Usefulness of unenhanced post mortem computed tomography - Findings in postmortem non-contrast computed tomography of the head, neck and spine compared to traditional medicolegal autopsy

Journal of Forensic and Legal Medicine
Gil GrazianiAlon Krispin

Abstract

Post-mortem CT (PMCT) is becoming an essential tool available to forensic pathologists worldwide, but its validity with respect to evidence for legal purposes still requires more comprehensive large-scale studies, comparing PMCT to autopsy. This article compares PMCT and autopsy findings of the head, neck, and spine during a period of five years. The study included 203 cases for which both autopsy and PMCT were performed. All relevant findings were extracted from the reports and divided into 30 categories based on anatomical location and tissue characteristics. Data were evaluated quantitatively in a binary fashion. A high level of agreement was noted for skull fractures, intraventricular- and subarachnoid hemorrhages, bullet trajectories, and intracranial shrapnel. A fair correlation was demonstrated for brain atrophy or herniation, and findings in the facial soft tissues. PMCT had higher sensitivity to brain edema, presence of gas in tissues or cavities, and findings in the spinal column and spinal canal, whereas autopsy better demonstrated pathologies in the brain tissue, hemorrhages in the neck and fractures of the larynx and hyoid bone. A relatively low correlation was noted for subdural and epidural hematomata. For severa...Continue Reading

Citations

Dec 12, 2018·The American Journal of Forensic Medicine and Pathology·Andrea PorzionatoRaffaele De Caro
Sep 19, 2019·International Journal of Legal Medicine·Aleksandra Borowska-Solonynko, Victoria Prokopowicz
Jul 4, 2020·The American Journal of Forensic Medicine and Pathology·Serenella SerinelliLorenzo Gitto
Dec 12, 2019·Sudebno-meditsinskaia ekspertiza·E M Kildyushov, E V Egorova
Aug 30, 2019·Forensic Science, Medicine, and Pathology·Aleksandra Borowska-SolonynkoVictoria Prokopowicz
Mar 14, 2019·Brain Sciences·Rakhi Pal, Aditi Bhattacharya
Oct 22, 2020·International Journal of Environmental Research and Public Health·Max G MentinkPaul A M Hofman
Apr 8, 2019·Journal of Neuroradiology. Journal De Neuroradiologie·L LegrandB Ludes
Aug 17, 2021·African Journal of Laboratory Medicine·Mmachuene I Hlahla, Moshibudi J Selatole
Sep 28, 2021·International Journal of Legal Medicine·Sarah HammarlebiodThibault Willaume

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