Post-autopsy computed tomography. Pros and cons in a firearm death

Area of Science:

• Forensic Pathology
• Radiology
• Medical Imaging

Background:

• Post-mortem computed tomography (PMCT) is increasingly utilized in firearm death investigations.
• Routine PMCT is not globally standardized, leading to autopsies preceding imaging in some international cases.
• This presents challenges for comprehensive forensic examination.

Observation:

• A case involving post-mortem re-examination of a homicide gunshot victim is presented.
• This re-examination included external examination and post-autopsy computed tomography (PACT).
• The study discusses the advantages and disadvantages of performing CT scans after an initial autopsy.

Findings:

• PACT can enhance investigations by identifying bone injuries and peripheral foreign bodies missed in initial autopsies.
• Imaging after autopsy provides a secondary analysis opportunity, especially for repatriated remains.
• The value of PACT is contingent on careful comparison with the results of the first autopsy.

Implications:

• PACT serves as a valuable tool for supplementary forensic evidence collection.
• International cooperation and standardized guidelines are crucial for effective information sharing in cross-border cases.
• Integrating PACT into post-autopsy procedures can improve the completeness of death investigations.