POTENTIAL OF THE VIRTUAL AUTOPSY IN CASE OF FIREARM INJURY
The article presents the cases observed in the practice of the Office of medico-legal examinations of the Moscow Region when computed tomography (CT) was used for the first time in Russia for pre-autopsy examination (virtual autopsy) of three corpses with gunshot wounds followed by imaging-anatomica...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Eco-vector
2019-10-01
|
| Series: | Судебная Медицина |
| Subjects: | |
| Online Access: | https://for-medex.ru/jour/article/viewFile/276/254 |
| _version_ | 1797721992620670976 |
|---|---|
| author | V. V. Klevno Yu. V. Chumakova D. P. Pavlik S. E. Dubrova |
| author_facet | V. V. Klevno Yu. V. Chumakova D. P. Pavlik S. E. Dubrova |
| author_sort | V. V. Klevno |
| collection | DOAJ |
| description | The article presents the cases observed in the practice of the Office of medico-legal examinations of the Moscow Region when computed tomography (CT) was used for the first time in Russia for pre-autopsy examination (virtual autopsy) of three corpses with gunshot wounds followed by imaging-anatomical comparison of the results.
Objectives. Determination of the injury volume, visualization of the wound tracts, localization of the bullets.
Material and methods. Computed tomography was performed in radiology department using CT Scanner Hitachi Eclos‑16 (16 slices per rotation, slice thickness 1.5 and 2.0 mm) followed by multi-planar reconstruction of the images.
Results. 3D reconstruction of the CT scans of the corpses has visualized the whole volume of the trauma. Firearm perforating skull fractures, crushing injuries of the brain, injuries of the thoracic and abdominal organs along the wound tracks, bullets at the ends of the blind wound tracks were revealed on CT-scans.
Conclusion. Pre-autopsy CT with 3D-reconstruction has allowed to determine localization of the bullets in the bodies accurately. This allowed to choose the optimal examination tactics in each particular case and provided invaluable assistance in the search for the bullets. Virtopsy in the cases of firearm injury has great diagnostic opportunities in visualization and 3D presentation of the wound tracks and their direction. 3D CT has recorded the original position and characteristics of the skull fractures under the undamaged tissues. The authors made the assumption that a virtual autopsy could be a reliable alternative to traditional autopsy in the foreseeable future in cases of firearm injuries. |
| first_indexed | 2024-03-12T09:41:19Z |
| format | Article |
| id | doaj.art-7e64bbdc15ff4e4db737c699f0751ea7 |
| institution | Directory Open Access Journal |
| issn | 2411-8729 2409-4161 |
| language | English |
| last_indexed | 2024-03-12T09:41:19Z |
| publishDate | 2019-10-01 |
| publisher | Eco-vector |
| record_format | Article |
| series | Судебная Медицина |
| spelling | doaj.art-7e64bbdc15ff4e4db737c699f0751ea72023-09-02T13:14:09ZengEco-vectorСудебная Медицина2411-87292409-41612019-10-0153333810.19048/2411-8729-2019-5-3-33-38249POTENTIAL OF THE VIRTUAL AUTOPSY IN CASE OF FIREARM INJURYV. V. Klevno0https://orcid.org/0000-0001-5693-4054Yu. V. Chumakova1https://orcid.org/0000-0002-9738-8288D. P. Pavlik2S. E. Dubrova3Bureau of Forensic Medical Expertise of Moscow RegionBureau of Forensic Medical Expertise of Moscow RegionBureau of Forensic Medical Expertise of Moscow RegionDepartment of X-ray Diagnostics, M. F. Vladimirskii Moscow Regional Research and Clinical InstituteThe article presents the cases observed in the practice of the Office of medico-legal examinations of the Moscow Region when computed tomography (CT) was used for the first time in Russia for pre-autopsy examination (virtual autopsy) of three corpses with gunshot wounds followed by imaging-anatomical comparison of the results. Objectives. Determination of the injury volume, visualization of the wound tracts, localization of the bullets. Material and methods. Computed tomography was performed in radiology department using CT Scanner Hitachi Eclos‑16 (16 slices per rotation, slice thickness 1.5 and 2.0 mm) followed by multi-planar reconstruction of the images. Results. 3D reconstruction of the CT scans of the corpses has visualized the whole volume of the trauma. Firearm perforating skull fractures, crushing injuries of the brain, injuries of the thoracic and abdominal organs along the wound tracks, bullets at the ends of the blind wound tracks were revealed on CT-scans. Conclusion. Pre-autopsy CT with 3D-reconstruction has allowed to determine localization of the bullets in the bodies accurately. This allowed to choose the optimal examination tactics in each particular case and provided invaluable assistance in the search for the bullets. Virtopsy in the cases of firearm injury has great diagnostic opportunities in visualization and 3D presentation of the wound tracks and their direction. 3D CT has recorded the original position and characteristics of the skull fractures under the undamaged tissues. The authors made the assumption that a virtual autopsy could be a reliable alternative to traditional autopsy in the foreseeable future in cases of firearm injuries.https://for-medex.ru/jour/article/viewFile/276/254firearm injuriesvirtual autopsyct of the dead body |
| spellingShingle | V. V. Klevno Yu. V. Chumakova D. P. Pavlik S. E. Dubrova POTENTIAL OF THE VIRTUAL AUTOPSY IN CASE OF FIREARM INJURY Судебная Медицина firearm injuries virtual autopsy ct of the dead body |
| title | POTENTIAL OF THE VIRTUAL AUTOPSY IN CASE OF FIREARM INJURY |
| title_full | POTENTIAL OF THE VIRTUAL AUTOPSY IN CASE OF FIREARM INJURY |
| title_fullStr | POTENTIAL OF THE VIRTUAL AUTOPSY IN CASE OF FIREARM INJURY |
| title_full_unstemmed | POTENTIAL OF THE VIRTUAL AUTOPSY IN CASE OF FIREARM INJURY |
| title_short | POTENTIAL OF THE VIRTUAL AUTOPSY IN CASE OF FIREARM INJURY |
| title_sort | potential of the virtual autopsy in case of firearm injury |
| topic | firearm injuries virtual autopsy ct of the dead body |
| url | https://for-medex.ru/jour/article/viewFile/276/254 |
| work_keys_str_mv | AT vvklevno potentialofthevirtualautopsyincaseoffirearminjury AT yuvchumakova potentialofthevirtualautopsyincaseoffirearminjury AT dppavlik potentialofthevirtualautopsyincaseoffirearminjury AT sedubrova potentialofthevirtualautopsyincaseoffirearminjury |