State of the art in post-mortem forensic imaging in China

Chen, Yijiu

doi:10.1080/20961790.2017.1337501

Cited by 17 publications

(12 citation statements)

References 73 publications

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“…In recent years, postmortem computed tomography (PMCT) is being considered as a useful visualization tool for diagnosing the cause of death during forensic practices. [ 8 , 9 ] It has prominent advantages in the detection of both pathologic gas collections and fractures. [ 10 ] At autopsy, the pneumothorax test may be ignored as a nonroutine dissection procedure.…”

Section: Introductionmentioning

confidence: 99%

Autopsy diagnosis of acupuncture-induced bilateral tension pneumothorax using whole-body postmortem computed tomography

et al. 2018

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Rationale:Acupuncture, a component of traditional Chinese medicine, is also a well-known form of complementary and alternative medicine. Serious adverse events of acupuncture have been reported, including the acupuncture-related pneumothorax which is a rare but fatal condition sometimes. The pneumothorax was related to needle insertion in the upper back or paraspinal area and the reported victims suffered from either unilateral or bilateral pneumothorax. Postmortem computed tomography has advantages in the detection of pathologic gas and is being considered as a useful visualization tool for diagnosing the cause of death.Patient concerns:A 52-year-old man underwent acupuncture and cupping treatment at an illegal Chinese medicine clinic for neck and back discomfort and was admitted to the hospital with severe gasp and dyspnea about 30 hours later. The patient suddenly became unconscious with heart rate and blood pressure lost and died after cardiopulmonary resuscitation. Diagnosis, interventions and outcomes: Whole-body postmortem computed tomography of the victim revealed collapse of the both lungs and mediastinal compression, which was also confirmed by autopsy. More than 20 pinprick injuries were found on the skin of the upper and lower back in which multiple pinpricks were located on the body surface projection of the lungs. The cause of death was concluded as acute respiratory and circulatory failure due to acupuncture-induced bilateral tension pneumothorax.Lessons:Acupuncture-induced tension pneumothorax is rare and should be recognized by forensic pathologists. Postmortem computed tomography can be used to detect and accurately evaluate the severity of pneumothorax before autopsy and can play a supporting role in determining the cause of death.

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Section: Introductionmentioning

confidence: 99%

Autopsy diagnosis of acupuncture-induced bilateral tension pneumothorax using whole-body postmortem computed tomography

et al. 2018

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“…In recent years, with the increasing recognition of its strengths, forensic imaging has been explored globally in forensic practice and research. For example, the forensic imaging research teams at the University Centre of Legal Medicine Lausanne-Geneva [ 1 , 11 ], the University of Berne [ 5 ] and the University of Zurich [ 8 ] in Switzerland, employed forensic imaging techniques, particularly CT and MRI in their outstanding research; the Chief Medical Examiner’s Office of Maryland in the United States utilises CT as an auxiliary method in autopsy [ 12 ]; the Armed Forces Institute of Pathology (disestablished in 2011, continues as American Institute of Radiologic Pathology) performed CT especially in gunshot and drown cases [ 13 , 14 ]; the Victorian Institute of Forensic Medicine in Australia [ 15 ] and the Institute of Forensic Medicine at University of Southern Denmark [ 16 ] performed CT scan along with standard autopsy in forensic cases; forensic pathologists in Italy made use of CT scan as a screening diagnostic test before conducting a traditional autopsy [ 17 ]; in Austria, researchers utilised forensigraphy imaging technique to detect relevant traces on and within the body of an examined person [ 18 ]; in Japan, 26 of 47 prefectures have at least one autopsy imaging centre with scanners that are dedicated for postmortem imaging [ 19 ]; the Academy of Forensic Science in China started conducting postmortem multi-slice computed tomography (PMCT) research since 2005 and has completed more than 500 forensic imaging cases with different causes of death [ 20 , 21 ], this team also contributed thin layer CT scanning and imaging reconstruction to estimate the age of teenagers through the sternal end of clavicle epiphyseal growth [ 22 ].…”

Section: The Global Impact Of Forensic Imagingmentioning

confidence: 99%

Forensic Imaging: A Powerful Tool in Modern Forensic Investigation

Zhang

2022

Forensic Sciences Research

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Forensic imaging is a non-invasive examination process during the forensic investigation. It is mainly used in forensic pathology as an adjunct to the traditional autopsy. In the past two decades, forensic imaging has been vigorously developed by forensic experts from computed tomography (CT) to multiple augmented techniques through CT and magnetic resonance imaging (MRI). The application field of forensic imaging has also been broadened as its advantages are recognised by more forensic practitioners. In addition to the forensic pathology, this technique has been used in other forensic disciplines, including forensic anthropology, forensic odontology, forensic ballistics and wildlife forensics, etc. This article reviews the development of forensic imaging as the practice and research development in different forensic disciplines based on the relevant literature analysis.

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“…Fast, non-invasive method that also protects family members from suffering, less traumatic than manual autopsy, when it comes to preserving the integrity of the body. It has 100% accuracy in identifying lesions of various types (Chen, 2017).…”

Section: Forensic Identificationmentioning

confidence: 99%

Imaging protocols for the autopsy service in a time of pandemic emergency minimizing the contagion of SARS-CoV-2 expert government agents

Santos¹,

Dias²,

Silva³

2021

RSD

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Objective: To contribute to the construction of parameters of biosafety in order to protect government agents in the exercise of their investigative functions in the context of a pandemic, as well as to resolve clinical, pathological and possibly legal issues. Methodology: The development of an exploratory review study with a qualitative approach was defined. The methodological design was carried out on the platforms: PubMed and SciELO through the descriptors: Human identification, Radiology, Virtópsia and Autopsy. The exclusion criteria include articles with duplicate information or that do not have information related to the objectives of the study. For inclusion, materials published in Portuguese, English or Spanish were used and at the end 76 articles were obtained. Results and discussion: Conventional autopsy is the most common method for post-mortem investigation in humans. However, with the evolution of imaging methods and the current pandemic threatening the health of government agents, Virtópsia has shown itself to be the most promising way to remedy the dichotomy of occupational risk and legal benefit. Final considerations: In this article, the main advances in Forensic Radiology in the last 11 years were described, with regard to the use of ante and post mortem radiographs in the identification process. Among the various radiological techniques treated, the following stand out: radiographic techniques produced by radiology professionals with different assessments in the radiological area. The images produced are security methods with invasive manipulation and use of all PPE, suitable for the pandemic moment.

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State of the art in post-mortem forensic imaging in China

Cited by 17 publications

References 73 publications

Autopsy diagnosis of acupuncture-induced bilateral tension pneumothorax using whole-body postmortem computed tomography

Autopsy diagnosis of acupuncture-induced bilateral tension pneumothorax using whole-body postmortem computed tomography

Forensic Imaging: A Powerful Tool in Modern Forensic Investigation

Imaging protocols for the autopsy service in a time of pandemic emergency minimizing the contagion of SARS-CoV-2 expert government agents

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