Eden Johnstone-Belford, Ambika Flavel, Daniel Franklin
{"title":"Morphoscopic observations in clinical pelvic MDCT scans: Assessing the accuracy of the Phenice traits for sex estimation in a Western Australian population","authors":"Eden Johnstone-Belford, Ambika Flavel, Daniel Franklin","doi":"10.1016/j.jofri.2018.02.003","DOIUrl":"10.1016/j.jofri.2018.02.003","url":null,"abstract":"<div><p><span>The formation of a biological profile (including the estimation of sex and age) is usually the first task undertaken when skeletal remains are analysed by a forensic anthropologist. Recent literature attests to a growing awareness of the value of research focusing on age and sex related morphoscopic features visualized in high resolution multiple detector computerized tomography (MDCT) scans. The present study provides insight into the analysis of </span>MDCT scans, with a specific focus on quantifying the accuracy of the Phenice sex estimation method in a Western Australian population.</p><p>The sample comprises 448 clinical pelvic MDCT scans representing 226 male and 222 female individuals between 18 and 64 years of age. The scans (all ≤ 1.5 mm slice thickness) are reconstructed using three-dimensional volume rendered models in <em>OsiriX</em> software. A precision test was performed prior to data collection to quantify observer accordance; thereafter the accuracy of the identification of the Phenice pelvic traits (ischiopubic ramus; ventral arc; subpubic concavity) are statistically quantified.</p><p>Intra-observer accordance is above 0.81 (Kappa value) for each morphological attribute assessed. Congruent with previous research the single most accurate trait overall is the ventral arc (86.61%), albeit an age-related sex-bias in classification accuracy was demonstrated. Based on the combined assessment of the three features, it is demonstrated that the Phenice method facilitates a high degree of expected accuracy in the classification of sex (92.24%), thus indicating that the method can be successfully applied in MDCT scans and is suitable for forensic application in a Western Australian population.</p></div>","PeriodicalId":45371,"journal":{"name":"Journal of Forensic Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jofri.2018.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45358712","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}
Stéphane Chapenoire , Saverio Braccini , Karl Krämer , Laurent Hauret , Fabienne Jordana , Charles Agostini , Yves Schuliar
{"title":"Peculiar radiopaque foreign body in the upper aerodigestive tract in a newborn corpse from the Indian Ocean","authors":"Stéphane Chapenoire , Saverio Braccini , Karl Krämer , Laurent Hauret , Fabienne Jordana , Charles Agostini , Yves Schuliar","doi":"10.1016/j.jofri.2017.12.001","DOIUrl":"10.1016/j.jofri.2017.12.001","url":null,"abstract":"<div><p><span><span>The authors present a single case report illustrating on the body of a newborn found on the seashore of the island of Mayotte in the Indian Ocean, the diagnostic difficulties inherent in the detection during the post-mortem scan of a voluminous highly radiopaque foreign body in the upper aerodigestive tract. The internal examination has highlighted black sand in abundance in the upper aerodigestive tract. The CT scanning of a sand sample from the lagoon shore confirmed its high-density radiopaque nature. In a specialized laboratory, the magnetic part of this sample was investigated by means of energy dispersive X-ray spectroscopy<span> (EDS), powder X-ray diffraction (XRD), and </span></span>Mössbauer spectroscopy. The mineral composition is dominantly magnetite (Fe</span><sub>3</sub>O<sub>4</sub>) but contrary to pure magnetite, a relevant fraction of titanium was detected.</p><p>This case demonstrates how post-mortem CT may lead to inappropriate diagnosis and highlights the interest of the physicochemical study in the forensic context.</p></div>","PeriodicalId":45371,"journal":{"name":"Journal of Forensic Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jofri.2017.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43800748","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}
Adi Adelman , Margarita Vasserman , Gil Graziani , Chen Kugel , Karen Meir , Tali Bdolah-Abram , Alon Krispin
{"title":"Post-mortem computed tomography compared to medico-legal autopsy – pathologies in the torso and limbs","authors":"Adi Adelman , Margarita Vasserman , Gil Graziani , Chen Kugel , Karen Meir , Tali Bdolah-Abram , Alon Krispin","doi":"10.1016/j.jofri.2017.12.002","DOIUrl":"10.1016/j.jofri.2017.12.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Post-mortem computed tomography (PMCT) has become a routine part of post-mortem forensic evaluation in many institutes worldwide. Its added benefit to the traditional autopsy is indisputable, but its ability to detect different findings compared to those found in an autopsy has only been evaluated in a limited number of large scale studies.</p></div><div><h3>Methods</h3><p>In this retrospective study, we assessed the agreement between autopsy and PMCT, and their ability to detect pathological findings (by \"Kappa\" and \"McNemar\" scores, respectively), using all finding of both methods as reference standard. We included findings in the torso and the limbs extracted from autopsy and PMCT reports of 105 consecutive cases.</p></div><div><h3>Results</h3><p>The level of agreement between autopsy and PMCT depends on the tissues, locations, and type of pathologies examined. Autopsy much better demonstrates bullet tracks (68/76 vs. 18/76, p < 0.01) and stab wounds<span> (22/25 vs. 11/25, p=0.013), while PMCT is more sensitive to shrapnel (86/121 vs. 37/121, p < 0.001). PMCT better demonstrates fractures (259/344 vs. 222/344, p = 0.012), especially in bones that are hard to access in autopsy, but is less sensitive to rib fractures (137/177 vs. 115/177, p = 0.037). Parenchymal organ pathologies are not well demonstrated by PMCT (194/257 vs. 117/257, p =< 0.001).</span></p></div><div><h3>Conclusions</h3><p>Shrapnel, foreign bodies, gas-related pathologies, pelvic fluid and fractures, excluding rib fractures, are detected more often by post-mortem CT. It is important to consider PMCT as a tool in the evaluation of specific tissues and organs, possibly providing solid answers, or at least directing the team in the performance of the autopsy.</p></div>","PeriodicalId":45371,"journal":{"name":"Journal of Forensic Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jofri.2017.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47874503","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}
{"title":"Post-mortem computed tomography of cervical intervertebral separation: Retrospective review and comparison of the autopsy results of 57 separations","authors":"Seina Kudo , Yusuke Kawasumi , Akihito Usui , Makoto Arakawa , Naoto Yamagishi , Yui Igari , Masato Funayama , Tadashi Ishibashi","doi":"10.1016/j.jofri.2018.02.007","DOIUrl":"10.1016/j.jofri.2018.02.007","url":null,"abstract":"<div><h3>Objectives</h3><p>The presence of an intervertebral separation indicates vertebral ligamentous injuries, and it is occasionally associated with fatal spinal cord injuries<span>. However, it is often difficult to identify the separation using post-mortem computed tomography (CT). This study retrospectively evaluated the correlation between the post-mortem CT findings and autopsy results of cervical intervertebral separation.</span></p></div><div><h3>Materials and methods</h3><p>Forty-two subjects (8 females and 34 males) with cervical intervertebral separation were evaluated. The average age was 67 (range, 29–88) years. A radiologist retrospectively reviewed the cervical spines on axial, sagittal, and coronal CT images and determined whether intervertebral separations could be detected. The radiologist also classified the CT findings in cases with detectable separations.</p></div><div><h3>Results</h3><p>Of the 57 cervical intervertebral separations, 39 were detectable on the CT images. The CT findings were grouped into the following six categories: intervertebral gas (n = 19; 40.4%); forward intervertebral widening (n = 10; 21.3%); backward intervertebral widening (n = 1; 2.1%); anteroposterior misalignment (n = 6; 12.8%); spur fracture (n = 7; 14.9%); and hematoma in front of a vertebral body (n = 4; 8.5%). The sensitivity and specificity of intervertebral gas in the diagnosis of cervical intervertebral separation were 33.9% and 99.7%, respectively.</p></div><div><h3>Conclusion</h3><p>Approximately 70% of the cases with cervical intervertebral separations had various abnormal findings on CT imaging. The most common finding was intervertebral gas, but the sensitivity of intervertebral gas was not adequate.</p></div>","PeriodicalId":45371,"journal":{"name":"Journal of Forensic Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jofri.2018.02.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44049478","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}
{"title":"Lack of significant volumetric alteration after rapid maxillary expansion supports the use of frontal sinuses for human identification purposes","authors":"Gisela Crippa Furtado , Daniela Daufenback Pompeo , Alvaro Furtado , Luiz Renato Paranhos , Ademir Franco , Luciana Monti Lima-Rivera","doi":"10.1016/j.jofri.2018.02.008","DOIUrl":"10.1016/j.jofri.2018.02.008","url":null,"abstract":"<div><h3>Aim</h3><p>The present study aimed to assess the volume of the frontal sinuses before and after rapid maxillary expansion (RME).</p></div><div><h3>Material and methods</h3><p>The sample consisted of 12 subjects (8 females and 4 males) with maxillary deficiency aged between 10 and 15 years old. In order to treat the skeletal deficiency, RME was performed using Hyrax system. Cone Beam Computed Tomography (CBCT) scans were obtained from each subject before (T1) and 120 days after (T2) the RME. A table digitizer G-Pen F350 (Genius, Taipei, Taiwan) was used to select the area of the frontal sinuses in CBCT slices. The volume of the sinuses was quantified in T1 and T2. T-test for paired samples was used to compare the differences between the volume of the frontal sinuses before and after RME</p></div><div><h3>Results</h3><p>The mean volume of the frontal sinuses before and after the RME was 3.03 mm<sup>3</sup> (ranging from 2.20 mm<sup>3</sup> to 4.40 mm<sup>3</sup>) and 3.21 mm<sup>3</sup> (ranging from 2.55 mm<sup>3</sup> to 4.52 mm<sup>3</sup>), respectively. Differences in volume between T1 and T2 were not statistically significant (p > .05). The present study indicates that the frontal sinuses do not modify considerably in volume after RME.</p></div><div><h3>Conclusion</h3><p>From the forensic scope, this outcome supports the usefulness of the frontal sinuses for ante-mortem and post-mortem comparisons in human identification cases.</p></div>","PeriodicalId":45371,"journal":{"name":"Journal of Forensic Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jofri.2018.02.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47338566","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}
{"title":"Aims and scope/Editorial board","authors":"","doi":"10.1016/S2212-4780(18)30025-X","DOIUrl":"https://doi.org/10.1016/S2212-4780(18)30025-X","url":null,"abstract":"","PeriodicalId":45371,"journal":{"name":"Journal of Forensic Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2212-4780(18)30025-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136918305","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}
Wolf Schweitzer, Garyfalia Ampanozi, Lars Ebert, Michael Thali, Damaris Fröhlich Knaute
{"title":"Possible XOR fallacy – Case report of combined foramen sternale with an osseous sternal knife stab injury","authors":"Wolf Schweitzer, Garyfalia Ampanozi, Lars Ebert, Michael Thali, Damaris Fröhlich Knaute","doi":"10.1016/j.jofri.2018.02.009","DOIUrl":"10.1016/j.jofri.2018.02.009","url":null,"abstract":"<div><p><span>This case report details a sternal finding that first was reported as penetrating knife stab wound. It was one in a series of 24 otherwise relatively superficial skin stab wounds allegedly performed by a single assailant within the scope of a single attack. The effort required to penetrate the </span>sternum with a knife appears to be considerably higher than to inflict relatively superficial skin and soft tissue penetration. This initially raised suspicion of another person contributing to the attack, or, a different weapon being used. After reviewing the clinical CT scans, we identified the combination of a preexisting sternal foramen with a marginal fracture and concluded that the sternal “penetration” was in keeping with the depth of the other 23 stab wounds. None of the injuries were lethal, the victim survived the attack. Assuming that a knife penetration fracture of a sternum and a foramen sternale are mutually exclusive constitutes an exclusive-OR fallacy (XOR fallacy).</p></div>","PeriodicalId":45371,"journal":{"name":"Journal of Forensic Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jofri.2018.02.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48819976","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}
{"title":"Forensic Radiology to the Rescue: Prenatal imaging used to solve a case of a newborn with suspected non-accidental trauma","authors":"Priya G. Sharma, Dhanashree A. Rajderkar","doi":"10.1016/j.jofri.2018.01.002","DOIUrl":"10.1016/j.jofri.2018.01.002","url":null,"abstract":"<div><p>The allegation of child abuse, or non-accidental trauma, is very serious and can have a devastating impact on children and their families. However, the lack of recognition of injuries resulting from abusive incidents can be equally detrimental. When a child presents to the emergency facility with a suspicious injury it is of the utmost importance that a well-documented medical history be obtained.</p><p><span>We present a case of a 3-day old infant sent to the pediatric ER after the pediatrician noted bruising over the right shoulder and clavicle. A subsequent skeletal survey performed demonstrated a mildly </span>depressed skull fracture<span> and an overriding displaced right clavicular fracture<span> raising a concern of non-accidental trauma (NAT). Upon further review of the patient's history, it was noted that the mother was involved in a high- speed motor vehicle collision on the day of delivery. Review of the mother's body trauma computed tomography (CT) scan revealed that the injuries were, in fact, sustained in utero and obviating the need for further NAT work up and investigation. This case demonstrates forensic use of radiologic images to establish a diagnosis of an accidental trauma.</span></span></p></div>","PeriodicalId":45371,"journal":{"name":"Journal of Forensic Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jofri.2018.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48278150","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}
Benjamin Dabo Sarkodie , Benard Ohene Botwe , Prince Pambo , Edmund K. Brakohiapa , Raphael Nicholas Mayeden
{"title":"MRI age verification of U-17 footballers: The Ghana study","authors":"Benjamin Dabo Sarkodie , Benard Ohene Botwe , Prince Pambo , Edmund K. Brakohiapa , Raphael Nicholas Mayeden","doi":"10.1016/j.jofri.2018.02.005","DOIUrl":"10.1016/j.jofri.2018.02.005","url":null,"abstract":"<div><h3>Background</h3><p>A fair playground is absolutely necessary in any age limited sports. Age determination in countries where birth registration is not compulsory can often be difficult making it a challenge to determine ages of people born in such countries.</p></div><div><h3>Objective</h3><p>To determine correlation between chronological ages of under 17 Ghanaian footballers and the FIFA MRI grading.</p></div><div><h3>Method</h3><p>The degree of radial epiphyseal fusion was evaluated in 286 male Ghanaian footballers aged 13–16 years over a 4 year period (June 2012–November 2016) using 1.5 T Magnetic Resonance Imaging. The ages of the participants used in the study were those provided by the football players and confirmed with their national passports.</p></div><div><h3>Results</h3><p><span>Over 48% of these Ghanaian players below the age of 17 years had completely fused radial epiphysis. No significant correlation between the given chronological ages and the degree of fusion was found. The Spearmans correlation was given as (</span><em>r</em> = 0.069; <em>p</em> = 0.540).</p></div><div><h3>Conclusion</h3><p>There was no correlation between chronological age and degree of radial fusion among Ghanaian players. Normative study among Ghanaian/black African players is long overdue to ensure the U-17 players from these countries are not unfairly disadvantaged.</p></div>","PeriodicalId":45371,"journal":{"name":"Journal of Forensic Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jofri.2018.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46923785","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}
Silviya Nikolova , Diana Toneva , Ivan Georgiev , Angel Dandov , Nikolai Lazarov
{"title":"Morphometric analysis of the frontal sinus: application of industrial digital radiography and virtual endocast","authors":"Silviya Nikolova , Diana Toneva , Ivan Georgiev , Angel Dandov , Nikolai Lazarov","doi":"10.1016/j.jofri.2018.02.001","DOIUrl":"10.1016/j.jofri.2018.02.001","url":null,"abstract":"<div><h3>Background</h3><p>The morphology and dimensions of the frontal sinus (FS) are significant in the forensic, surgical and population context.</p></div><div><h3>Purpose</h3><p>The study aimed to compare linear FS measurements taken both on radiographs and virtual endocasts and to assess the impact of the skull angulation on the FS dimensions.</p></div><div><h3>Material and Methods</h3><p>Thirteen intact dry skulls of contemporary adult males were radiographed using industrial digital radiography while they were inclined in the Frankfurt plane, through the Caldwell's view up to the Water's view by angular steps of 5°. The width and height of both frontal lobes were measured in each projection. To verify the measurements on the radiographs, ten of the skulls were µCT-scanned and virtual endocasts of the FS were generated.</p></div><div><h3>Results</h3><p>The concordance between the measurements on the virtual endocasts and the radiographs in the Caldwell's view showed almost perfect concurrence for the width (0.998) and height on the left side (0.990), and substantial one for the height on the right side (0.961). Since the width is more sensitive compared to the height, any inclination from the initial position at the Caldwell's view caused a significant distortion of the FS measurements.</p></div><div><h3>Conclusion</h3><p>The industrial µCT-systems support both 2D and 3D imaging and could generate images with a high resolution. Therefore, if the industrial digital radiography is selected as an eligible imaging modality for FS investigation and documentation in conformity with the research goals, the appropriate skull positioning ensures reliable readings of the linear FS dimensions.</p></div>","PeriodicalId":45371,"journal":{"name":"Journal of Forensic Radiology and Imaging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jofri.2018.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46152032","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}