Post-mortem computed tomography in forensic investigations of lethal gunshot incidents
| Autor: | S. R. Ernst, Rob A. T. van Kan, J. Kroll, Bela Kubat, I.I.H. Haest, Paul A. M. Hofman, Marc B. I. Lobbes |
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| Přispěvatelé: | Beeldvorming, MUMC+: DA BV Medisch Specialisten Radiologie (9), RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Pathologie, MUMC+: DA Pat Obductie (9), RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Post-mortem CT RESONANCE-IMAGING MRI Autopsy Computed tomography 01 natural sciences Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine Virtopsy MSCT medicine 030216 legal & forensic medicine Post mortem computed tomography medicine.diagnostic_test business.industry 010401 analytical chemistry Gunshot RADIOLOGY VIRTOPSY 0104 chemical sciences Forensic science Manner of death Ballistic investigation VIRTUAL AUTOPSY Forensic radiology Radiology business Relevant information |
| Zdroj: | International Journal of Legal Medicine, 133(6), 1889-1894. Springer, Cham |
| ISSN: | 0937-9827 |
| Popis: | The aim of this study is to assess the added value of post-mortem computed tomography (PMCT) in fatal shooting incidents compared with autopsy findings. For this study, the analysis was restricted to the following four features: location of the entrance and exit wounds, internal injuries, location of projectiles or metal fragments and course of the trajectories. These features were selected because they provide essential information on the cause and manner of death. All data were retrospectively collected from medical forensic examinations of fatal shooting incidents in the Netherlands that occurred in 2010-2014. Twenty-one fatal shooting victims were included in this study, with a total of 100 trajectories. For all 100 trajectories, the forensic radiologist and pathologist came to a consensus on which examination had the highest diagnostic value for each of the four features. PMCT provides superior information on the presence of metal fragments, internal injuries and the course of trajectories. PMCT provides limited information on the discrimination of entrance and exit wounds. In conclusion, PMCT provides additional relevant information in over 60% of forensic medical examinations of deceased victims of shooting incidents. We therefore recommend adding PMCT as a standard examination in these cases. |
| Databáze: | OpenAIRE |
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