Post-mortem computed tomography (PMCT) and PMCT angiography after polytrauma. Three examples

被引：1

作者：

Heller, M. ^{[1
]}

Vogel, H. ^{[1
]}

Pueschel, K. ^{[1
]}

Heinemann, A. ^{[1
]}

机构：

[1] Univ Klin Hamburg Eppendorf, Inst Rechtsmed, Butenfeld 34, D-22529 Hamburg, Germany

来源：

RECHTSMEDIZIN | 2017年 / 27卷 / 05期

关键词：

Diagnostic imaging; Vascular system injuries; Lacerations; Autopsy; Cause of death; TRAUMA VICTIMS; AUTOPSY;

D O I：

10.1007/s00194-017-0187-5

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：

The value of the clinical computed tomography (CT) and post-mortem CT (PMCT) in polytrauma is well accepted, although some issues, e.g. after organ or vessel injuries, cannot be completely satisfactorily answered. It remains to be analyzed to what extent post-mortem CT angiography (PMCTA) enhances the CT diagnostics in this respect. The benchmark for the evaluation is the forensic autopsy. Three exemplary cases from a series of studies on victims of polytrauma are presented here. In addition to PMCT, multiphase post-mortem angiography (MPMCTA) was performed in a 3-phase technique. The cases were subject to autopsy. It was found that vessel injuries and organ lacerations can be reliably detected by MPMCTA when the artefacts are correctly classified.

引用

页码：438 / 442

页数：5

共 10 条

[1] The rise of forensic and post-mortem radiology-Analysis of the literature between the year 2000 and 2011
Baglivo, Manuela
Winklhofer, Sebastian
Hatch, Gary M.
Ampanozi, Garyfalia
Thali, Michael J.
Ruder, Thomas D.
[J]. JOURNAL OF FORENSIC RADIOLOGY AND IMAGING, 2013, 1 (01) : 3 - 9
[2] Multi-phase postmortem CT angiography: recognizing technique-related artefacts and pitfalls
Bruguier, C.
Mosimann, P. J.
Vaucher, P.
Uske, A.
Doenz, F.
Jackowski, C.
Mangin, P.
Grabherr, S.
[J]. INTERNATIONAL JOURNAL OF LEGAL MEDICINE, 2013, 127 (03) : 639 - 652
[3] Comparison of whole-body post mortem 3D CT and autopsy evaluation in accidental blunt force traumatic death using the abbreviated injury scale classification
Daly, Barry
Abboud, Samir
Ali, Zabiullah
Sliker, Clint
Fowler, David
[J]. FORENSIC SCIENCE INTERNATIONAL, 2013, 225 (1-3) : 20 - 26
[4] Dedouit F, 2016, ATLAS POSTMORTEM ANG, P345
[5] Heller M, 2011, NOTFALLRADIOLOGIE
[6] Post-mortem imaging compared with autopsy in trauma victims - A systematic review
Jalalzadeh, Hamid
Giannakopoulos, Georgios F.
Berger, Ferco H.
Fronczek, Judith
de Goot, Frank R. W. van
Reijnders, Udo J.
Zuidema, Wietse P.
[J]. FORENSIC SCIENCE INTERNATIONAL, 2015, 257 : 29 - 48
[7] Abbreviated Injury Scale Scoring in Traffic Fatalities: Comparison of Computerized Tomography and Autopsy
Leth, Peter Mygind
Ibsen, Marlene
[J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2010, 68 (06): : 1413 - 1416
[8] Post-mortem imaging as an alternative to autopsy in the diagnosis of adult deaths: a validation study
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.
[J]. LANCET, 2012, 379 (9811) : 136 - 142
[9] The value of postmortem computed tomography as an alternative for autopsy in trauma victims: a systematic review
Scholing, M.
Saltzherr, T. P.
Jin, P. H. P. Fung Kon
Ponsen, K. J.
Reitsma, J. B.
Lameris, J. S.
Goslings, J. C.
[J]. EUROPEAN RADIOLOGY, 2009, 19 (10) : 2333 - 2341
[10] Wozniak KJ, 2016, ATLAS POSTMORTEM ANG, P411

← 1 →