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[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.

DOI:10.1007/s00117-024-01365-2
PMID:39240319
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11502582/
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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A consistent methodology for forensic photogrammetry scanning of human remains using a single handheld DSLR camera.一种使用单台手持数码单反相机对人体遗骸进行法医摄影测量扫描的一致方法。
Forensic Sci Res. 2023 Sep 28;8(4):295-307. doi: 10.1093/fsr/owad036. eCollection 2023 Dec.
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Impact of changing from autopsy to post-mortem CT in an entire HM Coroner region due to a shortage of available pathologists.由于可用病理学家短缺,在整个HM验尸官区域从尸检改为死后CT的影响。
Clin Radiol. 2023 Nov;78(11):797-803. doi: 10.1016/j.crad.2023.08.001. Epub 2023 Oct 5.
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Essence of postmortem computed tomography for in-hospital deaths: what clinical radiologists should know.院内死亡的死后计算机断层扫描要点:临床放射科医生应了解的内容。
Jpn J Radiol. 2023 Oct;41(10):1039-1050. doi: 10.1007/s11604-023-01443-w. Epub 2023 May 17.
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Ultrasonography on the non-living. Current approaches.对无生命物体的超声检查。当前方法。
Med Ultrason. 2023 Mar 30;25(1):56-65. doi: 10.11152/mu-3490. Epub 2021 Nov 11.
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Frontal sinuses as tools for human identification: a systematic review of imaging methods.额窦作为人类身份识别的工具:成像方法的系统综述
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Post-mortem ultrasonography: a safer alternative to autopsies in COVID-19 deaths.死后超声检查:COVID-19 死亡中比尸检更安全的选择。
J Ultrasound. 2021 Dec;24(4):577-578. doi: 10.1007/s40477-020-00531-1. Epub 2020 Oct 31.
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Postmortem CT Angiography Compared with Autopsy: A Forensic Multicenter Study.死后 CT 血管造影与尸检比较:一项法医学多中心研究。
Radiology. 2018 Jul;288(1):270-276. doi: 10.1148/radiol.2018170559. Epub 2018 May 1.
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A user-friendly technical set-up for infrared photography of forensic findings.一种便于用户操作的用于法医鉴定结果红外摄影的技术装置。
Forensic Sci Int. 2017 Sep;278:148-155. doi: 10.1016/j.forsciint.2017.07.001. Epub 2017 Jul 10.
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