Post-mortem computed tomography in the investigation of conflict and terrorist related deaths: UK military experience of developing a multidisciplinary service

被引:2
作者
Gibb, I. [1 ,2 ,5 ]
Delaney, R. [3 ]
Murphy, D. [4 ]
Hunt, N.
机构
[1] Imperial Coll London, Ctr Blast Injury Studies, London, England
[2] HMS Nelson, Ctr Def Radiol, Portsmouth, Hants, England
[3] South West Forens Pathol Grp Practice, Bristol, England
[4] New Scotland Yard, Metropolitan Police Serv, London SW1A 2JL, England
[5] Imperial Coll, Ctr Blast Injury Studies, Dept Bioengn, Sir Michael Uren Hub, London W12 0BZ, England
关键词
Post-mortem; Computed tomography; Radiology; Pathology; Military; AUTOPSY;
D O I
10.1016/j.crad.2022.07.007
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
This paper discusses the introduction, development and utility of post-mortem imaging relating specifically to conflict-related and terrorist-related deaths and considers the use of computed tomography (CT) in the investigations. We demonstrate how a multi-disciplinary approach involving direct communication between forensic pathologist and radiologist can maximise evidential yield, reduce the need for unnecessary dissection and further our un-derstanding of such injuries. This summarises our shared experience of hundreds of cases, each having been individually discussed and reviewed, and has helped shape our understanding of conflict injury as well as contributing to the development of mitigation strategies and adaptations to protective equipment. A series of clinical cases are presented to demonstrate some of the strengths and weaknesses of the process.(c) 2022 The Author(s). Published by Elsevier Ltd on behalf of The Royal College of Radiologists. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/ 4.0/).
引用
收藏
页码:804 / 811
页数:8
相关论文
共 14 条
[1]   Characterisation of explosive fragments injuring the neck [J].
Breeze, J. ;
Leason, J. ;
Gibb, I. ;
Allanson-Bailey, L. ;
Hunt, N. ;
Hepper, A. ;
Spencer, P. ;
Clasper, J. .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2013, 51 (08) :E263-E266
[2]  
Brogdon BG, 1998, Forensic radiology, P20
[3]  
Department of Health Post Mortem. Forensic and disaster imaging group, 2012, Report from the NHS implementation sub-group of the department of health post mortem, forensic and disaster imaging group (PMFDI)
[4]  
DiMaio V. J., 2015, Gunshot Wounds, practical Aspects of Firearms, Ballistics and forensic tecniques
[5]   UTILITY OF POSTMORTEM COMPUTED-TOMOGRAPHY IN TRAUMA VICTIMS [J].
DONCHIN, Y ;
RIVKIND, AI ;
BARZIV, J ;
HISS, J ;
ALMOG, J ;
DRESCHER, M .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1994, 37 (04) :552-556
[6]   Multi-phase post-mortem CT angiography: development of a standardized protocol [J].
Grabherr, Silke ;
Doenz, Francesco ;
Steger, Beat ;
Dirnhofer, Richard ;
Dominguez, Alejandro ;
Sollberger, Barbara ;
Gygax, Erich ;
Rizzo, Elena ;
Chevallier, Christine ;
Meuli, Reto ;
Mangin, Patrice .
INTERNATIONAL JOURNAL OF LEGAL MEDICINE, 2011, 125 (06) :791-802
[7]  
Human Rights Act, 1998, United Kingdom and Northern Ireland, P9
[8]   Post-mortem imaging as an alternative to autopsy in the diagnosis of adult deaths: a validation study [J].
Roberts, Ian S. D. ;
Benamore, Rachel E. ;
Benbow, Emyr W. ;
Lee, Stephen H. ;
Harris, Jonathan N. ;
Jackson, Alan ;
Mallett, Susan ;
Patankar, Tufail ;
Peebles, Charles ;
Roobottom, Carl ;
Traill, Zoe C. .
LANCET, 2012, 379 (9811) :136-142
[9]  
Rutty G., 2007, Rechtsmedizin, V17, P21, DOI [10.1007/s00194-006-0408-9, DOI 10.1007/S00194-006-0408-9]
[10]  
Rutty GN, 2008, J TRAUMA, V65, P493, DOI 10.1097/TA.0b013e31817de420