Thali Michael J, Yen Kathrin, Schweitzer Wolf, Vock Peter, Boesch Chris, Ozdoba Christoph, Schroth Gerhard, Ith Michael, Sonnenschein Martin, Doernhoefer Tanja, Scheurer Eva, Plattner Thomas, Dirnhofer Richard
Institute of Forensic Medicine, University of Berne, Switzerland.
J Forensic Sci. 2003 Mar;48(2):386-403.
Using postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI), 40 forensic cases were examined and findings were verified by subsequent autopsy. Results were classified as follows: (I) cause of death, (II) relevant traumatological and pathological findings, (III) vital reactions, (IV) reconstruction of injuries, (V) visualization. In these 40 forensic cases, 47 partly combined causes of death were diagnosed at autopsy, 26 (55%) causes of death were found independently using only radiological image data. Radiology was superior to autopsy in revealing certain cases of cranial, skeletal, or tissue trauma. Some forensic vital reactions were diagnosed equally well or better using MSCT/MRI. Radiological imaging techniques are particularly beneficial for reconstruction and visualization of forensic cases, including the opportunity to use the data for expert witness reports, teaching, quality control, and telemedical consultation. These preliminary results, based on the concept of "virtopsy," are promising enough to introduce and evaluate these radiological techniques in forensic medicine.
利用死后多层螺旋计算机断层扫描（MSCT）和磁共振成像（MRI）对40例法医案件进行了检查，并通过随后的尸检对结果进行了验证。结果分类如下：（I）死因，（II）相关的创伤学和病理学发现，（III）生命反应，（IV）损伤重建，（V）可视化。在这40例法医案件中，尸检诊断出47种部分合并的死因，仅使用放射影像数据独立发现26种（55%）死因。在揭示某些颅脑、骨骼或组织创伤病例方面，放射学优于尸检。使用MSCT/MRI对一些法医生命反应的诊断同样良好或更佳。放射成像技术对法医案件的重建和可视化特别有益，包括有机会将数据用于专家证人报告、教学、质量控制和远程医疗咨询。基于“虚拟尸检”概念的这些初步结果很有前景，足以在法医学中引入和评估这些放射学技术。
