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通过亨斯菲尔德密度测量能否区分尸体中常见的异物?

Is differentiation of frequently encountered foreign bodies in corpses possible by Hounsfield density measurement?

作者信息

Bolliger Stephan A, Oesterhelweg Lars, Spendlove Danny, Ross Steffen, Thali Michael J

机构信息

Centre for Forensic Imaging and Virtopsy, Institute of Forensic Medicine, University of Bern, Bern CH-3012, Switzerland.

出版信息

J Forensic Sci. 2009 Sep;54(5):1119-22. doi: 10.1111/j.1556-4029.2009.01100.x. Epub 2009 Jul 13.

Abstract

The radiological determination of foreign objects in corpses can be difficult if they are fragmented or deformed. With multislice computed tomography, radiodensities--referred to as Hounsfield units (HU)--can be measured. We examined the possibility of differentiating 21 frequently occurring foreign bodies, such as metals, rocks, and different manmade materials by virtue of their HU values. Gold, steel, and brass showed mean HU values of 30671-30710 (upper measurable limit), mean HU values for steel, silver, copper, and limestone were 20346, 16949, 14033, and 2765, respectively. The group consisting of objects, such as aluminum, tarmac, car front-window glass, and other rocks, displayed mean HU values of 2329-2131 HU. The mean HU value of bottle glass and car side-window glass was 2088, whereas windowpane glass was 493. HU value determination may therefore help in preautopsy differentiation between case-relevant and irrelevant foreign bodies and thus be useful for autopsy planning and extraction of the objects in question.

摘要

如果尸体中的异物破碎或变形,通过放射学方法确定它们可能会很困难。使用多层计算机断层扫描,可以测量放射密度,即豪斯菲尔德单位(HU)。我们研究了根据21种常见异物(如金属、岩石和不同人造材料)的HU值进行区分的可能性。金、钢和黄铜的平均HU值为30671 - 30710(可测量上限),钢、银、铜和石灰石的平均HU值分别为20346、16949、14033和2765。由铝、柏油、汽车前窗玻璃和其他岩石等物体组成的组,其平均HU值为2329 - 2131 HU。瓶玻璃和汽车侧窗玻璃的平均HU值为2088,而窗玻璃为493。因此,HU值测定可能有助于在尸检前区分与案件相关和无关的异物,从而有助于尸检规划和提取相关物体。

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