Ruder Thomas D, Hatch Gary M, Thali Michael J, Fischer Nadja
Center of Forensic Imaging and Virtopsy, Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, CH-3012 Bern, Switzerland.
Leg Med (Tokyo). 2011 Jan;13(1):41-3. doi: 10.1016/j.legalmed.2010.10.003. Epub 2010 Dec 4.
The questions of cause and manner of death are the most pressing ones in any forensic investigation. Traditionally, autopsy is the means to provide answers to these questions and despite the increasing use of CT and MR in the post-mortem setting, imaging has usually been an adjunct to forensic autopsy. Here we describe a case where post-mortem CT and MR were performed instead of autopsy, at the request of the responsible public prosecutor. The forensic conclusions derived from imaging, including cause and manner of death were accepted by the legal authorities, thereby setting precedence for future cases. This case represents a landmark in forensic medicine and is another step toward the full realization of minimally invasive forensic autopsy.
死因和死亡方式的问题是任何法医调查中最紧迫的问题。传统上,尸检是回答这些问题的手段,尽管在死后检查中CT和MR的使用越来越多,但影像学通常一直是法医尸检的辅助手段。在此,我们描述了一个案例,应负责的检察官的要求,进行了死后CT和MR检查,而不是尸检。从影像学得出的法医结论,包括死因和死亡方式,得到了法律当局的认可,从而为未来的案件树立了先例。这个案例代表了法医学的一个里程碑,也是朝着全面实现微创法医尸检又迈出的一步。