Department of Forensic Medicine, University of Salzburg, Salzburg, Austria.
Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy.
Int J Legal Med. 2020 Jul;134(4):1361-1373. doi: 10.1007/s00414-020-02278-0. Epub 2020 Apr 5.
Estimating the postmortem interval (PMI) is one of the major tasks and a continuous challenge in forensic pathology. It is often an exclusion process of available methods, which ultimately can lead to an unsatisfactory outcome due to poor reliability. This problem is most acute in the late PMI, when decomposition proceeds and some methods (such as rigor, livor, and algor mortis) are no longer applicable. Several methods, such as forensic entomology, skeletal muscle protein degradation, and the study of body decomposition by application of a morphological scoring, are expected to provide further information; however, all have certain limitations and weaknesses. Availability of a tool-box of methods allows a case-specific selection of the most appropriate one(s), or eventually provides improvements in the overall accuracy and precision of the PMI estimation by merging and combining methods. To investigate practical (field) application, eventual interferences, and/or synergetic effects, as well as the robustness of these methods towards specific influencing factors, a field study was conducted, using eight pig cadavers of different body weights and physical coverage, left to decompose under natural conditions for 16 days. Morphological changes during decomposition were assessed using the total body score (TBS), muscle samples were collected to analyze protein degradation, and insect colonization was evaluated. The results reveal strengths and current limitations of all tested methods, as well as promising synergistic effects, and thus, provide a baseline for targeted future research.
推断死亡时间(PMI)是法医学中的主要任务之一,也是一个持续存在的挑战。通常,它是对现有方法的排除过程,由于可靠性差,最终可能导致不满意的结果。当尸体开始腐烂时,这个问题在晚期 PMI 中最为突出,此时一些方法(如尸僵、尸斑和尸冷)已不再适用。法医昆虫学、骨骼肌蛋白降解以及通过形态评分研究尸体分解等几种方法有望提供更多信息;然而,所有这些方法都存在一定的局限性和弱点。方法工具箱的可用性允许根据具体情况选择最合适的方法,或者通过合并和组合方法来提高 PMI 估计的整体准确性和精度。为了研究实际(现场)应用、潜在干扰和/或协同效应,以及这些方法对特定影响因素的稳健性,本研究使用 8 具不同体重和身体覆盖程度的猪尸体进行了现场研究,让它们在自然条件下分解 16 天。使用总体评分(TBS)评估分解过程中的形态变化,收集肌肉样本以分析蛋白质降解,并评估昆虫定殖情况。结果揭示了所有测试方法的优势和当前的局限性,以及有前景的协同效应,从而为有针对性的未来研究提供了基础。