Objectives: Over the last decades interest has grown in the use of virtual autopsy through PMCT as an adjunct or alternative to the invasive autopsy. Health technology assessment (HTA) is currently one of the major challenges in assessing medical innovations and healthcare systems. This paper is focused on HTA applied to unenhanced PMCT with the aim to evaluate the impact of this tech-nology in forensic investigations with particular focus on Italy. Materials and methods: In this paper EUnetHTA Core Model individual domains were applied to unenhanced PMCT virtual autopsy.Results: This is the first pilot HTA report using the HTA Core Model regarding virtual autopsy. Virtual autopsy provides many advantages in comparison to traditional autopsy such as the reduction of infection risk, guidance for subsequent autopsy, and moreover allows archiving of data that can be viewed and analyzed in the future by various experts. PMCT can add important information to traditional autopsy and in selected cases, has been proposed as a replacement for classical autopsy, the current gold standard. Conclusions: Unenhanced PMCT is a valuable technique in terms of advantages provided, also considering added costs. Based on the results of our analysis, we recommend a larger introduction of this technology in forensic investigations. The greatest benefits are expected after the implementation of dedicated CT scans for post-mortem examinations, that would simplify workflow and the management of cadavers. Thus, we recommend a significant inclusion of PMCT in forensic investigations.

Filograna, L., Manenti, G., Grassi, S., Zedda, M., Ryan, C.p., Floris, R., et al. (2022). Health Technology Assessment (HTA) of virtual autopsy through PMCT with particular focus on Italy. FORENSIC IMAGING, 30, 200516 [10.1016/j.fri.2022.200516].

Health Technology Assessment (HTA) of virtual autopsy through PMCT with particular focus on Italy

Manenti G.
Writing – Review & Editing
;
Grassi S.
Methodology
;
Floris R.
Membro del Collaboration Group
;
2022-01-01

Abstract

Objectives: Over the last decades interest has grown in the use of virtual autopsy through PMCT as an adjunct or alternative to the invasive autopsy. Health technology assessment (HTA) is currently one of the major challenges in assessing medical innovations and healthcare systems. This paper is focused on HTA applied to unenhanced PMCT with the aim to evaluate the impact of this tech-nology in forensic investigations with particular focus on Italy. Materials and methods: In this paper EUnetHTA Core Model individual domains were applied to unenhanced PMCT virtual autopsy.Results: This is the first pilot HTA report using the HTA Core Model regarding virtual autopsy. Virtual autopsy provides many advantages in comparison to traditional autopsy such as the reduction of infection risk, guidance for subsequent autopsy, and moreover allows archiving of data that can be viewed and analyzed in the future by various experts. PMCT can add important information to traditional autopsy and in selected cases, has been proposed as a replacement for classical autopsy, the current gold standard. Conclusions: Unenhanced PMCT is a valuable technique in terms of advantages provided, also considering added costs. Based on the results of our analysis, we recommend a larger introduction of this technology in forensic investigations. The greatest benefits are expected after the implementation of dedicated CT scans for post-mortem examinations, that would simplify workflow and the management of cadavers. Thus, we recommend a significant inclusion of PMCT in forensic investigations.
2022
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/36 - DIAGNOSTICA PER IMMAGINI E RADIOTERAPIA
English
Virtual autopsy
Post-mortem CT
PMCT
Health technology assessment
HTA
Filograna, L., Manenti, G., Grassi, S., Zedda, M., Ryan, C.p., Floris, R., et al. (2022). Health Technology Assessment (HTA) of virtual autopsy through PMCT with particular focus on Italy. FORENSIC IMAGING, 30, 200516 [10.1016/j.fri.2022.200516].
Filograna, L; Manenti, G; Grassi, S; Zedda, M; Ryan, Cp; Floris, R; Oliva, A
Articolo su rivista
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/313600
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 2
  • ???jsp.display-item.citation.isi??? 1
social impact