Ruder Thomas D, Hatch Gary M, Ebert Lars C, Flach Patricia M, Ross Steffen, Ampanozi Garyfalia, Thali Michael J
Center for Forensic Imaging and Virtopsy, Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, CH-3012 Bern, Switzerland.
J Forensic Sci. 2012 May;57(3):778-82. doi: 10.1111/j.1556-4029.2011.02037.x. Epub 2011 Dec 28.
Computed tomography (CT) and magnetic resonance (MR) imaging have become important elements of forensic radiology. Whereas the feasibility and potential of CT angiography have long been explored, postmortem MR angiography (PMMRA) has so far been neglected. We tested the feasibility of PMMRA on four adult human cadavers. Technical quality of PMMRA was assessed relative to postmortem CT angiography (PMCTA), separately for each body region. Intra-aortic contrast volumes were calculated on PMCTA and PMMRA with segmentation software. The results showed that technical quality of PMMRA images was equal to PMCTA in 4/4 cases for the head, the heart, and the chest, and in 3/4 cases for the abdomen, and the pelvis. There was a mean decrease in intra-aortic contrast volume from PMCTA to PMMRA of 46%. PMMRA is technically feasible and allows combining the soft tissue detail provided by MR and the information afforded by angiography.
计算机断层扫描(CT)和磁共振成像(MR)已成为法医放射学的重要组成部分。尽管CT血管造影的可行性和潜力早已得到探索,但迄今为止,死后磁共振血管造影(PMMRA)一直被忽视。我们在四具成年人体尸体上测试了PMMRA的可行性。相对于死后CT血管造影(PMCTA),分别针对每个身体部位评估了PMMRA的技术质量。使用分割软件在PMCTA和PMMRA上计算主动脉内造影剂体积。结果显示,在头部、心脏和胸部的4/4例以及腹部和骨盆的3/4例中,PMMRA图像的技术质量与PMCTA相当。从PMCTA到PMMRA,主动脉内造影剂体积平均减少了46%。PMMRA在技术上是可行的,并且能够将MR提供的软组织细节与血管造影提供的信息相结合。