Importance of Multi-Slice Computed Tomography for Autopsy: Single Center Experience

Virtopsy applications are widely-used minimally invasive autopsy techniques which are assistive techniques to increase the efficacy of the autopsy. The aim of this study was to show whether or not Multi-Slice Computed Tomography (MSCT) could be an alternative autopsy method or used in place of autopsy in some cases. In this study, evaluation was made of 20 forensic cases with MSCT applied pre-autopsy followed by conventional autopsy at Sivas Cumhuriyet University Hospital between 08.11.2006 and 30.09.2007. The cases were 17 male and three female in an age range of four months to 69 years. The cause of death was stated for all except one case, which was in an advanced stage of decomposition. The findings of the MSCT taken before the autopsy were compared with the conventional autopsy findings and the place of virtopsy in forensic cases was discussed. When it is considered that autopsy is necessary in some cases, it can be said that for some, MCST is superior to autopsy, so in some cases it could be an alternative or a supplementary method. Examination made with radiological imaging, as an independent, objective non-invasive observer means that data related to the corpse can be retrieved from digital storage and provides the opportunity for re-examination years after the organ remains have decomposed or been discarded.

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1. Plattner T, Thali MJ, Yen K. Virtopsy-postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) in a fatal scuba diving incident. J Forensic Sci. 2003;48(6):1347-55.

2. Thali MJ, Yen K, Schweitzer W. Virtopsy, a new imaging horizon in forensic pathology: virtual autopsy by postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI)--a feasibility study. J Forensic Sci. 2003;48(2):386-403.

3. Dirnhofer R, Jackowski C, Vock P. Virtopsy: Minimally invasive, Imaging-guided virtual autopsy. RadioGraphics. 2006;26:1305-33.

4. Thali MJ, Braun M, Markwalder TH. Bite mark documentation and analysis: The forensic 3D/CAD supported photogrammetry approach. Forensic Sci Int. 2003;135:115- 21.

5. Sidler M, Jackowski C, Dirnhofer R. Use of multislice computed tomography in disaster victim identification-Advantages and limitations. Forensic Sci Int. 2007;169(2-3):118-28.

6. Thali M, Jackowski C, Oesterhelweg L. Virtopsy-The Swiss virtual autopsy approach. Leg Med (Tokyo). 2007;9(2):100-4.

7. Grabherr S, Stephan BA, Buck U. Virtopsy - radiology in forensic medicine. Imaging Decisions MRI. 2007;11(1):2-9.

8. Aso J, Martínez-Quiñones JV, Aso-Vizán J. Virtopsy. Applications of a new method of non-invasive body inspection in forensic sciences. Cuad Med Forense. 2005;11(40):95- 106.

9. Tsokos M. Forensic Pathology Reviews. Totowa: Humana Press Inc, 2006:355-404.

10. Bolliger S, Thali MJ, Ross S. Virtual autopsy using imaging: bridging radiologic and forensic sciences. A review of the virtopsy and similar projects. Eur Radiol. 2008;18(2);273-82.

11. Gunderman RB. Essential Radiology: Clinical Presentation, Pathophysiology, Imaging. 2nd edition. New York: Thieme Medical Publishers, 2006;9-18.

12. Soysal Z, Eke MS, Çağdir SA. Adli Otopsi. İstanbul: Cerrahpaşa Tıp Fakültesi Yayınları, 1999:511.

13. Harcke HT, Levy AD, Getz JM. MDCT Analysis of projectile injury in forensic investigation. AJR Am J Roentgenol. 2008;190(2):W106-11.

14. Shiotani S, Kohno M, Ohashi N. Non-traumatic postmortem computed tomographic (PMCT) findings of the lung. Forensic Sci Int. 2004;139(1):39-48.

15. Aghayev E, Thali M, Sonnenschein M. Post-mortem tissue sampling using computed tomography guidance. Forensic Sci Int. 2007; 166(2-3):199-203.

16. Keil W, Forster A, Meyer HJ. Characterization of haemorrhages at the origin of the sternocleidomastoid muscles in hanging. Int J Legal Med. 1995;108(3):140-4.

17. Sato C, Naganawa S, Kumada H. MR imaging of gastric cancer in vitro: Accuracy of invasion depth diagnosis. Eur Radiol. 2004;14(9):1543-9.

18. Aghayev E, Yen K, Sonnenschein M. Virtopsy post-mortem multi-slice computed tomography (MSCT) and magnetic resonance imaging (MRI) demonstrating descending tonsillar herniation: comparison to clinical studies. Neuroradiology. 2004;46(7):559-64.

19. Aşırdizer M, Yavuz S, Zeyfeoğlu Y. Adli Tıp Stajı Ders Notları. Manisa 2005:271-2. 20. Aghayev E, Thali MJ, Sonnenschein M. Fatal steamer accident; blunt force injuries and drowning in post-mortem MSCT and MRI. Forensic Sci Int 2005;152(1):65-71.

21. Ozdoba C, Weis J, Plattner T. Fatal scuba diving incident with massive gas embolism in cerebral and spinal arteries. Neuroradiology. 2005;47(6):411-6.

22. Thali MJ, Yen K, Schweitzer W, Vock P. Into the decomposed body-forensic digital autopsy using multislice-computed tomography. Forensic Sci Int. 2003;134(2):109-14.

23. Rutty G. Are autopsies necessary? The role of computed tomography as a possible alternative to invasive autopsies. Rechtsmedizin. 2007;17:21-8.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )