Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Das Thema chronische Unterbauch- und Viszeralschmerzen wird im Live-Webinar am 7. Mai von 17.30 bis 19 Uhr aus internistischer, gynäkologischer und psychologisch-neurowissenschaftlicher Perspektive beleuchtet. Besprochen werden krankheitsbedingte Ursachen, Mechanismen der kognitiven Schmerzmodulation sowie mögliche Therapieoptionen. Die Fortbildung ist mit 2 CME-Punkten zertifiziert. Melden Sie sich jetzt an!
Erweiterte Suche
Anmelden
nach oben
La radiologia medica
Erschienen in: La radiologia medica 9/2015

01.09.2015 | ETHICS AND FORENSIC RADIOLOGY

Imaging for homicide investigations

verfasst von: Krzysztof Woźniak, Artur Moskała, Ewa Rzepecka-Woźniak

Erschienen in: La radiologia medica | Ausgabe 9/2015

Einloggen, um Zugang zu erhalten

Abstract

The authors present the opportunities of the application of post-mortem imaging, focusing on post-mortem computed tomography and post-mortem computed tomography angiography in modern forensic investigation of homicide cases. The paper is based on scientific publications related to the subject from ca. the past 10 years, supplemented by the authors’ own experiences. The article is illustrated with reconstructions based on the authors’ own cases related to homicide due to ballistic/sharp/blunt trauma. As is shown, the results of evaluation of post-mortem computed tomography allow better diagnosis, documentation and visualisation of forensic examinations.
Literatur
1.
Thali MJ, Viner M, Brogdon BG (2010) Brogdon’s forensic radiology, 2nd edn. CRC Press, Boca RatonCrossRef
2.
Flach PM, Gascho D, Schweitzer W, Ruder TD, Berger N, Ross SG, Thali MJ, Ampanozi G (2014) Imaging in forensic radiology: an illustrated guide for postmortem computed tomography technique and protocols. Forensic Sci Med Pathol 10(4):583–606CrossRefPubMed
3.
Thali MJ, Braun M, Buck U, Aghayev E, Jackowski C, Vock P, Sonnenschein M, Dirnhofer R (2005) VIRTOPSY-scientific documentation, reconstruction and animation in forensic: individual and real 3D data based geometric approach including optical body/object surface and radiological CT/MRI scanning. J Forensic Sci 50(2):428–442CrossRefPubMed
4.
Thali MJ, Jackowski C, Oesterhelweg L, Ross SG, Dirnhofer R (2007) VIRTOPSY—the Swiss virtual autopsy approach. Leg Med (Tokyo) 9(2):100–104CrossRef
5.
Roberts IS, Benamore RE, Benbow EW, Lee SH, Harris JN, Jackson A, Mallett S, Patankar T, Peebles C, Roobottom C, Traill ZC (2012) Post-mortem imaging as an alternative to autopsy in the diagnosis of adult deaths: a validation study. Lancet 379(9811):136–142PubMedCentralCrossRefPubMed
6.
Underwood J (2012) Post-mortem imaging and autopsy: rivals or allies? Lancet 379(9811):100–102CrossRefPubMed
7.
Schweitzer W, Röhrich E, Schaepman M, Thali MJ, Ebert L (2013) Aspects of 3D surface scanner performance for post-mortem skin documentation in forensic medicine using rigid benchmark objects. J Forensic Radiol Imaging 1(4):167–175CrossRef
8.
Sekula AD, Thali MJ, Breitbeck R (2014) Improving post-mortem surface documentation with a CT mounted marker board. J Forensic Radiol Imaging 2(4):213–216CrossRef
9.
Ebert LC, Ptacek W, Breitbeck R, Fürst M, Kronreif G, Martinez RM, Thali M, Flach PM (2014) Virtobot 2.0: the future of automated surface documentation and CT-guided needle placement in forensic medicine. Forensic Sci Med Pathol 10(2):179–186CrossRefPubMed
10.
Buck U, Kneubuehl B, Näther S, Albertini N, Schmidt L, Thali M (2011) 3D Bloodstain pattern analysis: ballistic reconstruction of the trajectories of blood drops and determination of the centres of origin of the bloodstains. Forensic Sci Int 206(1–3):22–28CrossRefPubMed
11.
Buck U, Naether S, Räss B, Jackowski C, Thali MJ (2013) Accident or homicide—virtual crime scene reconstruction using 3D methods. Forensic Sci Int 225(1–3):75–84CrossRefPubMed
12.
Hatch GM, Dedouit F, Christensen AM, Thali MJ, Ruder TD (2014) RADid: a pictorial review of radiologic identification using postmortem CT. J Forensic Radiol Imaging 2(2):52–59CrossRef
13.
Pfaeffli M, Vock P, Dirnhofer R, Braun M, Bolliger SA, Thali MJ (2007) Post-mortem radiological CT identification based on classical ante-mortem X-ray examinations. Forensic Sci Int 171(2–3):111–117CrossRefPubMed
14.
Lynch MJ, Woodford NW (2014) The role of post-mortem imaging in preliminary examinations under the Coroners Act 2008 (Vic): a forensic pathologist’s perspective. J Law Med 21(4):774–779PubMed
15.
Woźniak K, Moskała A, Urbanik A, Kłys M (2010) Usefulness of preliminary evaluation of postmortem CT as an extension of diagnostic capabilities of conventional forensic autopsy. Arch Med Sadowej Kryminol 60(1):27–37 PolishPubMed
16.
Ampanozi G, Schwendener N, Krauskopf A, Thali MJ, Bartsch C (2013) Incidental occult gunshot wound detected by postmortem computed tomography. Forensic Sci Med Pathol 9(1):68–72CrossRefPubMed
17.
Filograna L, Ross S, Bolliger S, Germerott T, Preiss U, Flach PM, Thali M (2011) Blood aspiration as a vital sign detected by postmortem computed tomography imaging. J Forensic Sci 56(3):630–637CrossRefPubMed
18.
Filograna L, Thali MJ, Marchetti D (2014) Forensic relevance of post-mortem CT imaging of the haemopericardium in determining the cause of death. Leg Med (Tokyo) 16(5):247–251CrossRef
19.
Zech WD, Jackowski C, Buetikofer Y, Kara L (2014) Characterization and differentiation of body fluids, putrefaction fluid, and blood using Hounsfield unit in postmortem CT. Int J Legal Med 128(5):795–802CrossRefPubMed
20.
Hasegawa I, Heinemann A, Tzikas A, Vogel H, Püschel K (2014) Criminal gunshot wound and iatrogenic tension pneumothorax detected by post-mortem computed tomography. Leg Med (Tokyo) 16(3):154–156CrossRef
21.
Brough AL, Rutty GN, Black S, Morgan B (2012) Post-mortem computed tomography and 3D imaging: anthropological applications for juvenile remains. Forensic Sci Med Pathol 8(3):270–279CrossRefPubMed
22.
Tangmose S, Jensen KE, Lynnerup N (2013) Comparative study on developmental stages of the clavicle by postmortem MRI and CT imaging. J Forensic Radiol Imaging 1(3):102–106CrossRef
23.
Short LJ, Khambay B, Ayoub A, Erolin C, Rynn C, Wilkinson C (2014) Validation of a computer modelled forensic facial reconstruction technique using CT data from live subjects: a pilot study. Forensic Sci Int 237: 147.e1–147.e8CrossRef
24.
Franco A, Thevissen P, Coudyzer W, Develter W, Van de Voorde W, Oyen R, Vandermeulen D, Jacobs R, Willems G (2013) Feasibility and validation of virtual autopsy for dental identification using the Interpol dental codes. J Forensic Leg Med 20(4):248–254CrossRefPubMed
25.
Kirchhoff S, Fischer F, Lindemaier G, Herzog P, Kirchhoff C, Becker C, Bark J, Reiser MF, Eisenmenger W (2008) Is post-mortem CT of the dentition adequate for correct forensic identification? Comparison of dental computed tomography and visual dental record. Int J Legal Med 122(6):471–479CrossRefPubMed
26.
Kutschy JM, Ampanozi G, Berger N, Ruder TD, Thali MJ, Ebert LC (2014) The applicability of using different energy levels in CT imaging for differentiation or identification of dental restorative materials. Forensic Sci Med Pathol 10(4):543–549CrossRefPubMed
27.
Errickson D, Thompson TJU, Rankin BWJ (2014) The application of 3D visualization of osteological trauma for the courtroom: a critical review. J Forensic Radiol Imaging 2(3):132–137CrossRef
28.
Lundström C, Persson A, Ross S, Ljung P, Lindholm S, Gyllensvärd F, Ynnerman A (2012) State-of-the-art of visualization in post-mortem imaging. APMIS 120(4):316–326CrossRefPubMed
29.
Ebert LC, Thali MJ, Ross S (2011) Getting in touch-3D printing in forensic imaging. Forensic Sci Int 211(1–3):e1–e6CrossRefPubMed
30.
Grabherr S, Doenz F, Steger B, Dirnhofer R, Dominguez A, Sollberger B, Gygax E, Rizzo E, Chevallier C, Meuli R, Mangin P (2011) Multi-phase post-mortem CT angiography: development of a standardized protocol. Int J Legal Med 125(6):791–802CrossRefPubMed
31.
Ross SG, Bolliger SA, Ampanozi G, Oesterhelweg L, Thali MJ, Flach PM (2014) Postmortem CT angiography: capabilities and limitations in traumatic and natural causes of death. Radiographics 34(3):830–846CrossRefPubMed
32.
Ruder TD, Ross S, Preiss U, Thali MJ (2010) Minimally invasive post-mortem CT-angiography in a case involving a gunshot wound. Leg Med (Tokyo) 12(3):154–156CrossRef
33.
Andenmatten MA, Thali MJ, Kneubuehl BP, Oesterhelweg L, Ross S, Spendlove D, Bolliger SA (2008) Gunshot injuries detected by post-mortem multislice computed tomography (MSCT): a feasibility study. Leg Med (Tokyo) 10(6):287–292CrossRef
34.
Makhlouf F, Scolan V, Ferretti G, Stahl C, Paysant F (2013) Gunshot fatalities: correlation between post-mortem multi-slice computed tomography and autopsy findings: a 30-months retrospective study. Leg Med (Tokyo) 15(3):145–148CrossRef
35.
Berens S, Ketterer T, Kneubuehl BP, Thali MJ, Ross S, Bolliger SA (2011) A case of homicidal intraoral gunshot and review of the literature. Forensic Sci Med Pathol 7(2):209–212CrossRefPubMed
36.
Jeffery AJ, Rutty GN, Robinson C, Morgan B (2008) Computed tomography of projectile injuries. Clin Radiol 63(10):1160–1166CrossRefPubMed
37.
Peschel O, Szeimies U, Vollmar C, Kirchhoff S (2013) Postmortem 3-D reconstruction of skull gunshot injuries. Forensic Sci Int 233(1–3):45–50CrossRefPubMed
38.
Flach PM, Ampanozi G, Germerott T, Ross SG, Krauskopf A, Thali MJ, Mund MT (2013) Shot sequence detection aided by postmortem computed tomography in a case of homicide. J Forensic Radiol Imaging 1(2):68–72CrossRef
39.
Winklhofer S, Stolzmann P, Meier A, Schweitzer W, Morsbach F, Flach P, Kneubuehl BP, Alkadhi H, Thali M, Ruder T (2014) Added value of dual-energy computed tomography versus single-energy computed tomography in assessing ferromagnetic properties of ballistic projectiles: implications for magnetic resonance imaging of gunshot victims. Invest Radiol 49(6):431–437CrossRefPubMed
40.
Winskog C (2012) Precise wound track measurement requires CAT scan with object in situ: how accurate is post-mortem dissection and evaluation? Forensic Sci Med Pathol 8(1):76–77CrossRefPubMed
41.
Ebner L, Flach PM, Schumann K, Gascho D, Ruder T, Christe A, Thali M, Ampanozi G (2014) The tip of the tip of the knife: stab sequence reconstruction using postmortem CT in a homicide case. J Forensic Radiol Imaging 2(4):205–209CrossRef
42.
Kawasumi Y, Hosokai Y, Usui A, Saito H, Ishibashi T, Funayama M (2012) Postmortem computed tomography images of a broken piece of a weapon in the skull. Jpn J Radiol 30(2):167–170CrossRefPubMed
43.
Palmiere C, Binaghi S, Doenz F, Bize P, Chevallier C, Mangin P, Grabherr S (2012) Detection of hemorrhage source: the diagnostic value of post-mortem CT-angiography. Forensic Sci Int 222(1–3):33–39CrossRefPubMed
44.
Germerott T, Preiss US, Ross SG, Thali MJ, Flach PM (2013) Postmortem ventilation in cases of penetrating gunshot and stab wounds to the chest. Leg Med (Tokyo) 15(6):298–302CrossRef
45.
Schnider J, Thali MJ, Ross S, Oesterhelweg L, Spendlove D, Bolliger SA (2009) Injuries due to sharp trauma detected by post-mortem multislice computed tomography (MSCT): a feasibility study. Leg Med (Tokyo) 11(1):4–9CrossRef
46.
Moskała A, Woźniak K, Kluza P, Bolechała F, Rzepecka-Woźniak E, Kołodziej J, Latacz K (2012) Validity of post-mortem computed tomography angiography (PMCTA) in medico-legal diagnostic management of stab and incised wounds. Arch Med Sadowej Kryminol 62(4):315–326 PolishPubMed
47.
Oesterhelweg L, Ross S, Spendlove D, Schoen CA, Christe A, Thali MJ, Bolliger SA (2007) Virtopsy: fatal stab wounds to the skull—the relevance of ante-mortem and post-mortem radiological data in case reconstructions. Leg Med (Tokyo) 9(6):314–317CrossRef
48.
Zerbini T, Silva LF, Ferro AC, Kay FU, Amaro Junior E, Pasqualucci CA, Saldiva PH (2014) Differences between postmortem computed tomography and conventional autopsy in a stabbing murder case. Clinics (Sao Paulo) 69(10):683–687CrossRef
49.
Bolliger SA, Ruder TD, Ketterer T, Gläser N, Thali MJ, Ampanozi G (2014) Comparison of stab wound probing versus radiological stab wound channel depiction with contrast medium. Forensic Sci Int 234:45–49CrossRefPubMed
50.
Leth PM, Stolborg U (2013) Computed tomography of contrast-filled stab wounds in various tissue types. J Forensic Radiol Imaging 1(2):79CrossRef
51.
Ampanozi G, Hatch GM, Ruder TD, Flach PM, Germerott T, Thali MJ, Ebert LC (2012) Post-mortem virtual estimation of free abdominal blood volume. Eur J Radiol 81(9):2133–2136CrossRefPubMed
52.
Aghayev E, Christe A, Sonnenschein M, Yen K, Jackowski C, Thali MJ, Dirnhofer R, Vock P (2008) Postmortem imaging of blunt chest trauma using CT and MRI: comparison with autopsy. J Thorac Imaging 23(1):20–27CrossRefPubMed
53.
Schulze C, Hoppe H, Schweitzer W, Schwendener N, Grabherr S, Jackowski C (2013) Rib fractures at postmortem computed tomography (PMCT) validated against the autopsy. Forensic Sci Int 233(1–3):90–98CrossRefPubMed
54.
Jacobsen C, Lynnerup N (2010) Craniocerebral trauma—congruence between post-mortem computed tomography diagnoses and autopsy results: a 2-year retrospective study. Forensic Sci Int 194(1–3):9–14CrossRefPubMed
55.
Yen K, Lövblad KO, Scheurer E, Ozdoba C, Thali MJ, Aghayev E, Jackowski C, Anon J, Frickey N, Zwygart K, Weis J, Dirnhofer R (2007) Post-mortem forensic neuroimaging: correlation of MSCT and MRI findings with autopsy results. Forensic Sci Int 173(1):21–35CrossRefPubMed
56.
Persson A, Falk J, Berge J, Jackowski C (2013) Atlanto-axial rotatory subluxations in postmortem CT: radiologists be aware of a common pitfall. Forensic Sci Int 225(1–3):9–14CrossRefPubMed
57.
de Bakker BS, Soerdjbalie-Maikoe V, de Bakker HM (2013) The use of 3D-CT in weapon caused impression fractures of the skull, from a forensic radiological point of view. J Forensic Radiol Imaging 1(4):176–179CrossRef
58.
Ampanozi G, Ruder TD, Preiss U, Aschenbroich K, Germerott T, Filograna L, Thali MJ (2010) Virtopsy: CT and MR imaging of a fatal head injury caused by a hatchet: a case report. Leg Med (Tokyo) 12(5):238–241CrossRef
59.
Grassberger M, Gehl A, Püschel K, Turk EE (2011) 3D reconstruction of emergency cranial computed tomography scans as a tool in clinical forensic radiology after survived blunt head trauma—report of two cases. Forensic Sci Int 207(1–3):e19–e23CrossRefPubMed
60.
Woźniak K, Rzepecka-Woźniak E, Moskała A, Pohl J, Latacz K, Dybała B (2012) Weapon identification using antemortem computed tomography with virtual 3D and rapid prototype modeling—a report in a case of blunt force head injury. Forensic Sci Int 222(1–3):e29–e32CrossRefPubMed
61.
Kempter M, Ross S, Spendlove D, Flach PM, Preiss U, Thali MJ, Bolliger SA (2009) Post-mortem imaging of laryngohyoid fractures in strangulation incidents: first results. Leg Med (Tokyo) 11(6):267–271CrossRef
62.
Maiese A, Gitto L, dell’Aquila M, Bolino G (2014) When the hidden features become evident: the usefulness of PMCT in a strangulation-related death. Leg Med (Tokyo) 16(6):364–366CrossRef
63.
Guddat SS, Gapert R, Tsokos M, Oesterhelweg L (2013) Proof of live birth using postmortem multislice computed tomography (pmMSCT) in cases of suspected neonaticide: advantages of diagnostic imaging compared to conventional autopsy. Forensic Sci Med Pathol 9(1):3–12CrossRefPubMed
64.
Sieswerda-Hoogendoorn T, Soerdjbalie-Maikoe V, Maes A, van Rijn RR (2013) The value of post-mortem CT in neonaticide in case of severe decomposition: description of 12 cases. Forensic Sci Int 233(1–3):298–303CrossRefPubMed
65.
Takahashi Y, Sano R, Kominato Y, Takei H, Kobayashi S, Shimada T, Awata S, Hirasawa S (2013) Usefulness of postmortem computed tomography for demonstrating cerebral hemorrhage in a brain too fragile for macroscopic examination. J Forensic Radiol Imaging 1(4):212–214CrossRef
66.
Thali MJ, Yen K, Schweitzer W, Vock P, Ozdoba C, Dirnhofer R (2003) Into the decomposed body-forensic digital autopsy using multislice-computed tomography. Forensic Sci Int 134(2–3):109–114CrossRefPubMed
67.
Ruder TD, Schulze K, Ross S, Ampanozi G, Gascho D, Laberke P, Thali MJ, Hatch GM (2014) Into the decomposed body—feasibility of post-mortem CT angiography in a decomposed cadaver. J Forensic Radiol Imaging 2(3):149–152CrossRef
68.
Winklhofer S, Surer E, Ampanozi G, Ruder T, Stolzmann P, Elliott M, Oestreich A, Kraemer T, Thali M, Alkadhi H, Schweitzer W (2014) Post-mortem whole body computed tomography of opioid (heroin and methadone) fatalities: frequent findings and comparison to autopsy. Eur Radiol 24(6):1276–1282CrossRefPubMed
69.
Richards CS, Simonsen TJ, Abel RL, Hall MJ, Schwyn DA, Wicklein M (2012) Virtual forensic entomology: improving estimates of minimum post-mortem interval with 3D micro-computed tomography. Forensic Sci Int 220(1–3):251–264CrossRefPubMed
70.
Schweitzer W, Bartsch C, Ruder TD, Thali MJ (2014) Virtopsy approach: structured reporting versus free reporting for PMCT findings. J Forensic Radiol Imaging 2(1):28–33CrossRef
Metadaten
Titel
Imaging for homicide investigations
verfasst von
Krzysztof Woźniak
Artur Moskała
Ewa Rzepecka-Woźniak
Publikationsdatum
01.09.2015
Verlag
Springer Milan
Erschienen in
La radiologia medica / Ausgabe 9/2015
Print ISSN: 0033-8362
Elektronische ISSN: 1826-6983
DOI
https://doi.org/10.1007/s11547-015-0529-x

Weitere Artikel der Ausgabe 9/2015

La radiologia medica 9/2015 Zur Ausgabe

Editorial

Forensic and medico-legal radiology: challenges, issues and new perspectives

ETHICS AND FORENSIC RADIOLOGY

Application of contrast media in post-mortem imaging (CT and MRI)

ETHICS AND FORENSIC RADIOLOGY

Errors in multidetector row computed tomography

ETHICS AND FORENSIC RADIOLOGY

Use of contrast media in diagnostic imaging: medico-legal considerations

ETHICS AND FORENSIC RADIOLOGY

Postmortem computed tomography (PMCT) and disaster victim identification

ETHICS AND FORENSIC RADIOLOGY

Postmortem-computed tomography and postmortem-computed tomography–angiography: a focused update

Neu im Fachgebiet Radiologie

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise