使用数字X射线或计算机断层扫描进行头部和部选择性死后动脉血管造影:一种实用和快速的方法来识别血管损伤
Zabiullah Ali1, Nikki Mourtzinos2
1Office of the Chief Medical Examiner, Baltimore, Maryland, USA.
Journal of forensic sciences
|July 2, 2024
概括
一种使用福利导管和对比剂的新型死后血管造影技术有助于识别具有挑战性的血管损伤,特别是在头部和部,改善了验尸医生的死后评估.
科学领域:
- 法医病理学 法医病理学
- 放射学 放射学是一门学科.
- 血管成像 血管成像
背景情况:
- 准确识别血管损伤对于死后评估至关重要,特别是在创伤死亡的情况下.
- 对面部和脊椎动脉的损伤进行评估,由于解剖位置和剖析文物存在挑战.
- 繁忙的法医办公室需要有效和可靠的方法进行死后血管造影.
研究的目的:
- 引入和验证一种新的选择性死后血管学技术.
- 评估这项技术在评估在具有挑战性的位置动脉损伤的实用性.
- 为了证明在法医环境中实施的容易.
主要方法:
- 开发了一种选择性血管造影程序,利用内置的福利导管和水溶性吞对比剂.
- 采用数字放射学和计算机断层扫描来进行成像解释.
- 训练有素的法医和法医病理学研究员在技术和解释方面.
主要成果:
- 在马里兰州首席法医官办公室成功实施了血管造影技术.
- 评估了六例因各种损伤机制和疾病过程引起的血管损伤导致的死亡病例.
- 证明了该程序在识别动脉损伤方面的有效性,包括头部和部的损伤.
结论:
- 描述的死后血管学技术对于评估具有挑战性的血管损伤是有效的.
- 这种方法适用于繁忙的法医诊所,需要最少的专业培训.
- 这种技术为记录动脉创伤提供了传统剖析的可靠替代方案.
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