Berran Philip J, Mazuchowski Edward L, Marzouk Abubakr, Harcke H Theodore
Armed Forces Medical Examiner System, 115 Purple Heart Drive, Dover Air Force Base, Dover, DE, 19902.
J Forensic Sci. 2014 Jul;59(4):1121-5. doi: 10.1111/1556-4029.12422. Epub 2014 Mar 31.
An algorithm incorporating multidetector computed tomography (MDCT), digital radiographs, and external examination was used to triage cases for noninvasive or complete autopsy after a natural disaster. The algorithm was applied to 27 individuals who died during or soon after the earthquake that struck the Republic of Haiti on January 12, 2010. Of the 27 cases reviewed, 7 (26%) required a complete autopsy to determine cause and manner of death. In the remaining 20 (74%), cause and manner of death were determined with a reasonable degree of medical certainty after review of circumstances, an external examination, and postmortem imaging by MDCT and digital radiography (noninvasive autopsy). MDCT was particularly useful in detecting skeletal fractures caused by blunt force injury which were not evident on digital radiographs. The algorithm incorporating postmortem MDCT can be useful in the triage of human remains for autopsy after a natural disaster.
一种结合了多排螺旋计算机断层扫描（MDCT）、数字射线照片和外部检查的算法被用于在自然灾害后对病例进行分类，以确定是否需要进行非侵入性或完整尸检。该算法应用于2010年1月12日海地共和国地震期间或地震后不久死亡的27人。在审查的27个病例中，7例（26%）需要进行完整尸检以确定死因和死亡方式。在其余20例（74%）中，通过审查事件情况、外部检查以及MDCT和数字射线摄影的死后成像（非侵入性尸检），在合理的医学确定性程度上确定了死因和死亡方式。MDCT在检测钝器伤导致的骨骼骨折方面特别有用，而这些骨折在数字射线照片上并不明显。结合死后MDCT的算法在自然灾害后对人类遗体进行尸检分类时可能会很有用。
