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NCJRS Abstract

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NCJ Number: 219268 Find in a Library
Title: Virtual Autopsy and Forensic Identification--Practical Application: A Report of One Case
Journal: Journal of Forensic Sciences  Volume:52  Issue:4  Dated:July 2007  Pages:960-964
Author(s): Fabrice Dedouit M.D.; Norbert Telmon M.D., Ph.D.; Celine Guilbeau-Frugier M.D.; David Gainza M.D.; Philippe Otal M.D., Ph.D.; Francis Joffre M.D., Ph.D.; Daniel Rouge M.D., Ph.D.
Date Published: July 2007
Page Count: 5
Type: Case Study
Format: Article
Language: English
Country: United States of America
Annotation: This case report demonstrates the potential value of full-body multislice computed tomography (MSCT) for medico-legal investigation of death.
Abstract: Prior to autopsy, full-body MSCT was performed on the body of an unidentified elderly woman found trapped in a floodgate. Screening of the corpse with fluoroscopy revealed metallic fixation devices in the right tibia. Such findings are important in determining whether antemortem radiographs may exist. The MSCT findings suggested drowning as the cause of death. Fluid was visible within the esophagus, trachea, and bronchia. The pulmonary parenchyma had a "crazy paving" appearance with thickened interalveolar and intra-alveolar septa and alveolar congestion. Air-fluid levels were also noted in the frontal, maxillar, ethmoidal, and sphenoidal sinuses. Blunt injuries due to trapping of the body in the floodgate were also detected with MSCT, namely injuries to the cervical spine, sternum, and ribs. It was possible to distinguish vital from nonvital fractures through the presence or absence of soft tissue infiltration around the fracture site. In this case, osteoscopic methods were successfully transposed in order to estimate the age of an unidentified corpse, giving results similar to those of drug bone study; however, the acquisition of axial images must be millimetric; otherwise the spatial resolution is insufficient, making it impossible to analyze the region of interest. A drawback of MSCT is the necessity for a powerful reconstruction station, including a variety of software for specific reconstructions. 3 figures and 16 references
Main Term(s): Criminology
Index Term(s): Accident investigation; Accidental killings; Autopsy; Computer aided operations; Death investigations; Forensic sciences; Investigative techniques
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