https://scholars.lib.ntu.edu.tw/handle/123456789/624383
標題: | Comparison of fatal traumatic medico-legal cases with postmortem computed tomography and autopsy: A pilot study in Taiwan | 作者: | Ong, Hooi-Nee Chen, I-Hung Hsieh, Yu-Hsuan Hsu, Cho-Hsien TE-I WENG CHIN-CHEN CHANG |
關鍵字: | Blunt trauma; Penetrating trauma; Postmortem computed tomography | 公開日期: | 14-十月-2022 | 來源出版物: | Journal of the Formosan Medical Association = Taiwan yi zhi | 摘要: | In order to determine the performance of postmortem computed tomography (PMCT) in identifying traumatic-relevant macroscopic findings in medico-legal cases, this retrospective observational pilot study involving nine trauma casualties who had received PMCT prior to autopsy. The comparison of these findings in six anatomical regions as dictated in Injury Severity Score (ISS) were performed. 104 traumatic-relevant findings were identified with achievement of 51% congruent findings. PMCT and autopsy had additionally found 22 and 29 findings respectively. PMCT had highest sensitivity for extremity injury (81.82%), followed by chest (73.91%), head, neck and face (71.43%), and abdomino-pelvic area (50%). It had excellent detection rate in abnormal air collection, fracture, foreign body localization, internal ballistic and intracranial pathology. However, the solid organ and vascular injuries as well as integumentary lesions were the major drawback. In conclusion, incorporation of PMCT to autopsy in medico-legal investigation helps to preserve the most abundant traumatic-relevant injuries compared to either modality. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/624383 | ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2022.09.015 |
顯示於: | 法醫學科所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。