Forensic imaging in legal medicine in the Netherlands: Retrospective analysis of over 1700 cases in 15 years' experience

Bakker, Henri M. de; Soerdjbalie‐Maikoe, Vidija; Kubat, Bela; Maes, A.; Bakker, Bernadette S. de

doi:10.1016/j.jofri.2016.05.001

Cited by 16 publications

(15 citation statements)

References 18 publications

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“…All cases from the Dutch forensic radiological database relating to fatal aviation accidents, that occurred between 2000 and 2016, were selected [ 15 ]. Starting in 2000, per a request of the pathologist in the Netherlands Forensic Institute (NFI), bodies (in body bags) were imaged at the Groene Hart Hospital (GHH) in Gouda, The Netherlands prior to autopsy.…”

Section: Methodsmentioning

confidence: 99%

“…These images were subsequently analyzed by a forensic radiologist. The images, autopsy report and radiology report were later used to create the SPSS database (Armonk, NY, USA) [ 15 ]. For this retrospective study, all aviation accident cases were retrieved from the SPSS database and re- analyzed.…”

Section: Methodsmentioning

confidence: 99%

“…We hypothesized that if there was extensive fracture of the lower extremities or the spinal column, the acetabulum would remain intact. Conventional radiographs and PMCT of the subjects in this retrospective study were obtained from a forensic radiological database [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Postmortem radiological case series of acetabular fractures after fatal aviation accidents

Bakker

Tijsterman

Kubat

et al. 2018

Forensic Sci Med Pathol

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The purpose of this study was to describe radiological fracture patterns of the acetabulum sustained after fatal small aircraft aviation accidents, aiming at facilitating a better understanding of trauma mechanisms in a forensic setting. Postmortem conventional radiographs or CT scans of 29 victims of 20 small aircraft aviation accidents were analyzed for skeletal acetabular trauma. Among the 29 fatalities (27 males and 2 females, median age 55 years (range: 21–76 years)), 20 victims had pelvic fractures (69%), of which 19 victims (66%) had one or more acetabular fractures. Bilateral acetabular fractures occurred in 11 victims. When considering left and right acetabula in each victim as separate entities, 38 of the 58 acetabula included in this case series exhibited one or more fractures. Both the anterior and posterior acetabular columns were fractured in 28 acetabula. Acetabular fractures were frequently encountered in this series of 29 victims of small fatal aircraft accidents. Fractures of the acetabulum occur from ventrally directed impact (i.e. to the knee) or laterally directed impact (i.e. to the greater trochanter of the femur). Radiological descriptions of the fracture patterns can therefore aid in the forensic analysis of the mechanism of trauma in aviation accidents. Postmortem multi-slice CT scan images are preferrable in the assessment of acetabular fractures.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Postmortem radiological case series of acetabular fractures after fatal aviation accidents

Bakker

Tijsterman

Kubat

et al. 2018

Forensic Sci Med Pathol

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“…The database thereby collected now comprises more than 2,100 forensic radiological cases [6]. Using this database, we retrospectively studied the added value of PMCT prior to autopsy in a case series of 50 burned victims.…”

Section: Introductionmentioning

confidence: 99%

The value of post-mortem computed tomography of burned victims in a forensic setting

et al. 2018

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ObjectivesFire deaths are challenging fatalities for forensic pathologists, as the main question of whether death was due to the fire or not needs to be answered. In this retrospective study, we assessed whether post-mortem computed tomography (PMCT) has an added value prior to a forensic autopsy of burned victims.MethodsFrom 2008 to 2016, a PMCT was performed in 50 burned corpses prior to a complete forensic autopsy. In retrospect, all 50 PMCT scans were systematically assessed by a forensically experienced radiologist, masked from the autopsy reports. Subsequently, the PMCT findings were compared with the autopsy reports.ResultsHeat fractures, contractions and destruction of extremities, subcutaneous emphysema and post-mortem gas collections were easier to detect by PMCT compared to autopsy. Alterations by penetrating and blunt trauma and the presence of foreign bodies were easy to detect by PMCT as well by autopsy. PMCT was, however, not successful in detecting signs of vitality during the fire, detection of superficial thermal injuries and to answer the main question of the forensic autopsy, which is to investigate the cause of death.ConclusionsPMCT prior to autopsy is a valuable add-on in the post-mortem forensic investigation of burned victims for detection of hidden signs of trauma, gas collections and foreign bodies. However, since PMCT cannot answer the two main questions in forensic examination—determining the cause of death and detecting signs of vitality during the fire—it cannot replace an autopsy.Key Points • Post-mortem CT (PMCT) in burned victims shows hidden signs of trauma. • Foreign bodies and gas collections can easily be detected. • Cause of death and vitality signs cannot be assessed by PMCT.

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“…The authors describe fracture patterns and hemorrhages in strangulation cases, but they admit that large-scale studies for relevant findings on CT and MRI related to strangulation are lacking. We want to draw attention to a third radiological modality for the analysis of fatal neck trauma; conventional X-ray of the excised hyoid-larynx complex [2]. We have applied this method since 2002 and our experience concerns over 400 cases.…”

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Conventional X-ray as an additional tool in the analysis of fatal neck trauma

Bakker

2019

Forensic Sci Med Pathol

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Forensic imaging in legal medicine in the Netherlands: Retrospective analysis of over 1700 cases in 15 years' experience

Cited by 16 publications

References 18 publications

Postmortem radiological case series of acetabular fractures after fatal aviation accidents

Postmortem radiological case series of acetabular fractures after fatal aviation accidents

The value of post-mortem computed tomography of burned victims in a forensic setting

Conventional X-ray as an additional tool in the analysis of fatal neck trauma

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