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Forensische Radiologie

Forensic radiology

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Zusammenfassung

Die forensische Radiologie umfasst die klinische und die postmortale forensische Radiologie. Erstere beschäftigt sich mit der Bildgebung unter juristischen Aspekten an gesunden (Altersdiagnostik) oder verletzten Personen (Verkehrsunfall, Rohheitsdelikt). Die postmortale forensische Radiologie beinhaltet die Anwendung moderner radiologischer Verfahren zur Optimierung der Leichendiagnostik. Postmortale Röntgenuntersuchungen werden seit Jahrzehnten routinemäßig eingesetzt. Die postmortale Computer- und Magnetresonanztomographie sind bildgebende Verfahren mit dem höchsten Informationspotenzial, jedoch auch mit den größten Abweichungen von der Lebenddiagnostik. Der Einsatz bildgebender Verfahren als Beweismittelerhebung im Strafverfahren steckt bislang noch in seinen Anfängen. Das technische Know-how und die Kenntnis der liegezeitabhängigen Veränderungen einer Leiche von Radiologen und Rechtsmedizinern müssen zusammengeführt werden.

Abstract

Forensic radiology includes both clinical and postmortem forensic radiology. Clinical forensic radiology deals with imaging of healthy people from a legal point of view, such as for determining age or to prove and document injuries in victims of crime. Postmortem forensic radiology deals with the application of modern radiological methods in order to optimise post-mortem diagnosis. X-ray examination has for decades been routinely used in postmortem diagnosis. Newer developments include the application of postmortem computer tomography and magnetic resonance imaging; these are the methods with the greatest information potential but also with the greatest deviations from diagnostics in living persons. Application of radiological methods for securing evidence in criminal procedures is still in its infancy. Radiologists’ technical understanding and forensic doctors’ knowledge of postmortem changes in a corpse must be synergised.

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Literatur

  1. Banaschak S, Rzanny R, Reichenbach JR et al. (2005) Estimation of postmortem metabolic changes in porcine brain tissue using 1H-MR spectroscopy—preliminary results. Int J Legal Med 119: 77–79

    Article  PubMed  CAS  Google Scholar 

  2. Buitrago-Tellez CH, Schilli W, Bohnert M et al. (2002) A comprehensive classification of craniofacial fractures: postmortem and clinical studies with two- and three-dimensional computed tomography. Injury 33: 651–668

    Article  PubMed  Google Scholar 

  3. Debertin AS, Sperhake JP (2008) Untersuchung und Dokumentation des nichtakzidentellen Schädel-Hirn-Traumas im Säuglings- und Kleinkindalter. Rechtsmedizin 18: 17–22

    Article  Google Scholar 

  4. Donchin Y, Rivkind AI, Bar-Ziv J et al. (1994) Utility of postmortem computed tomography in trauma victims. J Trauma 37: 552–555

    Article  PubMed  CAS  Google Scholar 

  5. Farkash U, Scope A, Lynn M et al. (2000) Preliminary experience with postmortem computed tomography in military penetrating trauma. J Trauma 48: 303–308

    Article  PubMed  CAS  Google Scholar 

  6. Hess U, Harms J (2000) Die MRT zur Beurteilung von Schußverletzungen. Z Rechtsmed 10: 90–95

    Article  Google Scholar 

  7. Ith M, Bigler P, Scheurer E et al. (2002) Observation and identification of metabolites emerging during postmortem decomposition of brain tissue by means of in situ 1H-magnetic resonance spectroscopy. Magn Reson Med 48: 915–920

    Article  PubMed  CAS  Google Scholar 

  8. Jachau K, Heinrichs T, Kuchheuser W et al. (2004) CT- und MRT-Befunde an isolierten Leichenherzen. Vergleich der radiologischen mit den pathologisch-anatomischen Befunden. Rechtsmedizin 14: 109–116

    Article  Google Scholar 

  9. Jackowski C, Sonnenschein M, Thali MJ et al. (2005) Virtopsy: postmortem minimally invasive angiography using cross section techniques-implementation and preliminary results. J Forensic Sci 50: 1–9

    Article  Google Scholar 

  10. Karger B, Puskas Z, Ruwald B et al. (1998) Morphological findings in the brain after experimental gunshots using radiology, pathology and histology. Int J Legal Med 111: 314–319

    Article  PubMed  CAS  Google Scholar 

  11. Kreitner KF, Schweden FJ, Riepert T et al. (1998) Bone age determination based on the study of the medial extremity of the clavicle. Eur Radiol 8: 1116–1122

    Article  PubMed  CAS  Google Scholar 

  12. Lockemann U, Fuhrmann A, Püschel K et al. (2004) Empfehlungen für die Altersdiagnostik bei Jugendlichen und jungen Erwachsenen außerhalb des Strafverfahrens. Z Rechtsmed 14: 123–126

    Article  Google Scholar 

  13. Maxeiner H (1996) Detection of ruptured cerebral bridging veins at autopsy. Forensic Sci Int 89: 103–110

    Article  Google Scholar 

  14. Myers JC, Okoye MI, Kiple D et al. (1999) Three-dimensional (3-D) imaging in post-mortem examinations: elucidation and identification of cranial and facial fractures in victims of homicide utilizing 3-D computerized imaging reconstruction techniques. Int J Legal Med 113: 33–37

    Article  PubMed  CAS  Google Scholar 

  15. NN (1997/1999) Der Brockhaus, Bd 14. FA Brockhaus, Leipzig Mannheim, S 304

  16. Riepert T, Rittner C, Ulmcke D et al. (1995) Identification of an unknown corpse by means of computed tomography (CT) of the lumbar spine. J Forensic Sci 40: 126–127

    PubMed  CAS  Google Scholar 

  17. Riepert T, Ulmcke D, Jendrysiak U et al. (1995) Computer-assisted simulation of conventional roentgenograms from three-dimensional computed tomography (CT) data – an aid in the identification of unknown corpses (FoXSIS). Forensic Sci Int 28: 199–204

    Article  Google Scholar 

  18. Ritz-Timme S, Kaatsch H-J, Marré B et al. (2002) Empfehlungen für die Altersdiagnostik bei Lebenden im Rentenverfahren. Z Rechtsmed 12: 193–194

    Article  Google Scholar 

  19. Rösing FW, Graw M,·Marré B et al. (2005) Forensische Altersdiagnostik der Deutschen Gesellschaft für Rechtsmedizin – Empfehlungen für die forensische Geschlechts- und Altersdiagnose am Skelett. Rechtsmedizin 15: 32–38

    Article  Google Scholar 

  20. Rothschild MA, Krug B, Riepert T (2001) Postmortale Röntgendiagnostik in der Rechtsmedizin. Z Rechtsmed 11: 230–243

    Article  Google Scholar 

  21. Schellmann B, Huk W, Thierauf P (1978) Correlations of CT-findings and neuropathological investigations in cranio-cerebral trauma. Z Rechtsmed 82: 199–204

    Article  PubMed  CAS  Google Scholar 

  22. Schmeling A, Kaatsch H-J, Marré B et al. (2001) Empfehlungen für die Altersdiagnostik bei Lebenden im Strafverfahren. Z Rechtsmed 11: 1–3

    Article  Google Scholar 

  23. Schmidt S, Mühler M, Schmeling A et al. (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121: 321–324

    Article  PubMed  Google Scholar 

  24. Schulz R, Zwiesigk P, Schiborr M et al. (2008) Ultrasound studies on the time course of clavicular ossification. Int J Legal Med 122: 163–167

    Article  PubMed  Google Scholar 

  25. Shiotani S, Kohno M, Ohashi N et al. (2002) Postmortem intravascular high-density fluid level (hypostasis): CT findings. J Comput Assist Tomogr 26: 892–893

    Article  PubMed  Google Scholar 

  26. Shiotani S, Kohno M, Ohashi N et al. (2004) Non-traumatic postmortem computed tomographic (PMCT) findings of the lung. Forensic Sci Int 6 139: 39–48

    Article  Google Scholar 

  27. Shiotani S, Kohno M, Ohashi N et al. (2004) Postmortem computed tomographic (PMCT) demonstration of the relation between gastrointestinal (GI) distension and hepatic portal venous gas (HPVG). Radiat Med 22: 25–29

    PubMed  Google Scholar 

  28. Stein KM, Delorme ST, Schlemmer H et al. (1997) Ultrasound examination in forensic medicine. A method to detect and quantify soft tissue bleedings. Proceedings, XVIIth Congress of the International Academy of Legal Medicine, Dublin

  29. Stein KM, Bahner ML, Merkel J et al. (2000) Detection of gunshot residues in routine CTs. Int J Legal Med 114: 15–18

    Article  PubMed  CAS  Google Scholar 

  30. Stein KM, Ruf K, Ganten MK et al. (2005) [Visualization of bridging veins by means of postmortem computed tomography.] Arch Kriminol 215: 18–26

    Google Scholar 

  31. Stein KM, Ruf K, Ganten MK et al. (2006) Representation of cerebral bridging veins in infants by postmortem computed tomography. Forensic Sci Int 163: 93–101

    Article  PubMed  Google Scholar 

  32. Stöver B (2007) Bildgebende Diagnostik der Kindesmisshandlung. Radiologe 47: 1037–1049

    Article  PubMed  Google Scholar 

  33. Thali MJ, Yen K, Schweitzer W et al. (2003) Into the decomposed body – forensic digital autopsy using multislice-computed tomography. Forensic Sci Int 134: 109–114

    Article  PubMed  CAS  Google Scholar 

  34. Thali MJ, Yen K, Schweitzer W et al. (2003) Virtopsy, a new imaging horizon in forensic pathology: virtual autopsy by postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) – a feasibility study. J Forensic Sci 48: 386–403

    PubMed  Google Scholar 

  35. Thali MJ, Yen K, Vock P et al. (2003) Image-guided virtual autopsy findings of gunshot victims performed with multi-slice computed tomography and magnetic resonance imaging and subsequent correlation between radiology and autopsy findings. Forensic Sci Int 138: 8–16

    Article  PubMed  Google Scholar 

  36. Uchigasaki S, Oesterhelweg L, Gehl A et al. (2004) Application of compact ultrasound imaging device to postmortem diagnosis. Forensic Sci Int 140: 33–41

    Article  PubMed  CAS  Google Scholar 

  37. Yamazaki K, Shiotani S, Ohashi N et al. (2003) Hepatic portal venous gas and hyper-dense aortic wall as postmortem computed tomography finding. Leg Med 5: 338–341

    Article  Google Scholar 

  38. Yen K, Thali MJ, Aghayev E et al. (2005) Strangulation signs: initial correlation of MRI, MSCT, and forensic neck findings. J Magn Reson Imaging 22: 501–510

    Article  PubMed  Google Scholar 

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Stein, K., Grünberg, K. Forensische Radiologie. Radiologe 49, 73–86 (2009). https://doi.org/10.1007/s00117-008-1732-8

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  • DOI: https://doi.org/10.1007/s00117-008-1732-8

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