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02.05.2019 | Review

Radiological investigation of gunshot wounds: a systematic review of published evidence

verfasst von: Arianna Giorgetti, Chiara Giraudo, Alessia Viero, Marco Bisceglia, Amalia Lupi, Paolo Fais, Emilio Quaia, Massimo Montisci, Giovanni Cecchetto, Guido Viel

Erschienen in: International Journal of Legal Medicine | Ausgabe 4/2019

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Abstract

Introduction

Despite the constantly growing popularity of radiological imaging in forensic pathology, a systematic review investigating the efficiency and limits of radiological techniques, in comparison to forensic autopsy, was still missing.

Aim

The present review aims at providing an overview on the current role of radiology in the forensic investigation of fatal gunshot wounds without any restriction to specific radiological techniques.

Material and methods

A systematic literature search on three databases (PubMed, Web of Science, and Science Direct) was performed until December 2017. The Oxford Centre for Evidence Based Medicine (OCEBM) grading system for levels of evidence was applied, in order to weigh published evidence.

Results and discussion

Eighty-six papers (1.64% of the records) were included. Despite the quite limited general level of evidence, which contrasts with the abundance of the scientific literature on this topic, several recommendations/statements, coupled to their OCEBM grade, were distilled as for the identification of retained bullets, gunshot wounds detection, diagnosis of entrance and exit wounds, trajectories and internal injury detection and estimation of the firing distance.

Conclusions

Imaging radiological technologies represent the present and future of wound ballistics. However, traditional, micro and molecular imaging techniques require further validation through blinded cross-sectional studies with appropriate reference standards (e.g. forensic autopsy).

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Titel: Radiological investigation of gunshot wounds: a systematic review of published evidence
verfasst von: Arianna Giorgetti
Chiara Giraudo
Alessia Viero
Marco Bisceglia
Amalia Lupi
Paolo Fais
Emilio Quaia
Massimo Montisci
Giovanni Cecchetto
Guido Viel
Publikationsdatum: 02.05.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: International Journal of Legal Medicine / Ausgabe 4/2019
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI: https://doi.org/10.1007/s00414-019-02071-8

Springer Medizin

Radiological investigation of gunshot wounds: a systematic review of published evidence

Abstract

Introduction

Aim

Material and methods

Results and discussion

Conclusions

Neu im Fachgebiet Rechtsmedizin

Molekularpathologische Untersuchungen im Wandel der Zeit

Vergleichende Pathologie in der onkologischen Forschung

Gastrointestinale Stromatumoren

Personalisierte Medizin in der Onkologie

Springer Medizin

Abstract

Introduction

Aim

Material and methods

Results and discussion

Conclusions

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