Literature DB >> 19342268

Is postmortem biochemistry really useful? Why is it not widely used in forensic pathology?

A Luna1.   

Abstract

Medico legal autopsy has a basic objective to reconstruct as accurately as possible the circumstances of death to solve a judicial problem, is a process of collection of evidences from the cadaver and interpretation of the data to solve a series of questions raised in the judicial process. These questions are not only the cause of death, the survival time, the data of death, the role of previous pathology in the death's process, etc. Considering that there are more difficult problems to be solved and higher requirements for quality it is necessary that new diagnostic tools are introduced into forensic pathology. In Forensic Pathology the scientific and technological evolution has been subsidiary to other disciplines: immunology, inmunopathology, molecular biology, clinical pathology, etc. The little influence that postmortem biochemical methods have had in forensic pathology is a fact not an opinion. The reasons can be very diverse and they go from a lack of trust in the scientific literature on these topics, to an ignorance of the many possibilities which are offered by biochemical complementary tests in the cadaver for the solutions of some questions. One of the problematic issues in postmortem biochemistry is the interpretation of the obtained results; in the absence of databases with sufficient numbers of cases to establish the ranges of normality, therefore it is a real difficulty to use these types of results. On the other hand there are very few works where a correspondence between the histopathologycal findings and the biochemical values has been established; this fact is decisive for understanding the difficulties of introduction of these biochemical techniques. The main problem is forgetting that a complementary test needs a set of basic data for its interpretation and it's integration into the global findings. It is not easy for the pathologist to include in their work routine tests that require not only a change of attitude but a change in the sampling methods to obtain the materials and necessary fluids for these determinations. The weight of histopathology is decisive and it is more practical. Obviously pathologist prefers take the closer methodology to own field.

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Year:  2009        PMID: 19342268     DOI: 10.1016/j.legalmed.2009.02.040

Source DB:  PubMed          Journal:  Leg Med (Tokyo)        ISSN: 1344-6223            Impact factor:   1.376


  10 in total

Review 1.  Postmortem chemistry update part I.

Authors:  Cristian Palmiere; Patrice Mangin
Journal:  Int J Legal Med       Date:  2011-09-24       Impact factor: 2.686

2.  Determination of urinary catecholamines and metanephrines in cardiac deaths.

Authors:  Tania Hervet; Eric Grouzmann; Silke Grabherr; Patrice Mangin; Cristian Palmiere
Journal:  Int J Legal Med       Date:  2015-12-21       Impact factor: 2.686

3.  Changes in surface-charge density of blood cells after sudden unexpected death.

Authors:  Joanna Kotyńska; Aneta D Petelska; Michał Szeremeta; Anna Niemcunowicz-Janica; Zbigniew A Figaszewski
Journal:  J Membr Biol       Date:  2012-04-20       Impact factor: 1.843

4.  Cardiac troponin T determination by a highly sensitive assay in postmortem serum and pericardial fluid.

Authors:  Lucas González-Herrera; Aurora Valenzuela; Valentín Ramos; Antonia Blázquez; Enrique Villanueva
Journal:  Forensic Sci Med Pathol       Date:  2016-03-08       Impact factor: 2.007

5.  Combined determination of B-type natriuretic peptide and high-sensitivity troponin I in the postmortem diagnosis of cardiac disease.

Authors:  Rafael Bañón; Diana Hernández-Romero; Esperanza Navarro; María Dolores Pérez-Cárceles; José Antonio Noguera-Velasco; Eduardo Osuna
Journal:  Forensic Sci Med Pathol       Date:  2019-08-30       Impact factor: 2.007

6.  Preliminary results on the postmortem measurement of 3-beta-hydroxybutyrate in liver homogenates.

Authors:  Cristian Palmiere; Patrice Mangin; Dominique Werner
Journal:  Int J Legal Med       Date:  2013-05-31       Impact factor: 2.686

7.  Comparison of the beta-hydroxybutyrate, glucose, and lactate concentrations derived from postmortem proton magnetic resonance spectroscopy and biochemical analysis for the diagnosis of fatal metabolic disorders.

Authors:  Jakob Heimer; Dominic Gascho; Burkhard Madea; Andrea Steuer; Rosa Maria Martinez; Michael J Thali; Niklaus Zoelch
Journal:  Int J Legal Med       Date:  2020-01-04       Impact factor: 2.686

8.  The effect of fatal carbon monoxide poisoning on the surface charge of blood cells.

Authors:  Michał Szeremeta; Aneta D Petelska; Joanna Kotyńska; Anna Niemcunowicz-Janica; Zbigniew A Figaszewski
Journal:  J Membr Biol       Date:  2013-08-30       Impact factor: 1.843

9.  Intra-individual alterations of serum markers routinely used in forensic pathology depending on increasing post-mortem interval.

Authors:  Lina Woydt; Michael Bernhard; Holger Kirsten; Ralph Burkhardt; Niels Hammer; André Gries; Jan Dreßler; Benjamin Ondruschka
Journal:  Sci Rep       Date:  2018-08-24       Impact factor: 4.379

10.  The Importance of BHB Testing on the Post-Mortem Diagnosis of Ketoacidosis.

Authors:  Stina Ahlström; Johan Ahlner; Anna K Jönsson; Henrik Green
Journal:  Biomolecules       Date:  2021-12-21
  10 in total

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