Forensic Science, Medicine, and Pathology

, Volume 3, Issue 3, pp 226–232

Current status of routine post-mortem CT in Melbourne, Australia

  • C. O’Donnell
  • A. Rotman
  • S. Collett
  • N. Woodford
Radiology Review

Abstract

In May 2005, a multidetector computed tomography (CT) scanner was installed into the mortuary of the Victorian Institute of Forensic Medicine (VIFM). Since that time most biological material admitted to the institute has been scanned. This article provides an overview of the experience gained and difficulties encountered by participants in this project. Discussion is presented on the incorporation of routine CT imaging into autopsy procedures, application of CT in forensic research, and how we believe the use of cross-sectional imaging will evolve in forensic investigation of the deceased.

Keywords

Forensic radiology Computed tomography Mortuary Autopsy Routine use 

References

  1. 1.
    Donchin Y, Rivkind AI, Bar-Ziv J, Hiss J, Almog J, Drescher M. Utility of post-mortem computed tomography in trauma victims. J Trauma 1994;37:552–5.PubMedGoogle Scholar
  2. 2.
    Oliver WR, Chancellor AS, Soltys M, Symon J, Cullip T, Rosenman J, Hellman R, Boxwala A, Gormley W. Three dimensional reconstruction of a bullet path: validation by computed radiography. J Forensic Sci 1995;40:321–4.PubMedGoogle Scholar
  3. 3.
    Farkash U, Scope A, Lynn M, Kugel C, Maor R, Abargel A, Eldad A. Preliminary experience with post-mortem computed tomography in military penetrating trauma. J Trauma 2000;48:303–8.PubMedGoogle Scholar
  4. 4.
    Thali MJ, Schweitzer W, Yen K, Vock P, Ozdoba C, Spielvogel E, Dirnhofer R. New horizons in forensic radiology: the 60-second “digital autopsy”; Full-body examination of a gunshot victim by multi-slice computed tomography. Am J Forensic Med Pathol 2003;24:22–7.PubMedCrossRefGoogle Scholar
  5. 5.
    Thali MJ, Yen K, Schweitzer W, Vock P, Boesch C, Ozdoba C, Schroth G, Ith M, Sonnenschein M, Doernhofer T, Scheurer E, Plattner T, Dirnhofer R. Virtopsy, a new imaging horizon in forensic pathology: virtual autopsy by post-mortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI)—a feasibility study. J Forensic Sci 2003;48:386–403.PubMedGoogle Scholar
  6. 6.
    Yen K, Vock P, Tiefenthaler B, Ranner G, Scheurer E, Thali MJ, Zwygart K, Sonnenschein M, Wiltgen M, Dirnhofer R. Virtopsy: Forensic Traumatology of the subcutaneous fatty tissue; Multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) as diagnostic tools. J Forensic Sci 2004;49:799–806.PubMedCrossRefGoogle Scholar
  7. 7.
    Thali MJ, Braun M, Buck U, Aghayev E, Jackowski C, Vock P, Sonnenschein M, Dirnhofer R. Virtopsy—scientific documentation, reconstruction and animation in forensic: individual and real 3D data based geometric approach including optical body/object surface and radiological CT/MRI scanning. J Forensic Sci 2005;50:428–42.PubMedCrossRefGoogle Scholar
  8. 8.
    Jackowski C, Thali MJ, Aghayev E, Yen K, Sonnenschein M, Vock P, Dirnhofer R. Non-invasive estimation of organ weights by post-mortem magnetic resonance imaging and multislice computed tomography. Invest Radiol 2006;41:572–8.PubMedCrossRefGoogle Scholar
  9. 9.
    Thali MJ, Markwalder T, Jackowski C, Sonnenschein M, Dirnhofer R. Dental CT imaging as a screening tool for dental profiling: advantages and limitations. J Forensic Sci 2006;51:113–9.PubMedCrossRefGoogle Scholar
  10. 10.
    Poulsen K, Simonsen J. Computed tomography as routine in connection with medico-legal autopsies. Forensic Sci Int 2006. doi:10.1016/j.forsciint.2006.05.041 (article in press).
  11. 11.
    Hayakawa M, Yamamoto S, Motani H, Yajima D, Sato Y, Iwase H. Does imaging technology overcome problems of conventional post-mortem examination? A trial of computed tomography imaging for post-mortem examination. Int J Legal Med 2006;120:24–6.PubMedCrossRefGoogle Scholar
  12. 12.
    Jackowski C, Sonnenschein M, Thali MJ, Aghayev E, Yen K, Dirnhofer R, Vock P. Intrahepatic gas at post-mortem computed tomography: forensic experience as a potential guide for in vivo trauma imaging. J Trauma 2007 62(4):979–88.PubMedCrossRefGoogle Scholar
  13. 13.
    Rutty GN, Swift B. Accuracy of magnetic resonance imaging in determining cause of sudden death in adults: comparison with conventional autopsy. Histopathology. 2004;44(2):187–9 (letter).Google Scholar
  14. 14.
    Davis GJ, Peterson BR. Dilemmas and solutions for the pathologist and clinician encountering religious views of the autopsy. South Med J 1996;89:1041–4.PubMedCrossRefGoogle Scholar
  15. 15.
    Bahadori M. ‘Post-mortem examination in Iran: autopsy in culture with some restriction on autopsies,’ in Symposium 11: the state and use of the autopsy around the world. Histopathology 2002;41 Suppl 2:197–213.Google Scholar
  16. 16.
    Sidler M, Jackowski C, Dirnhofer R, Vock P, Thali MJ. Use of multislice computed tomography in disaster victim identification—advantages and limitations. Forensic Sci Int 2006. doi:10.1016/j.forsciint.2006.08.004 (article in press).
  17. 17.
    Levy AD, Abbot RM, Mallak CT, Getz JM, Harcke HT, Champion HR, Pearse LA. Virtual autopsy: preliminary experience in high-velocity gunshot wound victims. Radiology 2006;240:522–8.PubMedCrossRefGoogle Scholar
  18. 18.
    Thali MJ, Yen K, Vock P, Ozdoba C, Kneubuehl BP, Sonnenschein M, Dirnhofer R. Image-guided virtual autopsy findings of gunshot victims performed with multi-slice computed tomography (MSCT) and magnetic resonance imaging (MRI) and subsequent correlation between radiology and autopsy findings. Forensic Sci Int 2003;138:8–16.PubMedCrossRefGoogle Scholar
  19. 19.
    Aghayev E, Sonnenschein M, Jackowski C, Thali M, Buck U, Yen K, Bolliger S, Dirnhofer R, Vock P. Post-mortem 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. AJR Am J Roentgenol 2006 187(1):209–15.PubMedCrossRefGoogle Scholar
  20. 20.
    Yen K, Lovblad KO, Scheurer E, Ozdoba C, Thali MJ, Aghayev E, Jackowski C, Anon J, Frickey N, Zwygart K, Weis J, Dirnhofer R. Post-mortem forensic neuroimaging: correlation of MSCT and MRI findings with autopsy results. Forensic Sci Int 2007 Feb 27; [Epub ahead of print].Google Scholar
  21. 21.
    Dirnhofer R, Jackowski C, Vock P, Potter K, Thali MJ. Virtopsy: Minimally invasive, imaging-guided virtual autopsy. Radiographics 2006;26:1305–33.PubMedCrossRefGoogle Scholar
  22. 22.
    Aghayev E, Thali MJ, Sonnenschein M, Jackowski C, Dirnhofer R, Vock P. Post-mortem tissue sampling using computed tomography guidance. Forensic Sci Int 2007;166:199–203.PubMedCrossRefGoogle Scholar
  23. 23.
    Thali MJ, Jackowski C, Oesterhelweg L, Ross SG, Dirnhofer R. VIRTOPSY—The Swiss virtual autopsy approach. Leg Med (Tokyo) 2007;9(2):100–4. Epub 2007 Feb 1.Google Scholar

Copyright information

© Humana Press Inc. 2007

Authors and Affiliations

  • C. O’Donnell
    • 1
  • A. Rotman
    • 1
  • S. Collett
    • 1
  • N. Woodford
    • 1
  1. 1.Victorian Institute of Forensic MedicineSouthbankAustralia

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