One small scan for radiology, one giant leap for forensic medicine – Post-mortem imaging replaces forensic autopsy in a case of traumatic aortic laceration

Ruder, Thomas D.; Hatch, Gary M.; Thali, Michael J.; Fischer, Nadja

doi:10.1016/j.legalmed.2010.10.003

Cited by 18 publications

(8 citation statements)

References 8 publications

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“…6,9,10,88,89 High soft-tissue contrast and the ability of MR to visualize soft-tissue pathology are also the principal reason why PMMR is the modality of choice in postmortem neonatal and paediatric imaging. [90][91][92][93] However, in post-mortem imaging of the adult, abdominal imaging plays a marginal role and according to Baglivo et al, 10 only 2% of all published articles on forensic post-mortem cross-sectional imaging are dedicated to abdominal imaging.…”

Section: Abdominal Imagingmentioning

confidence: 99%

Essentials of forensic post-mortem MR imaging in adults

Ruder¹,

Thali²,

Hatch³

2014

BJR

119

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Section: Abdominal Imagingmentioning

confidence: 99%

Essentials of forensic post-mortem MR imaging in adults

Ruder¹,

Thali²,

Hatch³

2014

BJR

119

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“…They found that CT was better than autopsy in detecting abnormal air accumulations, but autopsy was better than CT in the detection of organ injuries and aortic ruptures. However, Ruder et al (2011) reported that post-mortem computed tomography and postmortem magnetic resonance imaging of their case was sufficient to detect the cause of death including internal hemorrhage from laceration of the descending aorta by fragments of the fractured vertebral column leading to internal hemorrhage from the lacerated aorta and finally N: number of lesions detected; n: number of cases detected either by autopsy or PMCT; **: highly significant, *: significant, NS: non-significant cerebral anoxia. This conclusion was accepted by the legal authorities.…”

Section: Discussionmentioning

confidence: 99%

Postmortem computed tomography and autopsy for detection of lesions and causes of death in gunshot injury cases: a comparative study

Elkhateeb

Mohammed²,

Meleka

et al. 2018

Egypt J Forensic Sci

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Background: Firearm injuries are a common cause of death in cases typically investigated by medical examiners. Postmortem multislice computed tomography (PMCT) provides valuable information that enhances the autopsy examination. This study was conducted to compare PMCT and autopsy for the detection of injuries and causes of death in cases of fatal firearm injuries. Thirty cadavers were scanned with PMCT and then underwent autopsy. The results of the two techniques were compared regarding entry wounds, wound channels, detection of foreign bodies, organ and skeletal injuries, and causes of death to determine the concordance or discordance between the two techniques. Results: The results revealed excellent agreement between PMCT and autopsy for the detection of injuries and causes of death in cases of gunshot injury. Furthermore, PMCT revealed injuries such as pneumothorax and surgical emphysema that were found to be undetermined by autopsies where the special dissection technique was not part of our routine procedures. Conclusion: PMCT could be a valuable complementary tool for autopsies to determine and localize injuries and causes of death in cases of gunshot injury.

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“…Aortic rupture on noncontrast PMCT is suggested by massive intrathoracic hematoma obscuring the aorta with presence of other signs of exsanguination. 30 Occasionally, hyperdensities and nondependent air foci may be noted with the aorta suggestive of thrombus formation. 31 However, PMCT angiography and postmortem MRI are more diagnostic and can directly show the site of aortic rupture.…”

Section: Chestmentioning

confidence: 99%