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[法医放射学中的钝器伤]

[Blunt force trauma in forensic radiology].

作者信息

Zech Wolf-Dieter, Ruder Thomas D

机构信息

Institut für Rechtsmedizin Bern, Universität Bern, Murtenstrasse 26, 3008, Bern, Schweiz.

Universitätsinstitut für Diagnostische, Interventionelle und pädiatrische Radiologie, Inselspital, Universitätsspital Bern, Universität Bern, Rosenbühlgasse 27, 3010, Bern, Schweiz.

出版信息

Radiologie (Heidelb). 2024 Nov;64(11):837-845. doi: 10.1007/s00117-024-01366-1. Epub 2024 Sep 25.

Abstract

OBJECTIVE

Description of the main forensic radiological examination modalities and findings in blunt force trauma in living and deceased adults.

METHODS

Elaboration of the essential points based on the authors' own experiences and relevant literature.

RESULTS AND CONCLUSION

Injury-related consequences of blunt force are frequently observed in forensic radiological diagnostics, especially in the context of accidents and suicides, and less frequently in homicides. The method of choice for radiological imaging of blunt force in deceased persons is native postmortem computed tomography (PMCT). In principle, the radiological effects of blunt force in PMCT do not differ significantly from those in living persons. Postmortem magnetic resonance imaging (PMMRI) is very suitable for imaging blunt soft tissue injuries in the shorter postmortem interval. In the case of living individuals with the consequences of blunt force trauma, imaging is primarily indicated for clinical diagnostic reasons. Common indications are domestic violence, violence against the elderly, and disputes in public spaces. The choice of radiological examination method depends on the clinical history and symptoms, and the radiological examinations can be subjected to a forensic assessment.

摘要

目的

描述成人活体和尸体钝器伤的主要法医放射学检查方式及结果。

方法

基于作者自身经验和相关文献阐述要点。

结果与结论

在法医放射学诊断中,钝器伤相关后果较为常见,尤其在事故和自杀案件中,而在杀人案件中相对少见。尸体钝器伤放射成像的首选方法是平扫尸体计算机断层扫描(PMCT)。原则上,PMCT中钝器伤的放射学表现与活体并无显著差异。尸体磁共振成像(PMMRI)非常适合在较短尸体检验间隔期内对钝器所致软组织损伤进行成像。对于有钝器伤后果的活体个体,成像主要用于临床诊断。常见指征包括家庭暴力、虐待老人以及公共场所纠纷。放射学检查方法的选择取决于临床病史和症状,并且放射学检查可接受法医评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0b1/11502597/0fa77cea1dbe/117_2024_1366_Fig1_HTML.jpg

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