MDCT is comparable to conventional autopsy in demonstrating airway froth and sediment that are indicative of drowning.
"Our findings show that MDCT can be used either to facilitate or reduce the need for conventional autopsy when drowning is the suspected cause of death," said lead author Angela D. Levy, M.D., from the Department of Radiology, Uniformed Services University of the Health Sciences in Bethesda, Md.
The determination of drowning as a cause of death for a body that is found in water is imperative in forensic investigation because becoming submerged in water may be a secondary rather than primary event. Autopsy findings that support the diagnosis of drowning include but are not limited to frothy fluid in the airways or lungs, hyperinflated and congested lungs, and fluid in the paranasal sinuses or stomach.
There are some advantages to virtual autopsy compared to conventional autopsy. In cases of suspicious death, the procedure does not damage or destroy key forensic evidence, as can happen during a conventional autopsy. In addition, MDCT can be used in situations where autopsy may not be feasible or is prohibited by religious beliefs. However, in most cases, MDCT would best be employed as an adjunct to routine autopsy.
Dr. Levy and colleagues performed total-body MDCT exams on 28 consecutive male drowning victims and a control group of 12 men who were victims of sudden death from coronary artery disease. Following MDCT, routine autopsies were performed.
MDCT images were evaluated for the presence of fluid and sediment in the paranasal sinuses and airways, fluid in the ear, frothy fluid in the airways, obscured "ground-glass" appearance or thickening in the lungs, and swelling, fluid or sediment in the stomach. Images were then compared to autopsy reports and photographs.
MDCT indicated that all of the drowning victims had fluid in the paranasal sinuses and ears and ground-glass opacity in the lungs. Twenty-six (93 percent) had fluid in the subglottic (below the vocal cords) trachea and main bronchi. Fourteen (50 percent) had sediment in the subglottic airways. Six (21 percent) had frothy fluid in the airways, and 25 (89 percent) had ground-glass opacity and thickening in the lungs. Twenty-five (89 percent) exhibited swelling of the stomach.
No members of the control group had frothy fluid or sediment in the airways or sinuses, 11 (92 percent) had subglottic airway, tracheal and bronchial fluid. All members of the control group exhibited collapsed stomachs.
Autopsy results in these categories were similar to MDCT results for both study groups.
"Airway froth and sediment can be demonstrated on MDCT and were specific to drowning, thereby replicating the findings seen at autopsy," said Dr. Levy.
Based on this study, MDCT may provide support for the diagnosis of drowning when other causes of death have been excluded by a limited autopsy or external examination of the body. In addition, MDCT virtual autopsy may be useful as a pre-autopsy triage tool in mass casualty scenarios.
"More and more, advanced imaging tools such as MDCT are being applied to forensic investigations," Dr. Levy said. "In the future, imaging in forensics may be just as important as imaging in clinical medicine."
Linda Brooks | EurekAlert!
Computer accurately identifies and delineates breast cancers on digital tissue slides
11.05.2017 | Case Western Reserve University
SPECT/CT combined with fluorescence imaging detects micrometastases
09.05.2017 | Society of Nuclear Medicine
Two-dimensional magnetic structures are regarded as a promising material for new types of data storage, since the magnetic properties of individual molecular building blocks can be investigated and modified. For the first time, researchers have now produced a wafer-thin ferrimagnet, in which molecules with different magnetic centers arrange themselves on a gold surface to form a checkerboard pattern. Scientists at the Swiss Nanoscience Institute at the University of Basel and the Paul Scherrer Institute published their findings in the journal Nature Communications.
Ferrimagnets are composed of two centers which are magnetized at different strengths and point in opposing directions. Two-dimensional, quasi-flat ferrimagnets...
An Australian-Chinese research team has created the world's thinnest hologram, paving the way towards the integration of 3D holography into everyday...
In the race to produce a quantum computer, a number of projects are seeking a way to create quantum bits -- or qubits -- that are stable, meaning they are not much affected by changes in their environment. This normally needs highly nonlinear non-dissipative elements capable of functioning at very low temperatures.
In pursuit of this goal, researchers at EPFL's Laboratory of Photonics and Quantum Measurements LPQM (STI/SB), have investigated a nonlinear graphene-based...
Dental plaque and the viscous brown slime in drainpipes are two familiar examples of bacterial biofilms. Removing such bacterial depositions from surfaces is...
For the first time, scientists have succeeded in studying the strength of hydrogen bonds in a single molecule using an atomic force microscope. Researchers from the University of Basel’s Swiss Nanoscience Institute network have reported the results in the journal Science Advances.
Hydrogen is the most common element in the universe and is an integral part of almost all organic compounds. Molecules and sections of macromolecules are...
22.05.2017 | Event News
17.05.2017 | Event News
16.05.2017 | Event News
22.05.2017 | Materials Sciences
22.05.2017 | Life Sciences
22.05.2017 | Physics and Astronomy