An Evaluation of Needle Necropsies

West, Michael A.; Chomet, Bernhard

doi:10.1097/00000441-195711000-00007

Cited by 18 publications

(11 citation statements)

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“…Thus, in the total of 68% cases concordant diagnoses was made on needle and conventional autopsy. In the majority of the previous studies [4,6,14,16], including the present study, concordance between the needle and conventional autopsy final diagnoses was found to be low, which implies that a conventional/complete autopsy should be the standard for every postmortem examination.…”

Section: Final Diagnoses By Needle and Conventional Autopsymentioning

confidence: 47%

Comparision of Needle Autopsy With Conventional Autopsy in Neonates

Garg¹,

Punia²,

Basu³

et al. 2009

Fetal and Pediatric Pathology

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Tru-cut needle biopsy postmortems were compared with the standard conventional autopsy in neonates. Twenty-five fresh deceased neonates between 33 weeks of gestation to below 28 days of life were examined by both the techniques. Tissue collection by needle biopsy varied from 92% for liver to 20% for spleen while lung, brain, and kidney gave intermediate results. The cause of death could be determined in 17 cases (68%) by needle biopsy and in 24 cases (96%) by conventional postmortem. In 14 of the 17 cases (56%) cause of death could be determined by biopsy which was in full concordance with the findings of the full autopsy, whereas 3 (12%) cases showed only partial concordance and the diagnosis were discrepant in 32% cases. Needle autopsy missed diagnosis of various congenital malformations, which can be discerned only after meticulous gross examination. Needle autopsy is of value when permission for a complete autopsy cannot be obtained.

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Section: Final Diagnoses By Needle and Conventional Autopsymentioning

confidence: 47%

Comparision of Needle Autopsy With Conventional Autopsy in Neonates

Garg¹,

Punia²,

Basu³

et al. 2009

Fetal and Pediatric Pathology

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“…However, its results have generally been discouraging, as most organs cannot be adequately sampled. Reports on needle autopsy have shown a 67%, 48% and 43% sensitivity rate for the diagnosis of the cause of death compared with conventional autopsy [3,5,12]. In 1969, Wellman [11] reported the results of 394 needle autop- diagnostic accuracy in these systems.…”

Section: Discussionmentioning

confidence: 99%

“…One such modification is needle autopsy, introduced in 1955 [9]; this technique is used to obtain material from the organs with a tru-cut needle without opening the corpse [12]. However, it has not gained widespread acceptance due to its relatively low diagnostic reliability.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic autopsy (echopsy): a new autopsy technique

Fariña¹,

Millana²,

Fdez-Aceñero³

et al. 2002

Virchows Arch

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Autopsy has been one of the most important techniques for the development of modern medicine, mainly during the nineteenth century and the first half of last century. However, in the last few years, the number of autopsies performed in hospitals has dramatically decreased all over the world. This loss of interest can be attributed both to important advances in other diagnostic and therapeutic techniques and to the fear of malpractice suits. Several groups have tried to overcome this problem, developing different autopsy techniques, one of which is needle autopsy. Most authors using this technique have acknowledged that it is difficult to obtain material from certain organs and lesions, which makes its diagnostic reliability worse than that of conventional autopsy. To overcome this drawback, our team has recently developed a modification of needle autopsy, called ultrasonographic autopsy or echopsy, in which samples are obtained under ultrasonographic control. We report the results of the first 100 cases of echopsy performed in our hospital, comparing this technique with conventional autopsy performed on all the corpses. The concordance rate for the cause of death and the main pathological diagnosis between echopsy and classical autopsy was 83% in our series, which makes echopsy a feasible and reliable alternative to conventional autopsy in cases in which families refuse to give their consent for classical autopsy or in cases of infectious diseases.

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“…A number of authors qualified needle autopsies as an inadequate substitute for conventional autopsy, but they considered it as a valuable tool when consent for full autopsy was not obtained [8][9][10][11][12]. Time and time again some authors have reawakened the interest for post-mortem tissue sampling, describing its advantages in comparison with conventional autopsy [13][14][15].…”

Section: ''Needle Autopsy''mentioning

confidence: 99%

“…Most of the authors practicing needle autopsies acknowledged the difficulty to obtain the samples from the desired organs or their parts, which made the diagnostic reliability of the method worse than that of traditional complete autopsy [9,10,12,13]. In 2001 Farina et al were the first who implemented an imaging technique, namely ultrasonography, to help obtain tissue samples in forensic medicine [16] ( Table 1).…”

Section: Image Guided Needle Biopsymentioning

confidence: 99%