The Role of Postmortem Computed Tomography in the Evaluation of Strangulation Deaths

被引:11
作者
Decker, Lauren A. [1 ]
Hatch, Gary M. [1 ,2 ,3 ]
Lathrop, Sarah L. [1 ,3 ,4 ]
Nolte, Kurt B. [1 ,2 ,3 ,4 ]
机构
[1] Dept Pathol, MSC08 4640,1 Univ New Mexico, Albuquerque, NM 87131 USA
[2] Dept Radiol, MSC10 5330,1 Univ New Mexico, Albuquerque, NM 87131 USA
[3] Radiol Pathol Ctr Forens Imaging, MSC07 4040,1 Univ New Mexico, Albuquerque, NM 87131 USA
[4] New Mexico Off Med Investigator, MSC07 4040,1 Univ New Mexico, Albuquerque, NM 87131 USA
关键词
forensic science; strangulation; autopsy; postmortem computed tomography; hyoid; thyroid cartilage; cricoid cartilage; fractures; soft tissue hemorrhage; SUICIDAL LIGATURE STRANGULATION; LARYNGEAL HEMORRHAGES; INJURIES; AUTOPSY; MSCT; MRI; FEASIBILITY; RADIOLOGY; ASPHYXIA; VICTIMS;
D O I
10.1111/1556-4029.13760
中图分类号
DF [法律]; D9 [法律]; R [医药、卫生];
学科分类号
0301 ; 10 ;
摘要
We explored the value of postmortem computed tomography (PMCT) to augment autopsy in evaluating strangulation fatalities. A literature search identified 16 studies describing autopsy findings in 576 deaths and two studies describing autopsy and PMCT findings in six deaths. Similar cases were identified from our institution, yielding 130 deaths with autopsy findings and 14 deaths with both autopsy and PMCT findings. The presence of laryngohyoid fracture and soft tissue hemorrhage was compared from autopsy and autopsy+PMCT cases. The detection rates of fractures in autopsy and autopsy+PMCT cases were not significantly different. PMCT identified all fractures observed at autopsy and five fractures not identified. While PMCT may not detect soft tissue injuries in decomposed remains or subtle internal hemorrhages in neck injury, it is equally able to detect bony injuries as autopsy and might surpass autopsy in detecting subtle fractures. We conclude PMCT is useful to supplement autopsy in strangulation cases.
引用
收藏
页码:1401 / 1405
页数:5
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