The use of CT-scanning at the medicolegal external postmortem examination and at the forensic autopsy

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Abstract

Introduction: Can CT-scanning of deceased at the medico legal external examination improve the selection of cases to autopsy? Is CT-scanning a substitute or a supplement to the traditional forensic autopsy?

Material: In 2006 60 deceased individuals from Southern Denmark (counties of Fyn and Sønderjylland) (15 females and 45 males) were CT-scanned before autopsy.

Method: A double-blind prospective investigation of CT-scanning in autopsy cases. A multislice spiral CT-scanner (Siemens Somatom Spirit) was used. Data from the CT-scanning and the autopsy were registered in a computer database and compared.

Results: The scanning could be performed in 10 minutes per case. In approximately a third of the cases the cause of death could be established by CT-scanning alone. CT-scanning was found to be most useful in cases of traumatic death, and was superior to autopsy in visualizing fractures.

Conclusions: CT-scanning is not a substitute for autopsy, but can be used at the medico legal external examination to evaluate in which cases an autopsy is needed. It can also be used as a supplement to the autopsy in cases of traumatic death, and is especially useful in evaluation of injuries sustained in motor vehicle accidents and in gunshot injuries, and for identification purposes.

 

OriginalsprogEngelsk
TitelXX Congress of International Academy of Legal Medicine
RedaktørerP. Sotonyi
ForlagMedimond
Publikationsdato2006
ISBN (Trykt)978-88-7587-320-2
StatusUdgivet - 2006
BegivenhedCongress of International Academy of Legal Medicine - Budapest, Ungarn
Varighed: 23. aug. 200626. aug. 2006
Konferencens nummer: 20

Konference

KonferenceCongress of International Academy of Legal Medicine
Nummer20
Land/OmrådeUngarn
ByBudapest
Periode23/08/200626/08/2006

Emneord

  • Retsmedicin
  • Retsmedicinsk radiologi
  • Computer tomografi

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