Actual possibilities of postmortem imaging in forensic medicine practice

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  • Authors: Kovalev A.V1, Kinle A.F2, Kokov L.S3,4, Sinitsyn V.A5,6, Fetisov V.A1, Filimonov B.A2
  • Affiliations:
    1. Russian Center of Judicial Medical Expertise of the Ministry of Health of the Russian Federation
    2. Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation
    3. N.V.Sklifosovsky Research Institute of Emergency Medicine of the Department of Health of Moscow
    4. I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
    5. Treatment and Rehabilitation Center of the Ministry of Health of the Russian Federation
    6. M.V.Lomonosov Moscow State University
  • Issue: Vol 18, No 13 (2016)
  • Pages: 9-25
  • Section: Articles
  • URL: https://journal-vniispk.ru/2075-1753/article/view/94600
  • ID: 94600

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Full Text

Abstract

Purpose of the study. The review analyzed the results of studies on the use of computed tomography (CT) and magnetic resonance imaging (MRI) in a forensic expertise (FE) of the adults. The purpose of this review is to introduce forensic radiologists and situations, the most common in postmortem imaging, as well as its strengths and weaknesses. Material and methods. The basic Internet resources used: Russian Scientific Electronic Library (elibrary.ru), Embase, Medline, Web of Science, Cochrane database. Results and conclusions. Methods for FE postmortem imaging are under active study and formation of the evidence base. "The gold standard" postmortem diagnosis is a traditional autopsy. But the role of tomographic methods of research is growing. For practical purposes, the FE adult cadavers more suitable for CT. In some cases, autopsy should be combined with different methods of beam diagnostics - CT, CT angiography and MRI. Posthumous ray diagnosis can be of great help in the visualization of mechanical damage, as well as to determine the cause in some cases, sudden death. Posthumous imaging may be required in some other common situations in the practice of FE: mechanical asphyxia, drowning, action of high and low temperature, research rotten modified and unidentified bodies, detection of foreign bodies.

About the authors

A. V Kovalev

Russian Center of Judicial Medical Expertise of the Ministry of Health of the Russian Federation

Email: mail@rc-sme.ru
д-р мед. наук, дир. ФГБУ РЦСМЭ, гл. внештатный специалист по судебно-медицинской экспертизе Минздрава России 125284, Russian Federation, Moscow, ul. Polikarpova, d. 12/13

A. F Kinle

Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation

Email: kinle-alexandr@mail.ru
канд. мед. наук, проф., зав. каф. судебной медицины ФГБОУ ДПО РМАНПО 125995, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1

L. S Kokov

N.V.Sklifosovsky Research Institute of Emergency Medicine of the Department of Health of Moscow; I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation

Email: lskokov@mail.ru
чл.-кор. РАН, проф., рук. отд-ния рентгенохирургических методов диагностики и лечения ГБУЗ НИИ СП им. Н.В.Склифосовского, зав. каф. лучевой диагностики ИПО ФГБОУ ВО Первый МГМУ им И.М.Сеченова 129090, Russian Federation, Mosсow, B. Sukharevskaya pl., d. 3; 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2

V. A Sinitsyn

Treatment and Rehabilitation Center of the Ministry of Health of the Russian Federation; M.V.Lomonosov Moscow State University

Email: vsini@mail.ru
д-р мед. наук, проф., рук. Центра лучевой диагностики ФГАУ ЛРЦ, рук. курса лучевой диагностики ФФМ ФГБОУ ВО МГУ им М.В.Ломоносова 125367, Russian Federation, Moscow, Ivan'kovskoe sh., d. 3; 119192, Russian Federation, Moscow, Lomonosovskii pr., d. 31, korp. 5

V. A Fetisov

Russian Center of Judicial Medical Expertise of the Ministry of Health of the Russian Federation

д-р мед. наук, зав. научно-организационным отд. ФГБУ РЦСМЭ 125284, Russian Federation, Moscow, ul. Polikarpova, d. 12/13

B. A Filimonov

Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation

Email: filimonov@hpmp.ru
канд. мед. наук, сотр. каф. судебной медицины ФГБОУ ДПО РМАНПО, глав. ред. журнала «Consilium Medicum» 125995, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1

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