Abstract
Whilst causes of death solely relating to the musculoskeletal system are relatively unusual, osseous, soft tissue and skin morbidity in the clinical arena are common. The skeleton is particularly accessible for imaging analysis, even some time after death. Post mortem computed tomography (PMCT) has a distinct advantage of assessing the limbs with ease. Aspects of post mortem soft tissue change are debated within the limitations of PMCT. In this chapter, the role of PMCT for the global assessment of major trauma is also discussed, with localised trauma discussed in the other relevant chapters.
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References
Kudo S, Kawasumi Y, Usui A, Arakawa M, Yamagishi N, Igari Y, et al. Post-mortem computed tomography of cervical intervertebral separation: Retrospective review and comparison of the autopsy results of 57 separations. J Forensic Radiol Imaging [Internet]. 2018;12:57–63. https://linkinghub.elsevier.com/retrieve/pii/S2212478017300862.
Kawasumi Y, Usui A, Hosokai Y, Sato M, Hayashizaki Y, Saito H, et al. PMCT findings of intervertebral separation. J Forensic Radiol Imaging [Internet]. 2014;2(4):182–7. https://linkinghub.elsevier.com/retrieve/pii/S2212478014001051.
Iwase H, Yamamoto S, Yajima D, Hayakawa M, Kobayashi K, Otsuka K, et al. Can cervical spine injury be correctly diagnosed by postmortem computed tomography? Leg Med [Internet]. 2009;11(4):168–74. https://linkinghub.elsevier.com/retrieve/pii/S1344622309001679.
Makino Y, Yokota H, Hayakawa M, Yajima D, Inokuchi G, Nakatani E, et al. Spinal cord injuries with normal postmortem CT findings: a pitfall of virtual autopsy for detecting traumatic death. Am J Roentgenol [Internet]. 2014;203(2):240–4. http://www.ajronline.org/doi/10.2214/AJR.13.11775.
Saukko P, Knight B. Knight’s forensic pathology [Internet]. 4th ed. Boca Raton: CRC Press; 2015. https://www.routledge.com/Knights-Forensic-Pathology/Saukko-Knight/p/book/9780340972533.
Panda A, Kumar A, Gamanagatti S, Mishra B. Virtopsy computed tomography in trauma: Normal postmortem changes and pathologic Spectrum of findings. Curr Probl Diagn Radiol [Internet]. 2015;44(5):391–406. https://linkinghub.elsevier.com/retrieve/pii/S0363018815000420.
Jalalzadeh H, Giannakopoulos GF, Berger FH, Fronczek J, van de Goot FRW, Reijnders UJ, et al. Post-mortem imaging compared with autopsy in trauma victims—a systematic review. Forensic Sci Int [Internet]. 2015;257:29–48. https://linkinghub.elsevier.com/retrieve/pii/S0379073815003047.
Ross SG, Bolliger SA, Ampanozi G, Oesterhelweg L, Thali MJ, Flach PM. Postmortem CT angiography: capabilities and limitations in traumatic and natural causes of death. Radiographics [Internet]. 2014;34(3):830–46. http://pubs.rsna.org/doi/10.1148/rg.343115169.
Clarke M, McGregor A, Robinson C, Amoroso J, Morgan B, Rutty GN. Identifying the correct cause of death: the role of post-mortem computed tomography in sudden unexplained death. J Forensic Radiol Imaging [Internet]. 2014;2(4):210–2. https://linkinghub.elsevier.com/retrieve/pii/S2212478014001075.
Scholing M, Saltzherr TP, Fung Kon Jin PHP, Ponsen KJ, Reitsma JB, Lameris JS, et al. The value of postmortem computed tomography as an alternative for autopsy in trauma victims: a systematic review. Eur Radiol [Internet]. 2009;19(10):2333–41. http://link.springer.com/10.1007/s00330-009-1440-4.
Levy AD, Harcke HT. Essentials of forensic imaging [Internet]. Boca Raton: CRC Press; 2010. https://www.taylorfrancis.com/books/9781420091120.
Aghayev E, Sonnenschein M, Jackowski C, Thali M, Buck U, Yen K, et al. Postmortem radiology of fatal hemorrhage: measurements of cross-sectional areas of major blood vessels and volumes of aorta and spleen on MDCT and volumes of heart chambers on MRI. Am J Roentgenol [Internet]. 2006;187(1):209–15. http://www.ajronline.org/doi/10.2214/AJR.05.0222.
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Shenton, A., Kralt, P., Suvarna, S.K. (2021). Post Mortem Computed Tomography of the Bones and Soft Tissues. In: Post Mortem CT for Non-Suspicious Adult Deaths. Springer, Cham. https://doi.org/10.1007/978-3-030-70829-0_10
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DOI: https://doi.org/10.1007/978-3-030-70829-0_10
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