Institute of Forensic Medicine, University of Bern, Switzerland.
Institute of Forensic Medicine, University of Bern, Switzerland; Department of Diagnostic, Interventional and Pediatric Radiology, University of Bern, Inselspital Bern, Switzerland.
Forensic Sci Int. 2021 Oct;327:110984. doi: 10.1016/j.forsciint.2021.110984. Epub 2021 Aug 27.
Quantitative post-mortem magnetic resonance imaging (PMMR) allows for measurement of T1 and T2 relaxation times and proton density (PD) of brain tissue. Quantitative PMMR values may be used for advanced post-mortem neuro-imaging diagnostics such as computer aided diagnosis. So far, the quantitative T1, T2 and PD post-mortem values of regular anatomical brain structures were unknown for a 3 Tesla PMMR application. The goal of this basic research study was to evaluate the quantitative values of post-mortem brain structures for a 3 T post-mortem magnetic resonance application with regard to various corpse temperatures. In 50 forensic cases, a quantitative PMMR brain sequence was applied prior to autopsy. Measurements of T1 (in ms), T2 (in ms), and PD (in %) values of cerebrum (Group 1: frontal grey matter, frontal white matter, thalamus, caudate nucleus, globus pallidus, putamen, internal capsule) brainstem and cerebellum (Group 2: cerebral peduncle, substantia nigra, red nucleus, pons, middle cerebellar peduncle, cerebellar hemisphere, medulla oblongata) were conducted in synthetically calculated axial PMMR brain images. Assessed quantitative values were corrected for corpse temperature. Temperature dependence was observed mainly for T1 values. ANOVA testing resulted in significant differences of quantitative values between the investigated anatomical brain structures in both groups. It can be concluded that temperature corrected 3 Tesla PMMR T1, T2 and PD values are feasible for characterization and discrimination of regular anatomical brain structures. This may provide a base for future advanced diagnostics of forensically relevant brain lesions and pathology.
定量尸检磁共振成像(PMMR)可用于测量脑组织的 T1 和 T2 弛豫时间和质子密度(PD)。定量 PMMR 值可用于先进的尸检神经成像诊断,如计算机辅助诊断。到目前为止,对于 3T PMMR 应用,常规解剖脑结构的定量 T1、T2 和 PD 尸检值尚不清楚。这项基础研究的目的是评估在不同尸体温度下,3T 尸检磁共振应用中尸检脑结构的定量值。在 50 例法医案例中,在解剖前应用了定量 PMMR 脑序列。对大脑(1 组:额状灰质、额状白质、丘脑、尾状核、苍白球、壳核、内囊)、脑干和小脑(2 组:大脑脚、黑质、红核、脑桥、中脑小脑脚、小脑半球、延髓)的 T1(ms)、T2(ms)和 PD(%)值进行了测量,在综合计算的轴位 PMMR 脑图像中进行了测量。评估的定量值已针对尸温进行了校正。主要观察到 T1 值的温度依赖性。方差分析结果表明,两组中被调查的解剖脑结构之间的定量值存在显著差异。可以得出结论,校正温度的 3T PMMR T1、T2 和 PD 值可用于描述和区分常规解剖脑结构。这可能为未来法医相关脑损伤和病理学的高级诊断提供基础。