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EDITOR
Certification of the cause of death is a valuable source of
information about illness in the community. When a death is unexplained
the case is referred to the coroner in England and Wales and the
procurator fiscal in Scotland. Although Scottish law does not demand
explanation of a non-suspicious death, in England a cause of death (or
mode of death under certain circumstances) must be determined, which
often requires a necropsy.
Necropsy is not allowed by many religions, particularly Islam and
Judaism, unless demanded by law. Over the past 18 months we have used
magnetic resonance imaging to examine 15 patients whose deaths were
unexplained. The patients were from areas in the North West region
covered by five coroners. Examination of the brain, thorax, and upper
abdomen showed that 10 of the patients had disease that was so severe
that, had the patients been alive, they would have been at risk
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