Department of Radiology, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, STC7033, Tampa, FL 33606.
Department of Radiology, Emory University School of Medicine, Atlanta, Georgia.
Acad Radiol. 2019 Jun;26(6):820-830. doi: 10.1016/j.acra.2019.03.006. Epub 2019 Apr 17.
Forensic radiology is a relatively unknown subspecialty which is becoming increasingly more important. The field incorporates antemortem and postmortem imaging for the detection and documentation of various pathologies for medicolegal purposes. Postmortem imaging is increasingly used in conjunction with the traditional autopsy in a process called a "virtual" autopsy. Radiography has been a staple of forensic investigations for over a century, first used in 1896. Advanced imaging techniques such as postmortem computed tomography and postmortem magnetic resonance imaging have only recently gained acceptance in the forensic science community. Postmortem computed tomography and postmortem magnetic resonance imaging methods are now widely used in some parts of the world, while other countries including the United States have been slower to adopt these methods into their daily practice. Advanced forensic imaging is increasingly used in the courts where juries have responded positively to such presentation of forensic data. For these reasons, advanced postmortem imaging is becoming a regular part of forensic investigations. The increase in the use of forensic imaging presents a unique opportunity for radiologists to collaborate with pathologists and law enforcement officials. This paper provides an overview of forensic radiology and identifies potential challenges and opportunities.
法医放射学是一个相对鲜为人知的亚专业,但它变得越来越重要。该领域结合了生前和死后的影像学检查,用于检测和记录法医学目的的各种病理学。死后影像学检查越来越多地与传统的尸检结合使用,这一过程被称为“虚拟”尸检。放射学作为法医调查的一个主要手段已经有一个多世纪的历史了,它最早于 1896 年被使用。近年来,死后计算机断层扫描和死后磁共振成像等先进的成像技术才在法医科学界得到认可。死后计算机断层扫描和死后磁共振成像方法现在在世界上的一些地区被广泛使用,而包括美国在内的其他国家则较慢地将这些方法纳入其日常实践。先进的法医成像在法庭上越来越多地被使用,陪审团对这种法医数据的呈现反应积极。出于这些原因,先进的死后成像正在成为法医调查的常规内容。法医成像的使用增加为放射科医生与病理学家和执法官员合作提供了一个独特的机会。本文概述了法医放射学,并确定了潜在的挑战和机遇。