Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Malli, N; Ehammer, T; Yen, K; Scheurer, E.
Detection and characterization of traumatic scalp injuries for forensic evaluation using computed tomography.
Int J Legal Med. 2013; 127(1):195-200
Doi: 10.1007/s00414-012-0690-x
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Scheurer Eva
- Co-Autor*innen der Med Uni Graz
- Ehammer Thomas
- Yen Kathrin
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- Abstract:
- The purpose of this prospective study was to evaluate the rate of detection and correct classification of traumatic soft tissue injuries of the head using clinical multislice computed tomography (MSCT) compared with an external forensic examination. Thirty-one patients with soft tissue injuries after head trauma and clinically indicated cerebral MSCT scan underwent an external forensic examination with documentation of the morphological appearance and the exact localization of scalp and facial injuries. MSCT data were evaluated by a radiologist blinded to the results of the external examination using axial images as well as multiplanar reconstruction tools. The results of the radiological and forensic report were compared and analyzed. The main finding was that clinical MSCT data of the head detected 55 % of all external lesions and diagnosed the correct morphological type of lesion in 30 %. All lacerations and 44 % of the hematomas were correctly identified in the radiological report, whereas the diagnosis of swellings and abrasions was difficult. MSCT showed a high specificity for all types of soft tissue lesions. Additionally, a substantial number of internal lesions such as fractures or intracerebral bleedings were revealed which were not detected in the external examination. The results demonstrate that the forensic-radiologic evaluation of clinical MSCT data has a good diagnostic performance and is a valuable method to retrospectively supplement external forensic examination in living crime victims. It also might-to a certain extent-be used as the only source in cases where no forensic external examination has taken place within due time.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Cerebral Hemorrhage - pathology Cerebral Hemorrhage - radiography
- Female -
- Forensic Pathology -
- Fractures, Bone - pathology Fractures, Bone - radiography
- Hematoma - pathology Hematoma - radiography
- Humans -
- Imaging, Three-Dimensional -
- Lacerations - pathology Lacerations - radiography
- Male -
- Middle Aged -
- Multidetector Computed Tomography -
- Prospective Studies -
- Scalp - injuries Scalp - pathology Scalp - radiography
- Sensitivity and Specificity -
- Young Adult -
- Find related publications in this database (Keywords)
- Computed tomography
- Forensic evaluation
- Trauma
- Soft tissue
- Hematoma