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 Table of Contents  
LETTER TO EDITOR
Year : 2022  |  Volume : 8  |  Issue : 3  |  Page : 131

Postmortem myocardial computed tomography: Correspondence


1 Private Academic Consultant, Bangkok, Thailand
2 Department of Community Medicine, Dr DY Patil University, Pune, Maharashtra, India

Date of Submission27-Nov-2021
Date of Decision07-Mar-2022
Date of Acceptance20-Apr-2022
Date of Web Publication02-Sep-2022

Correspondence Address:
Pathum Sookaromdee
Private Academic Consultant, 111 Bangkok 12, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfsm.jfsm_82_21

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How to cite this article:
Sookaromdee P, Wiwanitkit V. Postmortem myocardial computed tomography: Correspondence. J Forensic Sci Med 2022;8:131

How to cite this URL:
Sookaromdee P, Wiwanitkit V. Postmortem myocardial computed tomography: Correspondence. J Forensic Sci Med [serial online] 2022 [cited 2022 Dec 7];8:131. Available from: https://www.jfsmonline.com/text.asp?2022/8/3/131/355570



Dear Editor,

We would like to share ideas on “Estimation of postmortem interval by postmortem myocardial computed tomography (CT) value.[1]” An et al. concluded that “This study initially realized the feasibility of using myocardial CT value changes to estimate PMI, indicating that myocardial CT value can be used as one of the evaluation indicators for PMI estimation.[1]” We agree that postmortem myocardial CT value might be useful. However, it is necessary to have further studies to validate confounding effects. Important concerns include the effect of underlying cardiac abnormalities (such as old myocardial infarction MI) and infection. In a previous study, low sensitivity of postmortem myocardial CT for diagnostic cardiac pathology is also reported and experience of the radiologist is required for interpretation of result.[2] A combination with an invasive heart autopsy approach or an image-guided biopsy is always required.[2] In addition, in a tropical climate, putrefaction might occur quickly, affecting the myocardial CT value. If possible, An et al. might provide a clinical association with local temperature and can further correlate to chronological change. Finally, if postmortem CT is employed, stringent contamination and infectious disease controls must be in place.

Financial support and sponsorship

Nil.

Conflict of interest

The authors ask for waiving for any charge for this correspondence.



 
  References Top

1.
An Z, He H, Niu Q, Zhu H, Wang Y, Liu R, et al. Estimation of postmortem interval by postmortem myocardial computed tomography value. J Forensic Sci Med 2021;7:82-90.  Back to cited text no. 1
  [Full text]  
2.
Wagensveld IM, Blokker BM, Pezzato A, Wielopolski PA, Renken NS, von der Thüsen JH, et al. Diagnostic accuracy of postmortem computed tomography, magnetic resonance imaging, and computed tomography-guided biopsies for the detection of ischaemic heart disease in a hospital setting. Eur Heart J Cardiovasc Imaging 2018;19:739-48.  Back to cited text no. 2
    




 

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