L, Ross SG Dirnhofer R. VIRTOPSY–the Swiss virtual autopsy approach. Legal Medicine. 2007; 9(2): 100-104.
Sinha PK, Gorea RK, Kumar P. Current Scenario of Virtopsy of Head and Neck. J Indo Pac Acad Forensic Odontol. 2021;10(1):19-24.
Ebert LC, Ptacek W, Naether S, Fürst M, Ross S, Buck U,
ISSN : 0971 - 0973, e - ISSN : 0974 - 0848
Thali M. Virtobot—a multi functional robotic system for 3D surface scanning and automatic post mortem biopsy. Int J Med Robot. 2010; 6(1): 18-27.
Ross SG, Bolliger SA, Ampanozi G, Oesterhelweg L, Thali MJ, Flach PM. Postmortem CT angiography: capabilities and limitations in traumatic and natural causes of death. Radiographics. 2014; 34(3): 830-846.
Mishori R, Anastario M, Naimer K, Varanasi S, Ferdowsian H, Abel D, Chugh K. mJustice: Preliminary Development of a Mobile App for Medical-Forensic Documentation of Sexual Violence in Low-Resource Environments and Conflict Zones. Glob Health Sci Pract. 2017; 5(1): 138–151.
Blanc-Louvry L, Thureau S, Duval C, Papin-Lefebvre F, Thiebot J, Dacher JN, Proust B. Post-mortem computed tomography compared to forensic autopsy findings: a French experience. Eur Radiol. 2013; 23(7): 1829-1835.
O'Sullivan S, Holzinger A, Zatloukal K, Saldiva P, Sajid M I, Wichmann D. Machine learning enhanced virtual autopsy. Autops Case Rep. 2017; 7(4): 3.
Wichmann D, Obbelode F, Vogel H, Hoepker W, Nierhaus A, Braune S & Kluge S. Virtual autopsy as an alternative to traditional medical autopsy in the intensive care unit: a prospective cohort study. Ann Intern Med. 2012; 156(2): 123-130.
https://www.ndtv.com/delhi-news/virtual-autopsy-facility starts-at-aiims-delhi-heres-how-it-works-2395180.