[法医放射学:引言与概述]

[Forensic radiology : Introduction and overview].

作者信息

Grabherr Silke, Grimm Jochen

机构信息

Institut für Rechtsmedizin Lausanne-Genf, Universitätsspital Lausanne, Universität Lausanne, Universitätsspital Genf, Universität Genf, Chemin de la Vulliette 4, 1000, Lausanne, Schweiz.

Universitätsinstitut für Neuroradiologie, Christian-Doppler-Klinik, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich.

出版信息

Radiologie (Heidelb). 2024 Nov;64(11):823-829. doi: 10.1007/s00117-024-01365-2. Epub 2024 Sep 6.

Abstract

BACKGROUND

In forensic medicine, documentation of findings is essential. During an autopsy, this is usually achieved by photography. However, there are numerous injuries that remain undetected even during a classic autopsy. In recent years, the importance of forensic radiology has grown in many countries to improve the documentation of findings and to increase the quality of post-mortem examinations.

METHODS

While many methods, such as conventional X‑rays or computed tomography, can be transferred quite easily to the post-mortem field, there are other methods that are more difficult to adapt. For example, performing a post-mortem angiography requires a specific concept that allows the vascular system to be filled and a contrast agent to circulate. Performing post-mortem magnetic resonance imaging is also a challenge, as image contrast depends on the temperature of the body being examined. When applying forensic radiology on living persons in the field of "clinical forensic medicine", there are further elements to consider. In particular, the question arises if radiological methods are acceptable for purely forensic medical purposes without a clinical indication.

CONCLUSION

This overview article is intended to explain the various methods of forensic radiology, their areas of application, and their advantages and disadvantages. It also describes important historical developments in the use of forensic radiology and its current spread in German-speaking countries as well as current and future developments. Thanks to this information and a summarizing overview table, clear indications and recommendations for the use of forensic radiology in practice can be obtained.

摘要

背景

在法医学中,对检查结果进行记录至关重要。在尸检过程中,这通常通过摄影来完成。然而,即使在经典的尸检中,仍有许多损伤未被发现。近年来,法医放射学在许多国家的重要性日益增加,以改善检查结果的记录并提高尸检质量。

方法

虽然许多方法,如传统X射线或计算机断层扫描,可以很容易地应用于尸检领域,但其他一些方法则更难适应。例如,进行尸检血管造影需要一个特定的概念,使血管系统能够充盈且造影剂能够循环。进行尸检磁共振成像也是一项挑战,因为图像对比度取决于被检查尸体的温度。在“临床法医学”领域将法医放射学应用于活体时,还有其他因素需要考虑。特别是,对于纯粹的法医学目的而无临床指征的放射学方法是否可接受的问题随之而来。

结论

这篇综述文章旨在解释法医放射学的各种方法、其应用领域以及优缺点。它还描述了法医放射学使用中的重要历史发展及其目前在德语国家的传播情况以及当前和未来的发展。借助这些信息和一个总结性的概述表,可以在实践中获得关于法医放射学使用的明确指征和建议。

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