Forensic Imaging最新文献

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Application of multiphase post-mortem computed tomography angiography (MPMCTA) in a case of hemoptysis due to bronchopulmonary arterial fistula 多期死后计算机断层血管造影(MPMCTA)在支气管肺动脉瘘咯血中的应用
IF 1
Forensic Imaging Pub Date : 2025-10-08 DOI: 10.1016/j.fri.2025.200653
Anna Laura Santunione , Jessika Camatti , Giovanni Battinelli , Luca Alemanno , Giovanni Pizzuti , Pietro Torricelli , Rossana Cecchi
{"title":"Application of multiphase post-mortem computed tomography angiography (MPMCTA) in a case of hemoptysis due to bronchopulmonary arterial fistula","authors":"Anna Laura Santunione ,&nbsp;Jessika Camatti ,&nbsp;Giovanni Battinelli ,&nbsp;Luca Alemanno ,&nbsp;Giovanni Pizzuti ,&nbsp;Pietro Torricelli ,&nbsp;Rossana Cecchi","doi":"10.1016/j.fri.2025.200653","DOIUrl":"10.1016/j.fri.2025.200653","url":null,"abstract":"<div><div>Bronchopulmonary arterial fistula (BPAF), an abnormal connection between the bronchus and the vascular tree, is a rare life-threatening condition whose clinical presentation is massive hemoptysis with high mortality rate. Here we present a case of fatal massive hemoptysis due to a BPAF in which the fistula was detected by postmortem imaging following the multiphase postmortem computed tomographic angiography (MPMCTA) protocol.</div><div>A 71-year-old man presented with an episode of persistent cough associated with profuse bleeding from the respiratory orifices, then lost consciousness and died. The subject was a heavy smoker and had complained of a persistent dry cough in the days before death. MPMCTA was performed, then autopsy and histological examination were carried out.</div><div>Postmortem imaging revealed the presence, at the left pulmonary hilum, of a lesion compatible with a, previously not detected, primary lung tumor, in the context of which MPMCTA documented a BPAF. Through postmortem imaging, a hepatic lesion, suggestive of a metastasis, was also observed. These findings were later confirmed by autopsy, and histologic examination allowed the diagnosis of primary lung tumor and liver metastasis.</div><div>The case presented here underscores the usefulness of postmortem angiography techniques in cases where vascular injury is hypothesized as the cause of death, especially if there are no radiological images performed during life. Indeed, these techniques allow to detect prior to anatomical dissection the acute vascular damage causative of death, any additional vascular abnormalities, as well as anatomical variants affecting the region where the vascular damage occurred.</div></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"43 ","pages":"Article 200653"},"PeriodicalIF":1.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ISFRI Education Working Group: competencies and training requirements for reporting and interpretation of adult forensic post-mortem imaging ISFRI教育工作组:报告和解释成人法医死后成像的能力和培训要求
IF 1
Forensic Imaging Pub Date : 2025-09-18 DOI: 10.1016/j.fri.2025.200652
Chris O’Donnell , Guy Rutty , Yohsuke Makino , Michael Thali , Wolf Schweitzer , Ante Marusic , Yanko Kolev , Hideki Hyodoh , Jamie Elifritz , Garyfalia Ampanozi , Carlo Tappero , Bart G. H. Latten , Rathachai Kaewlai , members of the ISFRI education working group
{"title":"ISFRI Education Working Group: competencies and training requirements for reporting and interpretation of adult forensic post-mortem imaging","authors":"Chris O’Donnell ,&nbsp;Guy Rutty ,&nbsp;Yohsuke Makino ,&nbsp;Michael Thali ,&nbsp;Wolf Schweitzer ,&nbsp;Ante Marusic ,&nbsp;Yanko Kolev ,&nbsp;Hideki Hyodoh ,&nbsp;Jamie Elifritz ,&nbsp;Garyfalia Ampanozi ,&nbsp;Carlo Tappero ,&nbsp;Bart G. H. Latten ,&nbsp;Rathachai Kaewlai ,&nbsp;members of the ISFRI education working group","doi":"10.1016/j.fri.2025.200652","DOIUrl":"10.1016/j.fri.2025.200652","url":null,"abstract":"","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"43 ","pages":"Article 200652"},"PeriodicalIF":1.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex Estimation Through External Occipital Protuberance Morphology: A CT Scan Study in Northwest India 通过枕外突形态判断性别:印度西北部的CT扫描研究
IF 1
Forensic Imaging Pub Date : 2025-09-09 DOI: 10.1016/j.fri.2025.200649
Mohinder Sharma , Sushil Kumar Battan , Mandeep Garg , Paramjeet Singh , Tina Sharma
{"title":"Sex Estimation Through External Occipital Protuberance Morphology: A CT Scan Study in Northwest India","authors":"Mohinder Sharma ,&nbsp;Sushil Kumar Battan ,&nbsp;Mandeep Garg ,&nbsp;Paramjeet Singh ,&nbsp;Tina Sharma","doi":"10.1016/j.fri.2025.200649","DOIUrl":"10.1016/j.fri.2025.200649","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to evaluate the types, prevalence, and forensic utility of external occipital protuberance (EOP) morphology for sex estimation in a Northwest Indian population using computed tomography (CT) imaging.</div></div><div><h3>Materials and Methods</h3><div>CT scan data of 331 adult individuals (167 males, 164 females), aged 18 to 75 years, were analyzed. EOP morphology was classified into three distinct types: Type 1, Type 2, and Type 3. Morphometric measurements—including total EOP length (TEOP) and angle at apex of EOP (AAEOP)—were obtained using the Radiant DICOM Viewer. Statistical analysis, including discriminant function analysis, was employed to assess the predictive accuracy of EOP features for sex estimation.</div></div><div><h3>Results</h3><div>The analysis revealed significant sexual dimorphism in EOP morphology. Type 1 was more frequent in females (33.8%), while Type 3 was more common in males (38.3%). Male individuals showed greater EOP thickness and more pronounced cranial landmarks such as the superior and inferior nuchal lines and the external occipital crest. Discriminant function analysis yielded an overall sex estimation accuracy of 89.4%, with higher classification rates in older age groups. Among the variables, TEOP and AAEOP were the most reliable predictors, achieving classification accuracies of 81.9% and 76.1%, respectively.</div></div><div><h3>Conclusion</h3><div>EOP morphology demonstrates clear sexual dimorphism and proves to be a reliable indicator for sex estimation in the studied Northwest Indian population. The high classification accuracy, particularly in older age groups, supports the integration of EOP-based assessment into forensic protocols. This study highlights the importance of population-specific data and encourages further research on cranial features in underrepresented regions to enhance forensic identification methods.</div></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"43 ","pages":"Article 200649"},"PeriodicalIF":1.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145057289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of walker's non-metric sex estimation method using 3D glabella images in Koreans: A metric approach 验证沃克的非度量性别估计方法使用韩国人的三维眉间图像:一个度量方法
IF 1
Forensic Imaging Pub Date : 2025-09-09 DOI: 10.1016/j.fri.2025.200650
Yun Taek Shim , Nahyun Aum , Yi-Suk Kim , DukHoon Kim , Young Man Lee , Jeong Yeol Park , Ji Soo Han
{"title":"Validation of walker's non-metric sex estimation method using 3D glabella images in Koreans: A metric approach","authors":"Yun Taek Shim ,&nbsp;Nahyun Aum ,&nbsp;Yi-Suk Kim ,&nbsp;DukHoon Kim ,&nbsp;Young Man Lee ,&nbsp;Jeong Yeol Park ,&nbsp;Ji Soo Han","doi":"10.1016/j.fri.2025.200650","DOIUrl":"10.1016/j.fri.2025.200650","url":null,"abstract":"<div><div>Computed tomography (CT) is excellent for examining the skull and providing a contiguous series of cross-sections and three-dimensional information. We aimed to develop a forensic anthropological method for determining sex in Koreans, involving a metric analysis of the glabellar region volume derived from three-dimensional CT images of the skull. A total of 661 CT images of Korean skulls were obtained. Of these, 100 CT images were randomly selected for non-metric sex estimation using the Walker method, and the remaining 561 CT images were used to derive a regression equation for sex estimation in Koreans using the metric method. To verify the validity of the derived equation, we analyzed 100 CT images previously selected for non-metric sex estimation using the metric method. The glabellar region volume was greater in males than in females. Moreover, measuring the glabellar region volume using the metric method increased sex estimation accuracy by 5 % compared to the non-metric method. We elucidated a new measurement range and method for measuring the glabellar region volume. The sex matching rate of the metric method was similar (81 %) to that reported in a previous study that used a non-metric method. In summary, we quantitatively discriminated sex using three-dimensional measurements of the glabellar region and demonstrated that the non-metric sex estimation method based on skull data of the non-Korean population is not suitable for estimating sex using the glabella in Koreans. The metric method proposed in this study will increase the accuracy and reliability of sex estimation in Koreans.</div></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"43 ","pages":"Article 200650"},"PeriodicalIF":1.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Behind the X-ray: How radiographers aid child abuse investigations x光的背后:放射技师如何协助儿童虐待调查
IF 1
Forensic Imaging Pub Date : 2025-09-09 DOI: 10.1016/j.fri.2025.200651
Jessica Eaton , Bo Mussmann , Alan Simpson , Owen J Arthurs
{"title":"Behind the X-ray: How radiographers aid child abuse investigations","authors":"Jessica Eaton ,&nbsp;Bo Mussmann ,&nbsp;Alan Simpson ,&nbsp;Owen J Arthurs","doi":"10.1016/j.fri.2025.200651","DOIUrl":"10.1016/j.fri.2025.200651","url":null,"abstract":"<div><div>The role of radiographers' in forensic medical imaging is crucial in child protection cases yet is often overlooked. This correspondence aims to provide the legal profession with insights into the contributions of paediatric radiographers in obtaining high quality images for court presentations. It discusses the specialised training required for forensic imaging, the challenges faced by radiographers, and the importance of parental trust during imaging procedures. Additionally, it highlights the mental health implications for radiographers working in distressing situations and the need for adequate support mechanisms. By enhancing understanding of the radiographers role, we aim to inform the understanding of those working to safeguard children in the legal system.</div></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"43 ","pages":"Article 200651"},"PeriodicalIF":1.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic literature review of deepfakes in forensic science 对法医科学中深度造假的系统文献综述
IF 1
Forensic Imaging Pub Date : 2025-09-01 DOI: 10.1016/j.fri.2025.200647
Jenifer Loovens , Hasan Tinmaz
{"title":"A systematic literature review of deepfakes in forensic science","authors":"Jenifer Loovens ,&nbsp;Hasan Tinmaz","doi":"10.1016/j.fri.2025.200647","DOIUrl":"10.1016/j.fri.2025.200647","url":null,"abstract":"<div><div>This research explores the complex implications of deepfakes, a controversial application of Artificial Intelligence (AI) and deep learning in forensic science. It highlights the ethical dilemmas and technological challenges associated with their use, emphasizing the growing risk deepfakes pose to the integrity of digital evidence. The study also addresses the ongoing ‘arms race’ between the development of increasingly sophisticated deepfakes content and the progress in detection tools. Additionally, it investigates the psychological and legal aspects of deepfakes, advocating for critical technological advancements and ethical frameworks to mitigate the associated risks. A systematic literature review of 36 selected research articles published between 2021 and 2024 across seven academic databases was conducted. The analysis identifies key research trends, categorizes essential keywords, and examines the various forensic approaches employed in deepfakes research. The findings reveal that, while progress has been made in deepfakes detection and forensic analysis, interdisciplinary collaboration is urgently needed to establish standardized methods and frameworks to combat digital manipulation. Continuous advancements in detection techniques, alongside the integration of ethical considerations into forensic practices, will be crucial to preserving the integrity of digital evidence amidst the rapid evolution of deepfakes technology.</div></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"43 ","pages":"Article 200647"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Withdrawal notice to “ISFRI Guidelines Working Group: Best Practice Standards for Non-Contrast Postmortem Computed Tomography (PMCT) of Overdose” [Forensic Imaging (2025) 200633] 对“ISFRI指引工作小组:药物过量非对比死后计算机断层扫描(PMCT)最佳实践标准”的撤回通知[法医影像(2025)200633]
IF 1
Forensic Imaging Pub Date : 2025-09-01 DOI: 10.1016/j.fri.2025.200644
Jamie Elifritz , Micillo Andrea , Fabrice Dedouit , Laura Filograna , ISFRI Guidelines Working Group
{"title":"Withdrawal notice to “ISFRI Guidelines Working Group: Best Practice Standards for Non-Contrast Postmortem Computed Tomography (PMCT) of Overdose” [Forensic Imaging (2025) 200633]","authors":"Jamie Elifritz ,&nbsp;Micillo Andrea ,&nbsp;Fabrice Dedouit ,&nbsp;Laura Filograna ,&nbsp;ISFRI Guidelines Working Group","doi":"10.1016/j.fri.2025.200644","DOIUrl":"10.1016/j.fri.2025.200644","url":null,"abstract":"","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"42 ","pages":"Article 200644"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144924710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-contained crash or run-over by a vehicle? Integrating post-mortem CT and kinematic analysis to reconstruct motorcycle accident dynamics 是自行撞车还是被车辆碾压?结合死后CT和运动学分析重建摩托车事故动力学
IF 1
Forensic Imaging Pub Date : 2025-08-30 DOI: 10.1016/j.fri.2025.200648
Elena Giovannini , Guido Pelletti , Luigi Friio , Mattia Strangi , Paolo Fais , Susi Pelotti
{"title":"Self-contained crash or run-over by a vehicle? Integrating post-mortem CT and kinematic analysis to reconstruct motorcycle accident dynamics","authors":"Elena Giovannini ,&nbsp;Guido Pelletti ,&nbsp;Luigi Friio ,&nbsp;Mattia Strangi ,&nbsp;Paolo Fais ,&nbsp;Susi Pelotti","doi":"10.1016/j.fri.2025.200648","DOIUrl":"10.1016/j.fri.2025.200648","url":null,"abstract":"<div><div>Differentiating between primary impact injuries and those caused by a run-over event in motorcycle accidents can be challenging due to the complexity of trauma mechanisms and the lack of standardized diagnostic criteria. This report presents the case of a 57-year-old motorcyclist found deceased following a collision, with initial suspicions raised by surveillance footage suggesting the possibility of a run-over by a passing car. A comprehensive forensic investigation was conducted, including autopsy, post-mortem computed tomography (PMCT), and kinematic analysis, to determine the cause of death and reconstruct the accident dynamics.</div><div>The PMCT played a pivotal role in accurately documenting complex injury patterns, such as bilateral anterior-posterior fractures of the skull, ribs, and pelvis, which initially suggested a crushing mechanism. However, integration with kinematic findings and circumstantial evidence excluded the involvement of the suspected car. Instead, it was determined that the injuries resulted from compression between the overturned motorcycle and a tree during the collision.</div><div>This case highlights the indispensable value of PMCT in forensic investigations, particularly in identifying subtle fracture patterns and enhancing injury interpretation. Despite the sensitivity and applicability of PMCT in traffic accidents, there is limited data regarding the interpretation of differential diagnoses between crush injuries and blunt-force impacts in motorcyclists. The systematic use of PMCT, combined with interdisciplinary collaboration between forensic pathologists, radiologists, and kinematic experts, represents a significant advancement in reconstructing complex traffic accidents and reducing uncertainty in medico-legal evaluations.</div></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"43 ","pages":"Article 200648"},"PeriodicalIF":1.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145005241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postmortem computed tomography imaging in giant anteaters (Myrmecophaga tridactyla) 巨型食蚁兽(Myrmecophaga tridactyla)死后计算机断层成像
IF 0.8
Forensic Imaging Pub Date : 2025-07-19 DOI: 10.1016/j.fri.2025.200645
Maria Jaqueline Mamprim , Sheila Canevese Rahal , Jeana Pereira da Silva , Jair Theodoro Filho , Gabriela Montezel Frigerio , Paulo Hilário Nascimento Saldiva , Isabela Cristina de Souza Marques , Ricardo Shoiti Ichikawa
{"title":"Postmortem computed tomography imaging in giant anteaters (Myrmecophaga tridactyla)","authors":"Maria Jaqueline Mamprim ,&nbsp;Sheila Canevese Rahal ,&nbsp;Jeana Pereira da Silva ,&nbsp;Jair Theodoro Filho ,&nbsp;Gabriela Montezel Frigerio ,&nbsp;Paulo Hilário Nascimento Saldiva ,&nbsp;Isabela Cristina de Souza Marques ,&nbsp;Ricardo Shoiti Ichikawa","doi":"10.1016/j.fri.2025.200645","DOIUrl":"10.1016/j.fri.2025.200645","url":null,"abstract":"<div><div>This study aimed to describe the findings of post-mortem CT in three adult giant anteaters. The first animal was found with paraparesis of the hind limbs in a rural area and rescued by a fire brigade. CT of the thoracic spine showed malalignment with a fracture-dislocation of T15. The fracture of T15 was compressive and there was a moderate narrowing of the spinal canal. The death was likely due to a spinal cord injury. The second animal was found unconscious in a rural area and rescued by the municipal guard. A CT scan revealed a significant increase in volume that extended to the submandibular and ventral upper cervical region with the presence of gas and a low-density core. Additionally, the right tympanic cavity was filled with material of soft tissue density. The animal likely died due to a severe neck infection. The third animal was in a rural area with body wounds. The CT scan showed an increase in muscle volume in the hind limbs with the presence of gaseous content. There was a loss of definition of the abdominal wall and the presence of free intraperitoneal gas. The death was attributed to the heavily infected and deep skin wounds, possibly leading to peritonitis. The post-mortem CT findings were valuable in identifying lesions and determining the cause of death in the three giant anteaters. The sensitivity of the post-mortem exam could be increased by including other imaging techniques such as magnetic resonance imaging.</div></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"42 ","pages":"Article 200645"},"PeriodicalIF":0.8,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
White paper by the international society of forensic imaging guidelines working group on non-contrast PMCT for decomposed remains 国际法医成像指南协会工作组关于分解遗体非对比PMCT的白皮书
IF 1
Forensic Imaging Pub Date : 2025-07-14 DOI: 10.1016/j.fri.2025.200643
Jamie Elifritz , Micillo Andrea , Fabrice Dedouit , Laura Filograna
{"title":"White paper by the international society of forensic imaging guidelines working group on non-contrast PMCT for decomposed remains","authors":"Jamie Elifritz ,&nbsp;Micillo Andrea ,&nbsp;Fabrice Dedouit ,&nbsp;Laura Filograna","doi":"10.1016/j.fri.2025.200643","DOIUrl":"10.1016/j.fri.2025.200643","url":null,"abstract":"<div><div>Overdose deaths, particularly from opioids and synthetic analogs, continue to rise globally. While some cases present with overt indicators, others lack external signs, complicating initial investigation. Postmortem computed tomography (PMCT) has emerged as a valuable adjunct in these cases, offering radiologic features that may suggest overdose and support triage, even in unsuspected deaths. Characteristic findings—such as cerebral edema, pulmonary edema, and urinary bladder distention—comprise the so-called “overdose triad,” which demonstrates high specificity for overdose-related fatalities. PMCT also detects ancillary features including findings related to pill fragments, signs of body packing, and hypertensive intracerebral hemorrhage. In overdose investigations, PMCT’s high negative predictive value helps exclude internal trauma and skeletal injuries, guiding case management and informing decisions on the necessity for full autopsy. While PMCT findings are not pathognomonic and may be absent in rapidly fatal intoxications, the technique offers considerable value, particularly when integrated with toxicological analysis and full autopsy. The International Society of Forensic Radiology and Imaging (ISFRI) supports the standardized use of PMCT in suspected overdose deaths as part of a comprehensive forensic approach.</div></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"42 ","pages":"Article 200643"},"PeriodicalIF":1.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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