Aghayev Emin, Jackowski Christian, Sonnenschein Martin, Thali Michael, Yen Kathrin, Dirnhofer Richard
Institute of Forensic Medicine, University of Bern, Bern, Switzerland.
Am J Forensic Med Pathol. 2006 Mar;27(1):25-9. doi: 10.1097/01.paf.0000201105.07267.fe.
In forensic autopsies, one of the most important and common signs of violence to the neck is hemorrhages of the soft tissues. The Institute of Forensic Medicine in Bern evaluates the usefulness of postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) of forensic cases prior to autopsy. The aim of this study was to prove the sensitivity of postmortem MSCT and MRI in the detection of hemorrhages of the neck muscles. A full body scan prior to and a detailed scan of the explanted larynx after autopsy were performed. MSCT detected multiple fractures of the larynx. Detailed MRI was able to demonstrate the hemorrhage of the left posterior cricoarytenoid muscle. The minor hemorrhage of the right posterior cricoarytenoid muscle could not be detected with certainty. Although more experience is required, we conclude that combined MRI and MSCT examination is a useful tool for documentation and examination of neck muscle hemorrhages in forensic cases.
在法医尸检中，颈部遭受暴力最重要且常见的迹象之一是软组织出血。伯尔尼法医学研究所评估了尸检前对法医案件进行多层螺旋计算机断层扫描（MSCT）和磁共振成像（MRI）的效用。本研究的目的是证明尸检后MSCT和MRI在检测颈部肌肉出血方面的敏感性。在尸检前进行了全身扫描，并在尸检后对取出的喉部进行了详细扫描。MSCT检测到喉部多处骨折。详细的MRI能够显示左环杓后肌出血。右环杓后肌的少量出血无法确切检测到。尽管还需要更多经验，但我们得出结论，MRI和MSCT联合检查是法医案件中记录和检查颈部肌肉出血的有用工具。
