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Postmortem computed tomography (PMCT) and disaster victim identification

  • ETHICS AND FORENSIC RADIOLOGY
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Abstract

Radiography has been used for identification since 1927, and established a role in mass fatality investigations in 1949. More recently, postmortem computed tomography (PMCT) has been used for disaster victim identification (DVI). PMCT offers several advantages compared with fluoroscopy, plain film and dental X-rays, including: speed, reducing the number of on-site personnel and imaging modalities required, making it potentially more efficient. However, there are limitations that inhibit the international adoption of PMCT into routine practice. One particular problem is that due to the fact that forensic radiology is a relatively new sub-speciality, there are no internationally established standards for image acquisition, image interpretation and archiving. This is reflected by the current INTERPOL DVI form, which does not contain a PMCT section. The DVI working group of the International Society of Forensic Radiology and Imaging supports the use of imaging in mass fatality response and has published positional statements in this area. This review will discuss forensic radiology, PMCT, and its role in disaster victim identification.

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References

  1. Culbert WC, Law FM (1927) Identification by comparison of roentgenograms of nasal accessory sinuses and mastoid process. J Am Med Assoc 88(4):1634–1636

    Article  Google Scholar 

  2. Elliot R (1953) The Value of roentgenology in the Identification of mutilated and burnt bodies. J Crim Law Criminol 43(5):681–684

    Google Scholar 

  3. Baglivo M, Winklhofer S, Hatch GM, Ampanozi G, Thali MJ, Ruder TD (2013) The rise of forensic and postmortem radiology—analysis of the literature between the year 2000 and 2011. JoFRI 1(1):3–9

    Google Scholar 

  4. Baraybar JP (2008) When DNA is not available, can we still identify people? Recommendations for best practice. J For Sci 53(3):533–540

    Google Scholar 

  5. INTERPOL (2014) White paper DVI: for authorities/diplomats. www.interpol.int/Media/Files/INTERPOL-Expertise/…/White-Paper-DVI. Accessed 5 oct 2014

  6. Leclair B, Shaler R, Carmody G, Eliason K, Hendrickson BC, Judkins T et al (2007) Bioinformatics and Human Identification in Mass Fatality Incidents: the World Trade Center Disaster. J Forens Sci 52(4):806–819

    Article  Google Scholar 

  7. INTERPOL (1996) Interpol resolution, disaster victim identification. http://www.interpol.int/Public/DisasterVictim/guide/appendices.aspd. Accessed 23 Mar 2014

  8. PAHO (2004) Management of dead bodies in disaster situations. http://www.paho.org/english/dd/ped/DeadBodiesBook.pdf. Accessed 27 July 2014

  9. Ciaffi R, Gibelli D, Cattaneo C (2011) Forensic radiology and personal identification of unidentified bodies: a review. Radiol Med 116(6):960–968

    Article  CAS  PubMed  Google Scholar 

  10. Dedouit F, Savall F, Mokrane FZ, Rousseau H, Crubézy E, Rougé D, Telmon N (2014) Virtual anthropology and forensic identification using multidetector CT. Br J Radiol 87(1036):2013–2468

    Article  Google Scholar 

  11. Jensen AJ (2000) Mass fatality and casualty incidents: a field guide. CRC Press, Boca Raton

    Google Scholar 

  12. INTERPOL (1997) General Information-Priorities. http://www.interpol.int/INTERPOL-expertise/Forensics/DVI-Pages/Forms. Accessed 26 Jan 2014

  13. Randolph-Quinney P, Mallet X, Black S (2009) Forensic Anthropology. In: Siegel JA, Saukko PJ, Knupfer GC (eds) Encyclopedia of forensic sciences. Elsevier Science (USA), Orlando

  14. Krantz P, Holtas S (1983) Postmortem computed tomography in a diving fatality. J Comput Assist Tomogr 7:132–134

    Article  CAS  PubMed  Google Scholar 

  15. Levy AD, Harcke TH (2010) Essentials of forensic imaging: a text-atlas, 1st edn. CRC Press, Boca Raton

    Book  Google Scholar 

  16. Brogdon BG (1998) Forensic radiology, 1st edn. CRC Press LCC, Boca Raton

    Book  Google Scholar 

  17. Thali MJ, Viner MD, Brogdon BG (2010) Brogdon’s forensic radiology, 2nd edn. CRC Press, Boca Raton

    Book  Google Scholar 

  18. Folio LR (2010) Combat radiology: diagnostic imaging of blast and ballistic injuries, 1st edn. Springer, New York

    Book  Google Scholar 

  19. Burke MP (2011) Forensic pathology of fractures and mechanisms of injury: postmortem CT scanning, 1st edn. CRC Press, Boca Raton

    Book  Google Scholar 

  20. Pollanen MS, Woodford N (2013) Virtual autopsy: time for a clinical trial. Forensic Sci Med Pathol 9(3):427–428

    Article  PubMed  Google Scholar 

  21. Rutty GN, Robinson C, Morgan B, Vernon L, Black S, Adams C et al (2009) Fimag: the united kingdom disaster victim/forensic identification imaging system. J For Sci 54(6):1438–1442

    Google Scholar 

  22. O’Donnell C, Linoa M, Mansharana K, Leditsckea J, Woodford N (2011) Contribution of postmortem multidetector CT scanning for identification of the deceased in a mass disaster: experience gained from the 2009 Victorian Bushfires. Forens Sci Int 205(1–3):15–28

    Article  Google Scholar 

  23. Donchin Y, Rivkind AI, Bar-Ziv J, Hiss J, Almog J, Drescher M (1994) Utility of postmortem computed tomography in trauma victims. J Trauma 37(4):552–555

    Article  CAS  PubMed  Google Scholar 

  24. The virtopsy project. http://www.virtopsy.com. Accessed 1 June 2013

  25. O’Donnell C, Woodford N (2008) Post-mortem radiology—a new sub- speciality? Clin Radiol 63:1189–1194

    Article  PubMed  Google Scholar 

  26. Rutty G (2007) Are autopsies necessary?: the role of computed tomography as a possible alternative to invasive autopsies. Rechtsmedizin 17:21–28

    Article  Google Scholar 

  27. Wichmann D, Obbelode F, Vogel H, Hoepker WW, Nierhaus A, Braune S, Sauter G, Pueschel K, Kluge S (2012) Virtual autopsy as an alternative to traditional medical autopsy in the intensive care unit: a prospective cohort study. Ann Intern Med 156(2):123–130

    Article  PubMed  Google Scholar 

  28. Schuller-Gotzburg P, Suchanek J (2007) Forensic odontologists successfully identify tsunami victims in Phuket, Thailand. For Sci Int 171:204–207

    CAS  Google Scholar 

  29. Black S (2007) Human Identification. In: Thompson T, Black S (eds) forensic human identification: an introduction. CRC Press, Boca Raton

    Google Scholar 

  30. Hayakawa M, Yamamoto S, Motani H, Yajima D, Sato Y, Iwase H (2006) Does imaging technology overcome problems of conventional post-mortem examination? A trial of computed tomography imaging for postmortem examination. Int J Leg Med 120:24–26

    Article  Google Scholar 

  31. Thali MJ, Dirnhofer R, Vock P (2009) The virtopsy approach: 3D optical and radiological scanning and reconstruction in forensic medicine. CRC Press, Boca Raton

    Book  Google Scholar 

  32. Sidler M, Jackowski C, Dirnhofer R, Vock P, Thali M (2007) Use of multi-slice computed tomography in disaster victim identification advantages and limitations. For Sci Int 169(2–3):118–128

    Google Scholar 

  33. Virtopsy. http://www.virtopsy.com/about-virtopsy/equipment/virtobot.html. Accessed: 5 feb 2015

  34. Bassed RB, Hill AJ (2011) The use of computed tomography (CT) to estimate age in the 2009 Victorian Bushfire Victims: a case report. Forensic Sci Int 205(1–3):48–51

    Article  PubMed  Google Scholar 

  35. O’Donnell C, Rotman A, Collett S, Woodford N (2007) Current status of routine post-mortem CT in Melbourne, Australia. Forensic Sci Med Pathol 3:226–232

    Article  PubMed  Google Scholar 

  36. Brough AL, Rutty GN, Black S, Morgan B (2012) Post-mortem computed tomography and 3D imaging: anthropological applications for juvenile remains. Forensic Sci Med Pathol 8(3):270–279

    Article  PubMed  Google Scholar 

  37. Brough AL, Morgan B, Black S, Rutty GN, Adams C (2014) Post-mortem computed tomography age assessment of juvenile dentition: comparison against traditional OPT assessment. Int J Legal Med 128:653–658

    Article  PubMed  Google Scholar 

  38. Patowary AJ (2012) Virtopsy: one step forward in the field of forensic medicine—a review. J Indian Acad Forensic Med 30(1):32–36

    Google Scholar 

  39. Rutty GN, Alminyah A, Cala A, Elliot D, Fowler D, Hofman P et al (2013) Use of radiology in disaster victim identification: positional statement of the members of the disaster victim identification working group of the international society of forensic radiology and imaging; May 2013. J Forens Radiol Imagin 1(4):218

    Article  Google Scholar 

  40. Morgan B, Alminyah A, Cala A, O׳Donnell C, Elliott D, Gorincour G et al (2014) Use of post-mortem computed tomography in Disaster Victim Identification Positional statement of the members of the Disaster Victim Identification working group of the International Society of Forensic Radiology and Imaging. J Forens Radiol Imagin 2(3):114–116

    Article  Google Scholar 

  41. Schweitzer W, Barsch C, Ruder TD, Thali MJ (2014) Virtopsy approach: structured reporting versus free reporting for PMCT findings. Forens Radiol Imagin 2:28–33

    Article  Google Scholar 

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The authors declare that they have no conflict of interest.

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For this type of study, formal consent is not required. This article does not contain any studies with human participants or animals performed by any of the authors.

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Correspondence to A. L. Brough.

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Brough, A.L., Morgan, B. & Rutty, G.N. Postmortem computed tomography (PMCT) and disaster victim identification. Radiol med 120, 866–873 (2015). https://doi.org/10.1007/s11547-015-0556-7

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  • DOI: https://doi.org/10.1007/s11547-015-0556-7

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