The importance of post-mortem computed tomography (PMCT) in confrontation with conventional forensic autopsy of victims of motorcycle accidents |
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| Affiliation: | 1. Forensic Pathology Service, Institute of Legal Medicine in Catalonia, Barcelona, Spain;2. Department of Mechanical Engineering, Universitat Politècnica de Catalunya, Barcelona-Tech, Spain;3. Center for Applied Biomechanics, University of Virginia, USA;4. Department Materials and Structural Engineering, Universitat Politècnica de Catalunya, Barcelona-Tech, Spain;1. Trauma Service, The Royal Children''s Hospital, Melbourne, Australia;2. Department of Paediatric Surgery, Birmingham Children Hospital, Birmingham, UK;1. Tokyo Medical Examiner’s Office, Tokyo Metropolitan Government, 4-21-18 Otsuka, Bunkyo-ku, Tokyo 112-0012, Japan;2. Department of Forensic Medicine, Graduate School of Medicine Sciences, Kumamoto University, Japan;1. Department of Anatomy, Histology, Forensic Medicine and Orthopedics,‘‘Sapienza” University of Rome, Rome, Italy;2. Department of Radiological Sciences, Oncology and Pathology, Sapienza University of Rome, 00161 Rome, Italy;1. Department of Surgery, St. Luke''s University Health Network, Bethlehem, PA;2. Department of Emergency Medicine, St. Luke''s University Health Network, Bethlehem, PA;3. Department of Radiology, St. Luke''s University Health Network, Bethlehem, PA;4. Department of Research & Innovation, St. Luke''s University Health Network, Bethlehem, PA |
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| Abstract: | Since traffic accidents are an important problem in forensic medicine, there is a constant search for new solutions to help with an investigation process in such cases. In recent years there was a rapid development of post-mortem imaging techniques, especially post-mortem computed tomography (PMCT). In our work we concentrated on a potential advantage of PMCT in cases of motorcycle accident fatalities. The results of forensic autopsy were compared with combined results of the autopsy and PMCT to check in which areas use of these two techniques gives statistically important increase in number of findings. The hypothesis was confirmed in case of pneumothorax and fractures of skull, spine, clavicle, scapula, lower leg bones. As for majority of other bone fractures locations and brain injures there were single cases with pathologies visible only in PMCT, but too few to reach expected level of p-value. In case of injuries of solid organs and soft tissues statistical analysis did not confirmed any advantage of unenhanced PMCT use. On the whole it has been shown that PMCT used as an adjunct to forensic autopsy can cause an increase in information about vitally important regions in case of motorcycle accident fatalities. |
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| Keywords: | Forensic medicine Forensic autopsy Post-mortem computed tomography PMCT Motorcycle accidents |
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