Use of magnetic resonance imaging and computed tomography in postmortem diagnostics
Vol 3, Issue 1, 2020
VIEWS - 4253 (Abstract) 3587 (PDF)
Abstract
Introduction: Given the heterogeneous nature and inherent complexity of forensic medical expertise, the expert (medical professional or related areas) must make the best use of the technical and technological tools at his disposal. Imaging, referring to the set of techniques that allow obtaining images of the human body for clinical or scientific purposes, in any of its techniques, is a powerful support tool for establishing facts or technical evidence in the legal field. Objective: To analyze the use of magnetic resonance and computed tomography in postmortem diagnosis. Methodology: information was searched in the databases PubMed, Science Direct, Springer Journal and in the search engine Google Scholar, using the terms “X-Ray Computed Tomography”, “Magnetic Resonance Spectroscopy”, “Autopsy” and “Forensic Medicine” published in the period 2008–2015. Results: MRI is useful for the detailed study of soft tissues and organs, while computed tomography allows the identification of fractures, calcifications, implants and trauma. Conclusions: In the reports found in the literature search, regarding the use of nuclear magnetic resonance and computed tomography in postmortem cases, named by the genesis of the trauma, correlation was found between the use of imaging and the correct expert diagnosis at autopsy.
Keywords
Full Text:
PDFReferences
1. Caballero C, Moreno H. Tratado de medicina legal: Jurists and medicine. 3rd ed. Bucaramanga, Colombia: Editorial UNAB; 1996.
2. Butchart A, Mikton C, Dahlberg LL, et al. Global status report on violence prevention 2014. Injury Prevention 2015; 21(3): 213.
3. Legal INdM, Violence GCdRNs. Forensis 2015. Datos para la vida. Colombia; 2016. p. 729.
4. Payne-James JJ, Stark MM. Clinical forensic medicine: History and development. In: Stark MM (editor). Clinical forensic medicine: A physician’s guide. Totowa: Humana Press; 2011. p. 1–44.
5. Ludwig J. Postmortem Imaging Techniques. In: Waters BL (editor). Handbook of autopsy practice. Totowa: Humana Press; 2009. p. 99–103.
6. Medical-Legal Aspects. Radiological reporting in clinical practice. Milano: Springer Milan; 2008. p. 27–38.
7. Arce Mateos FP, Fernández Fernández FÁ, Mayorga Fernández MM, et al. La autopsia clínica (Spanish) [Clinical autopsy]. Electronic Journal of Autopsy 2009; 7(1): 10.
8. Flach PM, Thali MJ, Germerott T. Times have changed! Forensic radiology—A new challenge for radiology and forensic pathology. American Journal of Roentgenology 2014; 202(4): W325–W334.
9. Common Sense in Clinical and Preclinical Diagnosis. Radiological reporting in clinical practice. Milano: Springer Milan; 2008. p. 79–80.
10. Thali MJ, Jackowski C, Oesterhelweg L, et al. VIRTOPSY—The Swiss virtual autopsy approach. Legal Medicne (Tokyo) 2007; 9(2):100–104.
11. Tejaswi KB, Hari Periya EA. Virtopsy (virtual autopsy): A new phase in forensic investigation. Journal of Forensic Dental Sciences 2013; 5(2): 146–148.
12. Thayyil S, Chandrasekaran M, Chitty LS, et al. Diagnostic accuracy of post-mortem magnetic resonance imaging in fetuses, children and adults: A systematic review. European Journal of Radiology 2010; 75(1): e142–e148.
13. Thali MJ, Yen K, Schweitzer W, et al. Virtopsy, a new imaging horizon in forensic pathology: Virtual autopsy by postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI)—A feasibility study. Journal of Forensic Sciences 2003; 48(2): 386–403.
14. Stawicki SP, Aggrawal A, Dean AJ, et al. Postmortem use of advanced imaging techniques: Is autopsy going digital? OPUS 12 Scientist 2008; 2(4): 17–26.
15. Investor’s Business Daily. MRI prices all over the map. 2015: A02.
16. Levy AD. Postmortem radiology and imaging postmortem radiology and imaging 2012 [Internet]. Available from: http://emedicine.medscape.com/article/1785023-overview.
17. Vogel H, Houck JASJSM. Postmortem imaging. In: Encyclopedia of forensic sciences. Waltham: Academic Press; 2013. p. 243–260.
18. Waters BL. Ensuring quality in the hospital autopsy. In: Waters BL (editor). Handbook of autopsy practice. Totowa: Humana Press; 2009. p. 3–9.
19. Lequin MH, Huisman TAGM. Postmortem MR imaging in the fetal and neonatal period. Magnetic Resonance Imaging Clinics of North America 2012; 20(1): 129–143.
20. Koch V. Methodenvergleich zwischen postmortaler CT und MRT Bildgebung in der forensischen Begutachtung (German) [Comparison of methods between postmortem CT and MRI imaging in forensic assessment] [PhD thesis]. Graz: Graz Medical University; 2009.
21. Jeffery AJ. The role of computed tomography in adult post-mortem examinations: An overview. Diagnostic Histopathology 2010; 16(12): 546–551.
22. Grover VP, Tognarelli JM, Crossey MM, et al. Magnetic resonance imaging: Principles and techniques: Lessons for clinicians. Journal of Clinical and Experimental Hepatology 2015; 5(3): 246–255.
23. Sederman AJ, Wang M. 4-Magnetic resonance imaging. Industrial Tomography: Woodhead Publishing; 2015. p. 109–133.
24. Nitz WR, Balzer T, Grosu DS, et al. Principles of magnetic resonance. In: Reimer P, Parizel PM, Meaney JFM, et al. (editors). Clinical MR Imaging. Berlin: Springer Berlin Heidelberg; 2010. p. 1–105.
25. Thayyil S, Chitty LS, Robertson NJ, et al. Minimally invasive fetal postmortem examination using magnetic resonance imaging and computerized tomography: Current evidence and practical issues. Prenatal Diagnosis 2010; 30(8): 713–718.
26. Panda A, Kumar A, Gamanagatti S, et al. Virtopsy computed tomography in trauma: Normal postmortem changes and pathologic spectrum of findings. Current Problems in Diagnostic Radiology 2015; 44(5): 391–406.
27. Cierniak R. Technical concepts of X-ray computed tomography scanners. In: X-Ray computed tomography in biomedical engineering. London: Springer London; 2011. p. 21–62.
28. De la Cerda Romero A. Equipos de tomografia computerizada (TAC) (Spanish) [Computed tomography equipment (CT)]. Digital Journal for Teaching Professionals 2009; 5.
29. Busardo F, Frati P, Guglielmi G, et al. Postmortem-computed tomography and postmortem-computed tomography-angiography: A focused update. La Radiologia Medica 2015; 120(9): 810–823.
30. Brough A, Morgan B, Rutty G. Postmortem computed tomography (PMCT) and disaster victim identification. La Radiologia Medica 2015; 120(9): 866–873.
31. Stake RE. Investigación con estudio de casos (Spanish) [Case study research]. Sage Publications; 2000.
32. Thayyil S, De Vita E, Sebire NJ, et al. Post-mortem cerebral magnetic resonance imaging T1 and T2 in fetuses, newborns and infants. European Journal of Radiology 2012; 81(3): e232–e238.
33. Zhang Z, Liu S, Lin X, et al. Development of fetal cerebral cortex: Assessment of the folding conditions with post-mortem Magnetic Resonance Imaging. International Journal of Developmental Neuroscience 2010; 28(6): 537–543.
34. Pedraza S. Usefulness of magnetic resonance imaging in traumatic brain injury. Medicina Intensiva 2013; 37(6): 373–374.
35. Yushkevich PA, Avants BB, Pluta J, et al. A high-resolution computational atlas of the human hippocampus from postmortem magnetic resonance imaging at 9.4 T. Neuroimage 2009; 44(2): 385–398.
36. Colleran GC, Moynagh MR, Tavernaraki K, et al. Whole-body magnetic resonance imaging: Emerging applications. Seminars in Musculoskeletal Radiology 2010; 14(1): 57–67.
37. Jackowski C, Christe A, Sonnenschein M, et al. Postmortem unenhanced magnetic resonance imaging of myocardial infarction in correlation to histological infarction age characterization. European Heart Journal 2006; 27(20): 2459–2467.
38. Bisset RAL, Thomas NB, Turnbull IW, et al. Postmortem examinations using magnetic resonance imaging: Four-year review of a working service. British Medical Journal 2002; 324(7351): 1423–1424.
39. Jackowski C, Warntjes MJB, Berge J, et al. Magnetic resonance imaging goes postmortem: Noninvasive detection and assessment of myocardial infarction by postmortem MRI. European Radiology 2011; 21(1): 70–78.
40. Ruder TD, Paula P, Hatch GM, et al. Science into practice: Post-mortem imaging provides conclusive evidence in a non-suspicious death. Journal of Forensic Radiology and Imaging 2014; 2(2): 80–84.
41. Taylor AM, Sebire NJ, Ashworth MT, et al. Postmortem cardiovascular magnetic resonance imaging in fetuses and children: A masked comparison study with conventional autopsy. Circulation 2014; 129(19): 1937–1944.
42. Rosales Uvera SG, Morelos Guzmán M, Vázquez Lamadrid J. Cor triatriatum dexter: Uso de resonancia magnética cardiovascular en su diagnóstico a propósito de un caso (Spanish) [Right triatriatum heart: Use of cardiovascular magnetic resonance in its diagnosis, apropos of a case]. Revista Mexicana de Cardiología 2012; 23: 12–16.
43. Narin B, Arman A, Arslan D, et al. Assessment of cardiac masses: Magnetic resonance imaging versus transthoracic echocardiography. Anadolu Kardiyoloji Dergisi 2010; 10(1): 69–74.
44. Breeze AC, Jessop FA, Set PA, et al. Minimally-invasive fetal autopsy using magnetic resonance imaging and percutaneous organ biopsies: Clinical value and comparison to conventional autopsy. Ultrasound in Obstetrics & Gynecology 2011; 37(3): 317–323.
45. Peschel O, Szeimies U, Vollmar C, et al. Postmortem 3-D reconstruction of skull gunshot injuries. Forensic Science International 2013; 233(1–3): 45–50.
46. Patowary A. Virtopsy: One step forward in the field of forensic medicine. Journal of Indian Academic of Forensic Medicine 2008; 30(1): 32–36.
47. Cha JG, Kim DH, Paik SH, et al. Utility of postmortem autopsy via whole-body imaging: Initial observations comparing MDCT and 3.0 T MRI findings with autopsy findings. Korean Journal of Radiology 2010; 11(4): 395–406.
48. Yen K, Sonnenschein M, Thali MJ, et al. Postmortem multislice computed tomography and magnetic resonance imaging of odontoid fractures, atlantoaxial distractions and ascending medullary edema. International Journal of Legal Medicine 2005; 119(3): 129–136.
49. Shiotani S, Shiigai M, Ueno Y, et al. Postmortem computed tomography findings as evidence of traffic accident-related fatal injury. Radiation Medicine 2008; 26(5): 253–260.
50. Flach PM, Ross SG, Bolliger SA, et al. Postmortem whole-body computed tomography angiography visualizing vascular rupture in a case of fatal car crash. Archives of Pathology & Laboratory Medicine 2010; 134(1): 115–119.
51. Filograna L, Bolliger SA, Ross SG, et al. Pros and cons of post-mortem CT imaging on aspiration diagnosis. Legal Medicine (Tokyo) 2011; 13(1): 16–21.
52. Sogawa N, Michiue T, Ishikawa T, et al. Postmortem CT morphometry of great vessels with regard to the cause of death for investigating terminal circulatory status in forensic autopsy. International Journal of Legal Medicine 2015; 129(3): 551–558.
53. Raux C, Saval F, Rouge D, et al. Diagnosis of drowning using post-mortem computed tomography—State of the art. Archives of Forensic Medicine and Criminology 2014; 64(2): 59–75.
54. Lo Re G, Vernuccio F, Galfano MC, et al. Role of virtopsy in the post-mortem diagnosis of drowning. La Radiologia Medica 2015; 120(3): 304–308.
55. Fischer F, Grimm J, Kirchhoff C, et al. Postmortem 24-h interval computed tomography findings on intrahepatic gas development and changes of liver parenchyma radiopacity. Forensic Science International 2012; 214(1–3): 118–123.
56. Takahashi N, Higuchi T, Shiotani M, et al. Intrahepatic gas at postmortem multislice computed tomography in cases of nontraumatic death. Japanese Journal of Radiology 2009; 27(7): 264–268.
57. Jackowski C, Sonnenschein M, Thali MJ, et al. Intrahepatic gas at postmortem computed tomography: Forensic experience as a potential guide for in vivo trauma imaging. Journal of Trauma 2007; 62(4): 979–988.
58. Takahashi N, Higuchi T, Shiotani M, et al. Multiple lung tumors as the cause of death in a patient with subarachnoid hemorrhage: Postmortem computed tomography study. Japanese Journal of Radiology 2009; 27(8): 316–319.
59. Lorkiewicz-Muszynska D, Kociemba W, Zaba C, et al. The conclusive role of postmortem computed tomography (CT) of the skull and computer-assisted superimposition in identification of an unknown body. International Journal of Legal Medicine 2013; 127(3): 653–660.
60. Dedouit F, Telmon N, Costagliola R, et al. New identification possibilities with postmortem multislice computed tomography. International Journal of Legal Medicine 2007;121(6): 507–510.
61. Dedouit F, Savall F, Mokrane FZ, et al. Virtual anthropology and forensic identification using multidetector CT. British Journal of Radiology 2014; 87(1036): 20130468.
DOI: https://doi.org/10.24294/irr.v3i1.1724
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This site is licensed under a Creative Commons Attribution 4.0 International License.