Department of Biomedical, Metabolic and Neural Sciences, Institute of Legal Medicine, University of Modena and Reggio Emilia, Modena, Italy.
Department of Adult and Neonatal-Gynaecological Medical Surgical Sciences, Section of Diagnostic Imaging, University of Modena and Reggio Emilia, Modena, Italy.
Med Sci Law. 2021 Jan;61(1_suppl):77-81. doi: 10.1177/0025802420923175.
While post-mortem angiography (PMA) is gradually establishing its role in Forensic Radiology, the available literature in Italy lacks a solid foundation, particularly regarding its use in criminal court proceedings. An illustrative example of multiphase post-mortem CT angiography (MPMCTA) is presented here to encourage the systematic implementation of PMA methods. To demonstrate concordance between MPMCTA and the reference standard (autopsy and histology) in a case of acute coronary thrombosis, we report a case where MPMCTA, autopsy, histological and toxicological analyses were performed on a previously healthy 51-year-old man. MPMCTA detected a right coronary artery filling defect that could be ascribed to coronary thrombosis, which was later confirmed by autopsy and histological examinations.
虽然死后血管造影（PMA）在法医放射学中逐渐确立了其地位，但意大利可用的文献基础薄弱，特别是在刑事法庭诉讼中的应用。本文提供了一个多期死后 CT 血管造影（MPMCTA）的实例，以鼓励系统地实施 PMA 方法。为了证明 MPMCTA 与参考标准（尸检和组织学）在急性冠状动脉血栓形成病例中的一致性，我们报告了一例 MPMCTA、尸检、组织学和毒理学分析在一个之前健康的 51 岁男子身上进行的案例。MPMCTA 检测到右冠状动脉充盈缺损，可归因于冠状动脉血栓形成，后来通过尸检和组织学检查得到证实。
