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Erschienen in: International Journal of Legal Medicine 5/2019

12.07.2019 | Original Article

The synergy between radiographic and macroscopic observation of skeletal lesions on dry bone

verfasst von: Lucie Biehler-Gomez, Stefania Tritella, Federica Martino, Carlo Pietro Campobasso, Angélique Franchi, Riccardo Spairani, Francesco Sardanelli, Cristina Cattaneo

Erschienen in: International Journal of Legal Medicine | Ausgabe 5/2019

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Abstract

The diagnosis of bone lesions is a fundamental part of the study of skeletal remains, both in the archeological and forensic context. On the one side, the literature proved the relevance of radiography for the detection of bone lesions; on the other side, the careful macroscopic observation of the morphology of bone lesions is often underestimated. For this study, we examined and performed plain radiography on 14 skeletons of the CAL Milano Cemetery Skeletal Collection diagnosed with rheumatoid arthritis, diabetes, multiple myeloma, metastatic cancer, and osteomalacia to compare the macroscopic morphology and radiographic visualization of bone lesions. At least 200 osteolytic lesions and 65 areas of proliferative bone reaction (either spongiosclerotic or periosteal) were studied. We realized “comparative sets” of macroscopic pictures and radiographic imaging of the same skeletal elements to allow comparisons of detection and recognition of bone lesions. As a result, while trabecular lesions may be lost through naked eye observation, many lesions can also be unperceived on radiographs due to contrast, including periosteal reactions, osteolytic lesions, and spongiosclerosis. The aim of this research was to investigate the strengths and pitfalls of digital radiography and macroscopic analysis and to demonstrate the synergy of a complementary approach between the two methods for lesion analysis in dry bone.
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Metadaten
Titel
The synergy between radiographic and macroscopic observation of skeletal lesions on dry bone
verfasst von
Lucie Biehler-Gomez
Stefania Tritella
Federica Martino
Carlo Pietro Campobasso
Angélique Franchi
Riccardo Spairani
Francesco Sardanelli
Cristina Cattaneo
Publikationsdatum
12.07.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
International Journal of Legal Medicine / Ausgabe 5/2019
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI
https://doi.org/10.1007/s00414-019-02122-0

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