One small scan for radiology, one giant leap for forensic medicine - Post-mortem imaging replaces forensic autopsy in a case of traumatic aortic laceration.
The questions of cause and manner of death are the most pressing ones in any forensic investigation. Traditionally, autopsy is the means to provide answers to these questions and despite the increasing use of CT and MR in the post-mortem setting, imaging has usually been an adjunct to forensic autopsy. Here we describe a case where post-mortem CT and MR were performed instead of autopsy, at the request of the responsible public prosecutor. The forensic conclusions derived from imaging, including cause and manner of death were accepted by the legal authorities, thereby setting precedence for future cases. This case represents a landmark in forensic medicine and is another step toward the full realization of minimally invasive forensic autopsy.
Center of Forensic Imaging and Virtopsy, Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, CH-3012 Bern, Switzerland. thomas.ruder@irm.unibe.ch
Thomas D
TD
Ruder
Gary M
GM
Hatch
Michael J
MJ
Thali
Nadja
N
Fischer
D000369:Aged, 80 and over; D001011:Aorta / Q000293:injuries*; D001027:Aortography; D001344:Autopsy; D005260:Female; D005554:Forensic Medicine; D006801:Humans; D022125:Lacerations / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging; D013557:Switzerland; D014057:Tomography, X-Ray Computed; D014947:Wounds and Injuries / Q000000981:diagnostic imaging