Diagn Interv Imaging. 2014 Nov;95(11):1085-90. doi: 10.1016/j.diii.2013.08.010.
Post-mortem computed tomography is a diagnostic tool forming part of the arsenal available to forensic pathologists today. In addition to its usefulness in detecting bone lesions, which has long been recognized, this technique has nowadays been enhanced by the development of CT angiography. The role of multiphase post-mortem computed tomography angiography (multiphase PMCTA) is primordial, improving detection of solid organ lesions and permitting vascular lesions to be visualized directly.
Our paper presents a series of three deaths by falling from a considerable height recorded since the beginning of 2012. We report the usefulness of PMCTA and the various mechanisms involved in the trauma.
Most of the lesions were diagnosed by both PMCTA and autopsy, including the rare lesions, but the peripheral bone lesions and the hemopneumatocele were diagnosed only by PMCTA, while dislocation of vertebrae and the testicular fractures were detected solely by autopsy.
PMCTA is a new, minimally-invasive technique which, combined with autopsy, provides better visualization and detection of certain lesions, particularly in the case of death by falling from a great height.
尸检计算机断层扫描是法医病理学家目前可用的诊断工具之一。除了长期以来被认可的检测骨病变的用途外，该技术现已通过 CT 血管造影的发展得到了增强。多期死后计算机断层扫描血管造影（多期 PMCTA）的作用至关重要，它可以提高对实体器官病变的检测，并可以直接显示血管病变。
我们的论文介绍了自 2012 年初以来记录的三起因从高处坠落而死亡的案例。我们报告了 PMCTA 的有用性以及涉及的各种创伤机制。
大多数病变通过 PMCTA 和尸检都得到了诊断，包括罕见的病变，但外周骨病变和血气胸仅通过 PMCTA 诊断，而脊椎脱位和睾丸骨折仅通过尸检检测到。
PMCTA 是一种新的、微创技术，与尸检结合使用，可以更好地观察和检测某些病变，特别是在高处坠落致死的情况下。
