Leth Peter Mygind, Christoffersen Søren
Syddansk Universitet, Retsmedicinsk Institut, Odense C.
Ugeskr Laeger. 2008 Feb 4;170(6):444-7.
Computerized tomography (CT) is finding increased use in forensic medicine. In this article we present our experience with CT in medico legal deaths.
This is a retrospective investigation of 150 deceased individuals who were CT-scanned and autopsied. The CT-scanning was performed and interpreted by a specialist in forensic medicine. The CT-scanning and the autopsy were performed independently by two different physicians.
In 9% of the cases, important findings by the CT-scanning were overlooked at the autopsy, and in 51% important findings by the autopsy were not found by the CT-scanning. The cause of death could be established by CT-scanning in 30%, by autopsy in 72% and by toxicology in 21% of the cases. CT-scanning was most useful in cases of traumatic death.
CT is rarely a substitute for autopsy, but may contribute with important new information in many cases such as identifications (including mass-disasters), gunshot wounds and traffic accidents. CT provides documentation in digital form that is easily stored and copied, permits review by others and provides pictures that may be more suitable for presentation in court than autopsy photos. CT may be helpful in medico legal external examinations (inquests) in the process of selecting cases for autopsy.
计算机断层扫描（CT）在法医学中的应用日益广泛。在本文中，我们介绍了我们在法医学死亡案例中使用CT的经验。
这是一项对150名进行了CT扫描和尸检的死者的回顾性调查。CT扫描由一位法医学专家进行并解读。CT扫描和尸检由两位不同的医生独立进行。
在9%的案例中，CT扫描发现的重要结果在尸检时被忽视，而在51%的案例中，尸检发现的重要结果CT扫描未检测到。30%的案例可通过CT扫描确定死因，72%通过尸检确定，21%通过毒理学确定。CT扫描在创伤性死亡案例中最有用。
CT很少能替代尸检，但在许多情况下，如身份鉴定（包括大规模灾难）、枪伤和交通事故等，可能会提供重要的新信息。CT以数字形式提供易于存储和复制的文件，允许他人查看，并提供比尸检照片更适合在法庭上展示的图片。在选择尸检案例的过程中，CT可能有助于法医学外部检查（死因调查）。
