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 G., Santurro A., Neri M., Zaccagna F., Catalano C., La Russa R., Turillazzi E., Panebianco V., Frati P., Fineschi V. |
| المساهمون: | Cartocci G., Santurro A., Neri M., Zaccagna F., Catalano C., La Russa R., Turillazzi E., Panebianco V., Frati P., Fineschi V. |
| سنة النشر: | 2019 |
| المجموعة: | IRIS Università degli Studi di Bologna (CRIS - Current Research Information System) |
| مصطلحات موضوعية: | Decomposition processe, Forensic radiology, Ga, Post-mortem computed tomography, Radiological alteration index |
| 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: | STAMPA |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/wos/WOS:000488930300009; volume:124; issue:10; firstpage:1018; lastpage:1027; numberofpages:10; journal:LA RADIOLOGIA MEDICA; http://hdl.handle.net/11585/871863Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85068139034 |
| DOI: | 10.1007/s11547-019-01052-6 |
| الإتاحة: | https://doi.org/10.1007/s11547-019-01052-6Test http://hdl.handle.net/11585/871863Test |
| رقم الانضمام: | edsbas.9A883230 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s11547-019-01052-6 |
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