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Postmortem CT: Applications in Clinical and Forensic Medicine.

Nadia Solomon1, Jamie Elifritz1, Natalie L Adolphi1

  • 1From the Departments of Radiology and Biomedical Imaging (N.S., B.G., M.V.R.) and Pathology (H.S.), Yale University School of Medicine, 20 York St, New Haven, CT 06510; Investigative Medicine Program, Yale University Graduate School of Arts and Sciences, New Haven, Conn (N.S.); Yale Translational Research Imaging Center, Yale University School of Medicine, New Haven, Conn (N.S., A.J.S.); The Forensic Radiology Group, Anderson, SC (J.E.); Center for Forensic Imaging, Office of the Medical Investigator, University of New Mexico, Albuquerque, NM (J.E., N.L.A.); Center for Advanced Visualization Technologies in Medicine (VISTA), Keck School of Medicine, University of Southern California, Los Angeles, Calif (S.J.D.); Department of Radiological Sciences, Institute of Radiology, Catholic University of the Sacred Heart, Milan, Italy (L.F.); Eurofins The Maastricht Forensic Institute, Maastricht, the Netherlands (J.J.F.K.); Institute of Forensic Medicine Zurich, University of Zurich, Zurich, Switzerland (D.G., M.J.T.); and Department of Medicine, Section of Cardiology, Yale Translational Research Imaging Center, Yale University School of Medicine, New Haven, Conn (A.J.S.).

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|May 15, 2025
PubMed
Summary
This summary is machine-generated.

Postmortem CT (PMCT) is a valuable tool in death investigation, supplementing or replacing traditional autopsy. Understanding its applications and interpretation nuances is crucial for accurate forensic radiology.

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Area of Science:

  • Forensic Radiology
  • Medical Imaging

Background:

  • Radiography has been used in forensic medicine since the late 1890s.
  • Computed Tomography (CT) was introduced to postmortem investigation in the 1970s.
  • Forensic radiology has emerged as a subspecialty revolutionizing death investigation.

Purpose of the Study:

  • To introduce radiologists to the subspecialty of forensic imaging, focusing on Postmortem CT (PMCT).
  • To discuss the applications, benefits, and limitations of PMCT in death investigation.
  • To highlight the nuances of PMCT interpretation and the need for specialized training.

Main Methods:

  • Review of postmortem imaging techniques, with a focus on PMCT.
  • Discussion of PMCT applications in clinical and forensic settings.
  • Emphasis on comparing clinical and postmortem imaging interpretation.

Main Results:

  • PMCT is widely accepted as a supplementary or alternative tool to autopsy.
  • Specialized knowledge is required to avoid interpretation pitfalls.
  • Research in postmortem and forensic imaging is an evolving area.

Conclusions:

  • Forensic imaging, particularly PMCT, is a growing field with significant potential.
  • Accurate interpretation requires understanding the differences between clinical and postmortem imaging.
  • Specialized education and training are essential for practitioners in postmortem imaging.