期刊
FORENSIC SCIENCE INTERNATIONAL
卷 194, 期 1-3, 页码 9-14出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.forsciint.2009.10.001
关键词
Forensic pathology; Forensic radiology; Computed tomography; Craniocerebral trauma; Skull fractures; Brain injuries
Computed tomography (CT) has been used routinely at the Department of Forensic Medicine, University of Copenhagen since 2002. A retrospective study was performed in order to correlate CT-scan based diagnoses of cranial and cerebral lesions with macroscopic autopsy diagnoses in 56 cases. The CT-scans were performed by a forensic pathologist. They were obtained by using two different CT-scan protocols. The results showed correct skull fracture diagnoses in 34/56 cases. Fractures were diagnosed partially (9) or missed totally (13) on CT-images in 22 cases. The agreement for fracture diagnoses of the anterior, medial and posterior cranial fossae was 20%, 52% and 60%, respectively. Fractures involving bilateral bones were diagnosed correctly more frequently. The diagnostic agreement regarding brain injuries varied from 0% to 79%. Both the autopsy-reports and CT-scan descriptions need to be standardized in order to secure more exact comparisons in the future. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
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