Peer reviewing post-mortem reports, photographs and histology is a mandatory process in the everyday practice of forensic pathology. In the context of organ measurement/dimensions, comparing the dimensions measured from a post-mortem photograph and what was recorded in the post-mortem report is sometimes necessary. However, there are limited studies validating the accuracy of dimensions measured from a photograph in forensic pathology. This study examined the cardiac dimensions measured from a standard post-mortem photograph of a heart section. It showed that although there was acceptable intra- and inter-rater reliability, the overall accuracy was low compared with gross measurement at post-mortem examination. The results from this study suggest that measurements taken from a post-mortem photograph have limited utility in assessing cardiac dimensions. The reasons for this discrepancy and recommendations on how to improve the accuracy are provided.
