دورية أكاديمية
Post-mortem computed tomography (PMCT) radiological findings and assessment in advanced decomposed bodies.
| العنوان: | Post-mortem computed tomography (PMCT) radiological findings and assessment in advanced decomposed bodies. |
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| المؤلفون: | Cartocci, Gaia, Santurro, Alessandro, Neri, Margherita, Zaccagna, Fulvio, Catalano, Carlo, La Russa, Raffaele, Turillazzi, Emanuela, Panebianco, Valeria, Frati, Paola, Fineschi, Vittorio |
| بيانات النشر: | Springer Science and Business Media LLC //dx.doi.org/10.1007/s11547-019-01052-6 Radiol Med |
| سنة النشر: | 2019 |
| المجموعة: | Apollo - University of Cambridge Repository |
| مصطلحات موضوعية: | Decomposition processes, Forensic radiology, Gas, Post-mortem computed tomography, Radiological alteration index, Adolescent, Adult, Aged, 80 and over, Autopsy, Female, Forensic Pathology, Humans, Italy, Male, Middle Aged, Postmortem Changes, Retrospective Studies, Tomography, X-Ray Computed |
| الوصف: | PURPOSE: The aim of the study is to report radiological findings and features in advanced decomposed bodies obtained by post-mortem computed tomography (PMCT) with autopsy correlation. MATERIALS AND METHODS: This retrospective descriptive multicentric study included 41 forensic cases examined between May 2013 and November 2016. All the bodies were PMCT-scanned prior to autopsy, and internal putrefactive state was determined using the radiological alteration index (RAI) by a radiologist with expertise in forensic radiology and a forensic pathologist trained in forensic imaging. After PMCT scans, grade of external putrefaction (GEP) was assigned during the external examination and the complete autopsy was performed by forensic pathologists. RESULTS: The PMCT images evaluation revealed that the RAI index was > 61 in all bodies, corresponding to a moderate-massive presence of putrefactive gas. The gas grade was > II in correspondence of the major vessels, heart cavities, liver parenchyma, vertebra L3 and subcutaneous pectoral tissues, and varied from I to III in correspondence of the kidney. Cadaveric external examination revealed the presence of advanced transformative phenomena, with a GEP3 and GEP4 in most of the cases, with body swelling, eyes and tongue protrusion, body fluids expulsion and fat liquefaction. CONCLUSION: Radiological imaging by PMCT as an adjunct to autopsy in advanced decomposed bodies represents a useful tool in detecting post-mortem gas, even in very small amounts. A correct interpretation process of the PMCT data is essential to avoid images pitfalls, due to natural decomposition that can be mistaken for pathologic processes. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | Print-Electronic; application/pdf |
| اللغة: | English |
| العلاقة: | https://www.repository.cam.ac.uk/handle/1810/297880Test |
| DOI: | 10.17863/CAM.44936 |
| الإتاحة: | https://doi.org/10.17863/CAM.44936Test https://www.repository.cam.ac.uk/handle/1810/297880Test |
| رقم الانضمام: | edsbas.4668EBB4 |
| قاعدة البيانات: | BASE |
| DOI: | 10.17863/CAM.44936 |
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