Abstract
Radiography has been used for identification since 1927, and established a role in mass fatality investigations in 1949. More recently, postmortem computed tomography (PMCT) has been used for disaster victim identification (DVI). PMCT offers several advantages compared with fluoroscopy, plain film and dental X-rays, including: speed, reducing the number of on-site personnel and imaging modalities required, making it potentially more efficient. However, there are limitations that inhibit the international adoption of PMCT into routine practice. One particular problem is that due to the fact that forensic radiology is a relatively new sub-speciality, there are no internationally established standards for image acquisition, image interpretation and archiving. This is reflected by the current INTERPOL DVI form, which does not contain a PMCT section. The DVI working group of the International Society of Forensic Radiology and Imaging supports the use of imaging in mass fatality response and has published positional statements in this area. This review will discuss forensic radiology, PMCT, and its role in disaster victim identification.
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References
Culbert WC, Law FM (1927) Identification by comparison of roentgenograms of nasal accessory sinuses and mastoid process. J Am Med Assoc 88(4):1634–1636
Elliot R (1953) The Value of roentgenology in the Identification of mutilated and burnt bodies. J Crim Law Criminol 43(5):681–684
Baglivo M, Winklhofer S, Hatch GM, Ampanozi G, Thali MJ, Ruder TD (2013) The rise of forensic and postmortem radiology—analysis of the literature between the year 2000 and 2011. JoFRI 1(1):3–9
Baraybar JP (2008) When DNA is not available, can we still identify people? Recommendations for best practice. J For Sci 53(3):533–540
INTERPOL (2014) White paper DVI: for authorities/diplomats. www.interpol.int/Media/Files/INTERPOL-Expertise/…/White-Paper-DVI. Accessed 5 oct 2014
Leclair B, Shaler R, Carmody G, Eliason K, Hendrickson BC, Judkins T et al (2007) Bioinformatics and Human Identification in Mass Fatality Incidents: the World Trade Center Disaster. J Forens Sci 52(4):806–819
INTERPOL (1996) Interpol resolution, disaster victim identification. http://www.interpol.int/Public/DisasterVictim/guide/appendices.aspd. Accessed 23 Mar 2014
PAHO (2004) Management of dead bodies in disaster situations. http://www.paho.org/english/dd/ped/DeadBodiesBook.pdf. Accessed 27 July 2014
Ciaffi R, Gibelli D, Cattaneo C (2011) Forensic radiology and personal identification of unidentified bodies: a review. Radiol Med 116(6):960–968
Dedouit F, Savall F, Mokrane FZ, Rousseau H, Crubézy E, Rougé D, Telmon N (2014) Virtual anthropology and forensic identification using multidetector CT. Br J Radiol 87(1036):2013–2468
Jensen AJ (2000) Mass fatality and casualty incidents: a field guide. CRC Press, Boca Raton
INTERPOL (1997) General Information-Priorities. http://www.interpol.int/INTERPOL-expertise/Forensics/DVI-Pages/Forms. Accessed 26 Jan 2014
Randolph-Quinney P, Mallet X, Black S (2009) Forensic Anthropology. In: Siegel JA, Saukko PJ, Knupfer GC (eds) Encyclopedia of forensic sciences. Elsevier Science (USA), Orlando
Krantz P, Holtas S (1983) Postmortem computed tomography in a diving fatality. J Comput Assist Tomogr 7:132–134
Levy AD, Harcke TH (2010) Essentials of forensic imaging: a text-atlas, 1st edn. CRC Press, Boca Raton
Brogdon BG (1998) Forensic radiology, 1st edn. CRC Press LCC, Boca Raton
Thali MJ, Viner MD, Brogdon BG (2010) Brogdon’s forensic radiology, 2nd edn. CRC Press, Boca Raton
Folio LR (2010) Combat radiology: diagnostic imaging of blast and ballistic injuries, 1st edn. Springer, New York
Burke MP (2011) Forensic pathology of fractures and mechanisms of injury: postmortem CT scanning, 1st edn. CRC Press, Boca Raton
Pollanen MS, Woodford N (2013) Virtual autopsy: time for a clinical trial. Forensic Sci Med Pathol 9(3):427–428
Rutty GN, Robinson C, Morgan B, Vernon L, Black S, Adams C et al (2009) Fimag: the united kingdom disaster victim/forensic identification imaging system. J For Sci 54(6):1438–1442
O’Donnell C, Linoa M, Mansharana K, Leditsckea J, Woodford N (2011) Contribution of postmortem multidetector CT scanning for identification of the deceased in a mass disaster: experience gained from the 2009 Victorian Bushfires. Forens Sci Int 205(1–3):15–28
Donchin Y, Rivkind AI, Bar-Ziv J, Hiss J, Almog J, Drescher M (1994) Utility of postmortem computed tomography in trauma victims. J Trauma 37(4):552–555
The virtopsy project. http://www.virtopsy.com. Accessed 1 June 2013
O’Donnell C, Woodford N (2008) Post-mortem radiology—a new sub- speciality? Clin Radiol 63:1189–1194
Rutty G (2007) Are autopsies necessary?: the role of computed tomography as a possible alternative to invasive autopsies. Rechtsmedizin 17:21–28
Wichmann D, Obbelode F, Vogel H, Hoepker WW, Nierhaus A, Braune S, Sauter G, Pueschel K, Kluge S (2012) Virtual autopsy as an alternative to traditional medical autopsy in the intensive care unit: a prospective cohort study. Ann Intern Med 156(2):123–130
Schuller-Gotzburg P, Suchanek J (2007) Forensic odontologists successfully identify tsunami victims in Phuket, Thailand. For Sci Int 171:204–207
Black S (2007) Human Identification. In: Thompson T, Black S (eds) forensic human identification: an introduction. CRC Press, Boca Raton
Hayakawa M, Yamamoto S, Motani H, Yajima D, Sato Y, Iwase H (2006) Does imaging technology overcome problems of conventional post-mortem examination? A trial of computed tomography imaging for postmortem examination. Int J Leg Med 120:24–26
Thali MJ, Dirnhofer R, Vock P (2009) The virtopsy approach: 3D optical and radiological scanning and reconstruction in forensic medicine. CRC Press, Boca Raton
Sidler M, Jackowski C, Dirnhofer R, Vock P, Thali M (2007) Use of multi-slice computed tomography in disaster victim identification advantages and limitations. For Sci Int 169(2–3):118–128
Virtopsy. http://www.virtopsy.com/about-virtopsy/equipment/virtobot.html. Accessed: 5 feb 2015
Bassed RB, Hill AJ (2011) The use of computed tomography (CT) to estimate age in the 2009 Victorian Bushfire Victims: a case report. Forensic Sci Int 205(1–3):48–51
O’Donnell C, Rotman A, Collett S, Woodford N (2007) Current status of routine post-mortem CT in Melbourne, Australia. Forensic Sci Med Pathol 3:226–232
Brough AL, Rutty GN, Black S, Morgan B (2012) Post-mortem computed tomography and 3D imaging: anthropological applications for juvenile remains. Forensic Sci Med Pathol 8(3):270–279
Brough AL, Morgan B, Black S, Rutty GN, Adams C (2014) Post-mortem computed tomography age assessment of juvenile dentition: comparison against traditional OPT assessment. Int J Legal Med 128:653–658
Patowary AJ (2012) Virtopsy: one step forward in the field of forensic medicine—a review. J Indian Acad Forensic Med 30(1):32–36
Rutty GN, Alminyah A, Cala A, Elliot D, Fowler D, Hofman P et al (2013) Use of radiology in disaster victim identification: positional statement of the members of the disaster victim identification working group of the international society of forensic radiology and imaging; May 2013. J Forens Radiol Imagin 1(4):218
Morgan B, Alminyah A, Cala A, O׳Donnell C, Elliott D, Gorincour G et al (2014) Use of post-mortem computed tomography in Disaster Victim Identification Positional statement of the members of the Disaster Victim Identification working group of the International Society of Forensic Radiology and Imaging. J Forens Radiol Imagin 2(3):114–116
Schweitzer W, Barsch C, Ruder TD, Thali MJ (2014) Virtopsy approach: structured reporting versus free reporting for PMCT findings. Forens Radiol Imagin 2:28–33
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Brough, A.L., Morgan, B. & Rutty, G.N. Postmortem computed tomography (PMCT) and disaster victim identification. Radiol med 120, 866–873 (2015). https://doi.org/10.1007/s11547-015-0556-7
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DOI: https://doi.org/10.1007/s11547-015-0556-7