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.

 

Original languageEnglish
Title of host publicationXX Congress of International Academy of Legal Medicine
EditorsP. Sotonyi
PublisherMedimond
Publication date2006
ISBN (Print)978-88-7587-320-2
Publication statusPublished - 2006
EventCongress of International Academy of Legal Medicine - Budapest, Hungary
Duration: 23. Aug 200626. Aug 2006
Conference number: 20

Conference

ConferenceCongress of International Academy of Legal Medicine
Number20
Country/TerritoryHungary
CityBudapest
Period23/08/200626/08/2006

Keywords

  • Forensic Medicine
  • Forensic Radiology
  • Computerized Tomography

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