Postmortem computed tomography and autopsy for detection of lesions and causes of death in gunshot injury cases: a comparative study

Elkhateeb, Shereen Ahmad; Mohammed, Eman Bekheet; Meleka, Hany; Ismail, Ahmed Abd Elazeem

doi:10.1186/s41935-018-0078-2

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…The visualisation and analysis of post-mortem specimens have been completely transformed by the incorporation of advanced imaging technologies, including multispectral imaging, three-dimensional (3D) imaging, and sophisticated microscopy techniques. In a study conducted by Shereen Ahmad et.al mentioned about the Postmortem multislice computed tomography (PMCT) technique for autopsies which is a Modern imaging technology and a non-invasive technique which provide forensic pathology experts to improved clarity and accuracy by visualising microscopic tissue structures, lesions, cellular abnormalities, and wound path visualisation in high-resolution and detail [16]. These cutting-edge imaging technologies enable forensic pathologists to perform exhaustive and comprehensive analyses, making it easier to precisely identify and document important forensic evidence and pathological findings.…”

Section: Advanced Imaging Technologiesmentioning

confidence: 99%

“…These cutting-edge imaging technologies enable forensic pathologists to perform exhaustive and comprehensive analyses, making it easier to precisely identify and document important forensic evidence and pathological findings. PMCT can be used as a post-mortem alternative or as an autopsy complement to capture multidimensional data and produce accurate anatomical reconstructions (Figure 1) [16].…”

Section: Advanced Imaging Technologiesmentioning

confidence: 99%

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Forensic Science: Revealing the Clues

Abrol

2024

Unlocking the Mysteries of Death - New Perspectives for Post-Mortem Examination

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Forensic science is the discipline concerned with the systematic examination and interpretation of evidence obtained from crime scenes, employing a range of scientific methodologies. The field of forensic science comprises a range of specialised sub-disciplines within the field of criminal investigation plays a distinct role in the complex process of piecing together evidence, contributing to the creation of a cohesive narrative. In the field of forensic medicine, the significance of forensic science is further accentuated. The field of forensic science is of greatest importance in the context of postmortem examinations, as these examinations are carried out with the primary objective of determining the cause and manner of death in deceased individuals. Autopsies, which are fundamental to the field of forensic medicine, are performed in order to determine the physiological and pathological characteristics of a deceased individual. Forensic pathologists, in conjunction with forensic scientists, engage in thorough examinations utilising a variety of equipment, including microscopes, advanced imaging techniques, digital histopathological techniques, leveraging their substantial medical expertise. The collaboration between multiple disciplines ensures a holistic comprehension of the deceased individual’s state, revealing key observations regarding the factors that contributed to their death. The chapter will be describing the significance of “Forensic Science” in the field of forensic medicine and its future scope.

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Section: Advanced Imaging Technologiesmentioning

confidence: 99%

Section: Advanced Imaging Technologiesmentioning

confidence: 99%

Forensic Science: Revealing the Clues

Abrol

2024

Unlocking the Mysteries of Death - New Perspectives for Post-Mortem Examination

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“…Recently, several studies have proposed the use of PMCT to determine the cause of death [1][2][3][4][5][6][7][8][9][10]. The PMCT is considered the most feasible imaging modality because it is widely available.…”

Section: Case Historymentioning

confidence: 99%

“…The hyperattenuation of blood clot or hematoma can be easily visualized in conventional methods and PMCT. Elkhateeb et al [7] reported that PMCT was as valuable as autopsy for detecting the direction of firing and internal bleeding of gunshot injuries.…”

Section: Case Historymentioning

confidence: 99%

Noninvasive postmortem investigation of cases refusing autopsy using computed tomography

Wasinrat,

Wasinrat

2023

ASEAN J Radiol

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Background: CT is a well-known tool to assess several conditions in living patients. The post-mortem CT (PMCT) has been introduced to determine the cause of death in dead subjects. CT is also the imaging modality of choice for the analysis of autopsy findings including fracture, hematoma, gas collection and gross tumor injury. The rate of standard autopsy is continuing to decline and there are several reasons for refusing autopsy. Objective: The current research endeavor is investigate the usefulness of computed tomography (CT) in cases refusing autopsy. Materials and Methods: In this study, the PMCT were evaluated in 150 subjects in different contexts of death. The causes of death were classified into four categories which include a definite cause of death, a possible cause of death, a minor pathological finding and no fatal findings. For the definite cause of death and the possible cause of death, the specific lesions are described in detail. Results: The definite cause of death was detected in 48 (32%) of the subjects. The possible cause of death was detected in 18 (12%) of the subjects. The remaining 84 subjects were classified into minor pathological findings and no fatal findings in 46 (30.7%) and 38 (25.3%) of the patients, respectively. The fatal lesions of PMCT were found in 93 lesions(48 subjects) that were demonstrated by anatomical locations into the traumatic bone, intracranial, spine, thoracic, heart leak and abdominal lesions. We found definite causes of death in 6 subjects, which had no history of trauma and malignancy and were mentioned about a cardiopulmonary failure as a cause of death at first. Conclusion: The PMCT is a useful tool for identifying the cause of death in many cases that have limitations for conventional autopsy. The morphological change such as intracranial hemorrhage is easily diagnosed with PMCT. The PMCT appears to be an alternative tool to assess the cause of death in any reason of objections.

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