Forensic Imaging最新文献

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Development of a novel humerus-clavicle model for sex determination using multi-detector computed tomography scanning in a sample of Egyptian population 在埃及人口样本中利用多载体计算机断层扫描技术开发用于性别鉴定的新型肱骨-锁骨模型
IF 1.1
Forensic Imaging Pub Date : 2024-06-12 DOI: 10.1016/j.fri.2024.200601
Heba I. Lashin , Eman A. Zaki , Amal S.A.F. Hafez , Alaa M. Reda , Abdel-moty M.K. Kabbash
{"title":"Development of a novel humerus-clavicle model for sex determination using multi-detector computed tomography scanning in a sample of Egyptian population","authors":"Heba I. Lashin ,&nbsp;Eman A. Zaki ,&nbsp;Amal S.A.F. Hafez ,&nbsp;Alaa M. Reda ,&nbsp;Abdel-moty M.K. Kabbash","doi":"10.1016/j.fri.2024.200601","DOIUrl":"10.1016/j.fri.2024.200601","url":null,"abstract":"<div><h3>Objectives</h3><p>Sex determination is a critical step in personal identification. Both humerus and clavicle bones exhibit apparent sexual dimorphism in different populations. Multi-detector computed tomography (MDCT) scanning has been widely used in forensic sex estimation. It provides accurate bone measurements for the modern living population. This study aimed to develop a novel model to determine sex using MDCT scanning of humerus and clavicle bones in a sample of Egyptian population.</p></div><div><h3>Material and Methods</h3><p>Thoracic MDCT scans of 417 Egyptians of both sexes, aged 10-35 years were included. Three-dimensional volume rendering images were reconstructed using Vitrea® CT workstation. The vertical diameter of right humeral head (VDH) and right clavicular length (CL) were measured for each subject using Radiant DICOM viewer.</p></div><div><h3>Results</h3><p>Both measurements had significantly higher median values among males than females in all age groups above 15 years and were significantly valid for sex estimation. The highest AUC was reported for right VDH, followed by right CL (0.859 and 0.856, respectively). Optimal cut-off points of the right VDH and right CL for predicting males were &gt;40.1 mm and &gt;139.15 mm, respectively. Both studied measurements contributed significantly to univariate and multivariate regression models and gave rise to a novel model that could predict males with 83.5 % overall accuracy.</p></div><div><h3>Conclusion</h3><p>VDH and CL can be effectively used as an alternative in forensic sex estimation when only humerus and clavicle bones can be measured. The developed model can be easily applied by forensic specialists to estimate sex with high accuracy among Egyptian population.</p></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"38 ","pages":"Article 200601"},"PeriodicalIF":1.1,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395029","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
Analysis of the phenomenon of subdural hematoma observed in postmortem computed tomography disappearing at autopsy 对尸检计算机断层扫描中观察到的硬膜下血肿在尸检时消失现象的分析
IF 1.1
Forensic Imaging Pub Date : 2024-06-10 DOI: 10.1016/j.fri.2024.200600
Nami Tsurushiin , Kazuhiko Kibayashi , Ryo Shimada , Ken-ichiro Nakao
{"title":"Analysis of the phenomenon of subdural hematoma observed in postmortem computed tomography disappearing at autopsy","authors":"Nami Tsurushiin ,&nbsp;Kazuhiko Kibayashi ,&nbsp;Ryo Shimada ,&nbsp;Ken-ichiro Nakao","doi":"10.1016/j.fri.2024.200600","DOIUrl":"https://doi.org/10.1016/j.fri.2024.200600","url":null,"abstract":"<div><h3>Objectives</h3><p>We encountered a case in which an acute subdural hematoma (SDH) was observed on postmortem computed tomography (PMCT) but no hematoma was found under the dura mater during autopsy. Subsequent verification led to the conclusion that the SDH was pressing on the brain when PMCT was performed but was not observed because all the subdural blood drained out during craniotomy because the hematoma did not clot.</p></div><div><h3>Materials and Methods</h3><p>We examined 13 cases of SDH in which PMCT was performed before autopsy to determine the factors related to the presence or absence of blood clots in the SDH, and to determine whether PMCT before autopsy could determine the presence or absence of blood clots in the SDH.</p></div><div><h3>Results</h3><p>Blood clots were not found in the SDH of individuals with an estimated survival interval of 5 h or less or when the estimated survival interval was 1440 h or more. No particular trend was observed in the relationship between the presence or absence of clots in the SDH and HU values of the SDH.</p></div><div><h3>Conclusion</h3><p>Early death after injury and chronic SDH are thought not to contain SDH clots. In cases of early death after injury, the autopsy diagnosis of SDH should be made by careful observation of the fluid SDH during craniotomy, as SDH may not contain clots as an indicator of SDH at autopsy. Predicting the presence or absence of a clot within an SDH using PMCT is difficult.</p></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"38 ","pages":"Article 200600"},"PeriodicalIF":1.1,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141333005","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
Mobile forensic photogrammetry in the field: Conservative approach to non-collaborative surfaces 实地移动法医摄影测量:非协作表面的保守方法
IF 1.1
Forensic Imaging Pub Date : 2024-05-22 DOI: 10.1016/j.fri.2024.200597
Wolf Schweitzer , Haruki Fukuda , Michael Thali , Stephan Bolliger , Lars Ebert
{"title":"Mobile forensic photogrammetry in the field: Conservative approach to non-collaborative surfaces","authors":"Wolf Schweitzer ,&nbsp;Haruki Fukuda ,&nbsp;Michael Thali ,&nbsp;Stephan Bolliger ,&nbsp;Lars Ebert","doi":"10.1016/j.fri.2024.200597","DOIUrl":"10.1016/j.fri.2024.200597","url":null,"abstract":"<div><p>Conventional photogrammetry faces challenges with non-textured, transparent, or reflective surfaces, affecting accurate 3D modeling, particularly in forensic documentation. This study evaluates improvements using lower exposure, exposure bracketing, and RAW format for better 3D modeling of non-textured surfaces. Two bodies were photographed under controlled conditions to assess techniques for non-textured surfaces, with a comparison set for textured surfaces. The experiments were conducted in an autopsy room with a Nikon D5500 camera, adjusting for low exposure, exposure bracketing, RAW format, and increased photo redundancy. Models with Meshroom (Alicevision). Our focus was on visual plausibility rather than quantitative metrics. Results indicated that using RAW format with exposure bracketing and low exposure significantly improved 3D models by reducing artificial edges seen with standard JPG images, despite some noise. A redundant series of RAW photos further reduced edge artifacts and noise, demonstrating the effectiveness of averaging photos to enhance model quality. However, these modifications showed marginal improvements on textured surfaces, underscoring their significant benefits primarily for non-textured surfaces. This study highlights the potential of modified photogrammetry techniques in forensic science, particularly for documenting challenging surfaces. It points out the need for further research, given its limitations in sample size and the absence of extensive parameter testing and quantitative analysis.</p></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"38 ","pages":"Article 200597"},"PeriodicalIF":1.1,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666225624000216/pdfft?md5=83f2f3aafcbd648a9afc0d084809f72d&pid=1-s2.0-S2666225624000216-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141135972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advanced medical imaging for forensic triage: A study of the added value of combining PMCT and PMMR of the head 用于法医分诊的高级医学成像:关于头部 PMCT 和 PMMR 相结合的附加值的研究
IF 1.1
Forensic Imaging Pub Date : 2024-05-11 DOI: 10.1016/j.fri.2024.200598
Ingrid I.H. Haest , Paul A.M. Hofman , Jos P.J. Herbergs , Hans Nelen , Marko Jelicic
{"title":"Advanced medical imaging for forensic triage: A study of the added value of combining PMCT and PMMR of the head","authors":"Ingrid I.H. Haest ,&nbsp;Paul A.M. Hofman ,&nbsp;Jos P.J. Herbergs ,&nbsp;Hans Nelen ,&nbsp;Marko Jelicic","doi":"10.1016/j.fri.2024.200598","DOIUrl":"10.1016/j.fri.2024.200598","url":null,"abstract":"<div><h3>Background</h3><p>Approximately 170,000 individuals die annually in the Netherlands. Dutch law mandates examinations to distinguish between natural death and unnatural death. Traditionally, this involves external examinations and an inspection of medical records; however, medical imaging has emerged as a tool for investigating deaths.</p></div><div><h3>Objective</h3><p>The objective of the study was to investigate whether the addition of post-mortem magnetic resonance (PMMR) to post-mortem computed tomography (PMCT) could assist in the categorisation of deaths as natural or unnatural and augment confidence in those classifications.</p></div><div><h3>Methods</h3><p>In this retrospective study, the PMCT and PMMR head images of 50 individuals were evaluated by a forensic radiologist. The impact of PMMR on lesion detection, the cause of death (COD), the differentiation between natural death and unnatural death, and confidence levels were assessed. All available case information was used as the reference standard.</p></div><div><h3>Results</h3><p>The addition of the PMMR led to a statistically significant increase in lesion detection (48%), changes in the classification of COD in four cases, and an increased level of confidence in the classification. Differentiation between natural death and unnatural death reversed in 10 cases, altering the overall manner of death (MOD) classification in 20% of cases.</p></div><div><h3>Conclusion</h3><p>When PMCT indicates a natural or unnatural death, PMMR is unnecessary. PMMR of the head is recommended in situations in which the MOD is uncertain based on PMCT findings. The ultimate determination of a natural death and unnatural death should always take into account the results of external examinations, police investigations, and other available information.</p></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"37 ","pages":"Article 200598"},"PeriodicalIF":1.1,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666225624000228/pdfft?md5=60d36f41128031711f88750f8eee3fda&pid=1-s2.0-S2666225624000228-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141048714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Virtopsy concept around the world: Institute-based survey of worldwide forensic postmortem imaging 世界各地的 Virtopsy 概念:基于机构的全球法医尸检成像调查
IF 1.1
Forensic Imaging Pub Date : 2024-05-08 DOI: 10.1016/j.fri.2024.200595
Natalia Khmara , Rilana Baumeister , Wolf Schweitzer , Michael Thali , Garyfalia Ampanozi
{"title":"Virtopsy concept around the world: Institute-based survey of worldwide forensic postmortem imaging","authors":"Natalia Khmara ,&nbsp;Rilana Baumeister ,&nbsp;Wolf Schweitzer ,&nbsp;Michael Thali ,&nbsp;Garyfalia Ampanozi","doi":"10.1016/j.fri.2024.200595","DOIUrl":"10.1016/j.fri.2024.200595","url":null,"abstract":"&lt;div&gt;&lt;p&gt;Introduction: Forensic routine postmortem imaging in excess of photography and conventional X-ray has been pushed since a few years, in some instances under the name ”Virtopsy”. It constitutes a pivotal innovation in forensic medicine as it allows for the non-invasive exploration of the deceased through diverse imaging techniques. This study offers an analysis of a survey with focus on the worldwide adoption and application of postmortem imaging. Our goal is to uncover and understand regional variances in its deployment application. Methods: A survey comprising 18 questions, both closed-ended and open-ended, was designed collaboratively and distributed globally via email and social network. The survey addressed topics such as autopsy rates, imaging modalities, indications for postmortem imaging, personnel involved, evaluation methods, and communication of findings. The survey was initially sent to institutes with published postmortem imaging research, and later, it was distributed through international forensic radiology and radiographer associations. Statistical analysis was conducted to interpret the results. Results: Responses were obtained from 29 countries, representing 6 continents, with a total of 100 participating institutions. European institutions were predominant (69%), followed by Australia (9), North America (8), Asia (7), Africa (6) and South America (1). The majority of institutions reported 100-500 autopsies annually (31). Among the institutes that reported that they perform post mortem imaging (PMI), most listed postmortem computed tomography (PMCT) as modality (89%). The request to perform PMI was issued by institutes of forensic medicine (51%), researchers (42%), police (43%) or public prosecutor’s office (54%). 48% of the respondents stated that an autopsy must always be performed, even if the cause and manner of death can be ascertained by postmortem imaging. radiographers were primarily responsible for technically performing PMCT (65%) whereas physicians were listed in 28%, autopsy technicians in 18%. The majority of the institutions (32%) identified clinical radiologists as the primary individuals responsible for reading, evaluating radiological images, and writing reports. Many respondents (64%) reported that their image readers had attended specialized postmortem imaging courses. Communication of findings typically involved written reports (28%) or a combination of written reports and illustrated images (31%). Membership of survey respondents was indicated in 38% for the International Society of Forensic Radiology and Imaging (ISFRI) and 5% for the International Association of Forensic Radiographers (IAFR). The question was how many of the responders are members of a PMI focused radiological society or work group. 52% (44 out of 85) respondents indicated they were not a member of a postmortem imaging society. The memberships listed are ISFRI (38%), IAFR (5%) and AGFB (Arbeitsgruppe Forensische Bildgebung, 4%). Con","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"37 ","pages":"Article 200595"},"PeriodicalIF":1.1,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666225624000198/pdfft?md5=254211b89fc945c0d5f6f3001297cee3&pid=1-s2.0-S2666225624000198-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scaling up contrast-enhanced micro-CT imaging: Optimizing contrast and acquisition for large ex-vivo human samples 扩大对比度增强显微 CT 成像:优化大型体外人体样本的对比度和采集
IF 1.1
Forensic Imaging Pub Date : 2024-04-27 DOI: 10.1016/j.fri.2024.200596
Daniël Docter , Melanie Timmerman , Yousif Dawood , Jaco Hagoort , Nick Lobe , Ernst van Heurn , Ramon Gorter , Karl Jacobs , Grzegorz Pyka , Greet Kerckhofs , Maurice J.B. van den Hoff , Bernadette de Bakker
{"title":"Scaling up contrast-enhanced micro-CT imaging: Optimizing contrast and acquisition for large ex-vivo human samples","authors":"Daniël Docter ,&nbsp;Melanie Timmerman ,&nbsp;Yousif Dawood ,&nbsp;Jaco Hagoort ,&nbsp;Nick Lobe ,&nbsp;Ernst van Heurn ,&nbsp;Ramon Gorter ,&nbsp;Karl Jacobs ,&nbsp;Grzegorz Pyka ,&nbsp;Greet Kerckhofs ,&nbsp;Maurice J.B. van den Hoff ,&nbsp;Bernadette de Bakker","doi":"10.1016/j.fri.2024.200596","DOIUrl":"https://doi.org/10.1016/j.fri.2024.200596","url":null,"abstract":"<div><p>Microfocus Computed Tomography (Micro-CT) is a novel method for non-destructive 3D imaging of samples, reaching microscale resolutions. While initially prominent in material sciences for small samples, micro-CT now gains significance in biological and medical studies. Here we present our utilization of micro-CT for imaging large ex-vivo human samples for anatomical and forensic research in three recent experiments and discuss the fundamentals of micro-CT imaging.</p><p>For pelvic anatomical research, whole human pelvises were imaged to explore nerve anatomy around the prostate using various concentrations of buffered lugol (B-lugol). Advanced acquisition protocols were essential due to X-ray attenuation properties of the sample, which required higher energy for sufficient photon transmission.</p><p>For fetal research, B-lugol stained fetuses of 20–24 gestational weeks underwent full body imaging. However, this led to challenging acquisition parameters and images of insufficient quality. Subsequent destaining yielded less dense, yet contrast-maintaining samples allowing higher quality images. Refined acquisition protocols with reduced energy improved image quality.</p><p>For forensic research, explanted hyoid-larynx complexes were imaged. Micro-CT imaging showed potential in visualizing micro-fractures. The addition of B-lugol allowed for excellent soft tissue contrast and promising possibilities for forensic evaluation.</p><p>In conclusion, micro-CT imaging accommodates a diversity of large ex-vivo human samples for anatomical and forensic purposes, though challenges arise with optimal soft tissue staining and acquisition protocols. We describe partial destaining as a new possibility to alleviate scanning issues to improve scan quality and highlight topics for future research. Micro-CT imaging is a promising new avenue for medical research and forensic evaluation.</p></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"37 ","pages":"Article 200596"},"PeriodicalIF":1.1,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666225624000204/pdfft?md5=ce88914d06b84c25a1ee63f97f32a82a&pid=1-s2.0-S2666225624000204-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140894348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reduction methods for finger irradiation doses in mass disasters: A comparative study 减少大规模灾难中手指辐照剂量的方法:比较研究
IF 1.1
Forensic Imaging Pub Date : 2024-04-22 DOI: 10.1016/j.fri.2024.200594
Atsushi Iwawaki , Yusei Otaka , Takeru Ishii , Akihiro Ochiai , Shinji Kito , Hideki Saka
{"title":"Reduction methods for finger irradiation doses in mass disasters: A comparative study","authors":"Atsushi Iwawaki ,&nbsp;Yusei Otaka ,&nbsp;Takeru Ishii ,&nbsp;Akihiro Ochiai ,&nbsp;Shinji Kito ,&nbsp;Hideki Saka","doi":"10.1016/j.fri.2024.200594","DOIUrl":"10.1016/j.fri.2024.200594","url":null,"abstract":"<div><h3>Purpose</h3><p>Since many intraoral radiographs are taken in mass disasters, it is important to reduce the finger irradiation dose to the operator and caregivers in intraoral radiography. However, there is not enough reporting on finger irradiation doses when the detector is placed in the oral cavity of a corpse. The objective of this study was to examine finger irradiation doses when using detector holders and protective gloves and to compare various reduction methods.</p></div><div><h3>Methods</h3><p>One type of disposable and two types of protective gloves were employed in this study. The average irradiation dose was calculated by dividing the accumulated dose by the number of irradiation events for intraoral imaging of the left mandibular molar; since the dosimeter detects a cumulative dose, irradiation was continued until the dose exceeded 100 μSv. Statistical analysis was performed using one-way analysis of variance, Bonferroni test, and multiple comparisons test (α = 0.05).</p></div><div><h3>Results</h3><p>A significant dose reduction was observed using protective gloves (maximum: 63%, mean: 59%; <em>p</em>&lt;0.01). No significant difference in the irradiation dose to the finger was observed when disposable gloves were layered on protective gloves. When protective gloves were used with the detector holder held at the end position, the radiation dose reduced by approximately 91% compared to when the detector was held directly in the oral cavity. Implementing these radioprotective measures can reduce the risks of increased radiation exposure and contamination.</p></div><div><h3>Conclusions</h3><p>The combined use of detector holders and protective gloves was effective in reducing the radiation exposure to the operator's fingers.</p></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"37 ","pages":"Article 200594"},"PeriodicalIF":1.1,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666225624000186/pdfft?md5=87d99536c2fb1a71e7ee9bcc93e93681&pid=1-s2.0-S2666225624000186-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140775551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of a technique for postmortem CT angiography of fetuses with a lipophilic contrast agent 利用亲脂性造影剂开发胎儿死后 CT 血管造影技术
IF 1.1
Forensic Imaging Pub Date : 2024-04-20 DOI: 10.1016/j.fri.2024.200593
Jessica Vanhaebost , Nicolas Michoux , Xavier de Spiegeleire , Silke Grabherr , Emmanuel Coche
{"title":"Development of a technique for postmortem CT angiography of fetuses with a lipophilic contrast agent","authors":"Jessica Vanhaebost ,&nbsp;Nicolas Michoux ,&nbsp;Xavier de Spiegeleire ,&nbsp;Silke Grabherr ,&nbsp;Emmanuel Coche","doi":"10.1016/j.fri.2024.200593","DOIUrl":"https://doi.org/10.1016/j.fri.2024.200593","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Postmortem examinations of fetuses play a crucial role in confirming abnormalities, especially vascular and cardiac malformations leading to fetal demise. This study aims at developing and assessing a method for acquiring Post-Mortem CT-Angiography (PMCTA) with the injection of a lipophilic contrast agent (CA) to better visualize the great vessels of the trunk and head.</p></div><div><h3>Materials and methods</h3><p>25 human fetuses (gestational age at death between 106 days and 28 weeks) were included. Examinations were performed using a dual-energy Multidetector Computed Tomography (MDCT) scanner. Three imaging sequences were acquired, before CA injection, after injection of 7mL of CA through umbilical artery (arterial phase), and after an injection of 15mL of CA through umbilical vein (venous phase). CA-induced vascular opacification was scored <em>per</em>-vessel in both phases as follows: 0 = none, 1 = partial, 2 = complete. Total opacification was defined as the sum of the <em>per</em>-vessel opacification scores.</p></div><div><h3>Results</h3><p>In 23/25 subjects, CA injection into the umbilical vessels was feasible manually using flexible catheters. After the first injection, at least a partial opacification of the arterial network was achieved in 15/23 (65%) subjects. After the second injection, a complete opacification of the venous network was achieved in 18/23 (78%) subjects. Failures occurred in 10/25 (40%) subjects and were mostly due to the preservation status.</p></div><div><h3>Conclusion</h3><p>PMCTA performed with a two-phase intra-umbilical injection of a lipophilic CA enabled to visualize the vascular network, even after a significant a postmortem interval. This protocol may help in detecting vascular malformations, improving clinical diagnoses and prenatal counselling.</p></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"37 ","pages":"Article 200593"},"PeriodicalIF":1.1,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140649227","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
The cardiothoracic ratio on postmortem CT as a screening tool for cardiomegaly in the Thai population. 将死后 CT 上的心胸比率作为泰国人群中心脏肥大的筛查工具。
IF 1.1
Forensic Imaging Pub Date : 2024-04-15 DOI: 10.1016/j.fri.2024.200592
Chowditchapong Pongnaruechit, Panuwat Chutivongse, Koravik Meesilpavikkai
{"title":"The cardiothoracic ratio on postmortem CT as a screening tool for cardiomegaly in the Thai population.","authors":"Chowditchapong Pongnaruechit,&nbsp;Panuwat Chutivongse,&nbsp;Koravik Meesilpavikkai","doi":"10.1016/j.fri.2024.200592","DOIUrl":"https://doi.org/10.1016/j.fri.2024.200592","url":null,"abstract":"<div><h3>Introduction</h3><p>In forensic radiology, the cardiothoracic ratio (CTR) calculated from postmortem computed tomography (PMCT) images can be used to detect cardiomegaly. In this study, a new measurement method is studied that involves measurement in the anteroposterior (AP) and transverse directions, with a reference level based on the Thai population.</p></div><div><h3>Objective</h3><p>To screen for cardiomegaly using the CTR calculated from PMCT images.</p></div><div><h3>Research method</h3><p>A sample size of 116 deceased Thai individuals who underwent PMCT before autopsy was obtained. Individuals were divided into two groups: normal heart weight and overweight heart. Hearts heavier than the mean plus one standard deviation were categorized into the overweight group. The CTR was calculated in both the AP and transverse directions at six reference levels. Receiver operating characteristic curves (ROC) were calculated to determine the CTR cutoff point for the diagnosis of cardiomegaly.</p></div><div><h3>Results</h3><p>The CTR cutoff values for diagnosing cardiomegaly were as follows: 1) CTR &gt;0.5 in the transverse direction at the mid-vertebra of T7 (sensitivity, 75.6%; specificity, 70.6%; area under the ROC curve 0.81), 2) CTR &gt;0.49 in the transverse direction at the mid-vertebra of T8 (sensitivity 71%, specificity 81.4%, area under the ROC curve 0.80). The selection of the cutoff values depended on the location of the heart. The area under the ROC curve in the AP direction was in the range 0.5-0.7, which is inferior compared to the transverse direction (0.7-0.9).</p></div><div><h3>Conclusion</h3><p>Calculating the CTR with a reference level on PMCT images can assist in the diagnosis of cardiomegaly.</p></div>","PeriodicalId":40763,"journal":{"name":"Forensic Imaging","volume":"37 ","pages":"Article 200592"},"PeriodicalIF":1.1,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140650642","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
Estimating South African socio-cultural identity using sub-specific discriminate 3D shape matrices 利用亚特定判别三维形状矩阵估算南非社会文化特征
IF 1.1
Forensic Imaging Pub Date : 2024-04-08 DOI: 10.1016/j.fri.2024.200591
Alison Fany Ridel, Ericka Noelle L'Abbé
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