POTENTIAL OF THE VIRTUAL AUTOPSY IN CASE OF FIREARM INJURY

Cover Page
  • Authors: Klevno V.V.1,2, Chumakova Y.V.1, Pavlik D.P.1, Dubrova S.E.3
  • Affiliations:
    1. Bureau of Forensic Medical Expertise of Moscow Region
    2. Department of Forensic Medicine, M. F. Vladimirskii Moscow Regional Research and Clinical Institute
    3. Department of X-ray Diagnostics, M. F. Vladimirskii Moscow Regional Research and Clinical Institute
  • Issue: Vol 5, No 3 (2019)
  • Pages: 33-38
  • Section: VIRTOPSY
  • URL: http://for-medex.ru/jour/article/view/276
  • DOI: https://doi.org/10.19048/2411-8729-2019-5-3-33-38

Abstract


The article presents the cases observed in the practice of the Office of medico-legal examinations of the Moscow Region when computed tomography (CT) was used for the first time in Russia for pre-autopsy examination (virtual autopsy) of three corpses with gunshot wounds followed by imaging-anatomical comparison of the results.

Objectives. Determination of the injury volume, visualization of the wound tracts, localization of the bullets.

Material and methods. Computed tomography was performed in radiology department using CT Scanner Hitachi Eclos‑16 (16 slices per rotation, slice thickness 1.5 and 2.0 mm) followed by multi-planar reconstruction of the images.

Results. 3D reconstruction of the CT scans of the corpses has visualized the whole volume of the trauma. Firearm perforating skull fractures, crushing injuries of the brain, injuries of the thoracic and abdominal organs along the wound tracks, bullets at the ends of the blind wound tracks were revealed on CT-scans.

Conclusion. Pre-autopsy CT with 3D-reconstruction has allowed to determine localization of the bullets in the bodies accurately. This allowed to choose the optimal examination tactics in each particular case and provided invaluable assistance in the search for the bullets. Virtopsy in the cases of firearm injury has great diagnostic opportunities in visualization and 3D presentation of the wound tracks and their direction. 3D CT has recorded the original position and characteristics of the skull fractures under the undamaged tissues. The authors made the assumption that a virtual autopsy could be a reliable alternative to traditional autopsy in the foreseeable future in cases of firearm injuries.


About the authors

V. V. Klevno

Bureau of Forensic Medical Expertise of Moscow Region; Department of Forensic Medicine, M. F. Vladimirskii Moscow Regional Research and Clinical Institute

Email: klevno@yandex.ru
ORCID iD: 0000-0001-5693-4054

Russian Federation

Vladimir A. Klevno, Dr. Sci. (Med.), Prof., Bureau of Forensic Medical Expertise of Moscow Region

AuthorID: 218210

Yu. V. Chumakova

Bureau of Forensic Medical Expertise of Moscow Region

Author for correspondence.
Email: chumakova@sudmedmo.ru
ORCID iD: 0000-0002-9738-8288

Russian Federation

Yuliya V. Chumakova, Bureau of Forensic Medical Expertise of Moscow Region

D. P. Pavlik

Bureau of Forensic Medical Expertise of Moscow Region

Email: pavlik@sudmedmo.ru

Russian Federation Denis P. Pavlik, Bureau of Forensic Medical Expertise of Moscow Region

S. E. Dubrova

Department of X-ray Diagnostics, M. F. Vladimirskii Moscow Regional Research and Clinical Institute

Email: dubrova.sofya@gmail.com

Russian Federation Sofya E. Dubrova, Cand. Sci. (Med.), M.F. Vladimirskii Moscow Regional Research and Clinical Institute

References

  1. Levy A. D., Harcke H.T., Jr. Essentials of forensic imaging: A text-atlas. CRC Press; 2010.
  2. Коков Л. С., Кинле А. Ф., Синицын В. Е., Филимонов Б. А. Возможности посмертной визуализации в судебно-медицинской экспертизе трупа: обзор и критический анализ литературы. Consilium medicum. 2015;1:1-28. [Kokov L. S., Kinle A. F., Sinitsyn V. E., Filimonov B. A. Postmortem visualization in forensic medical examination of the corpse: review and critical analysis. Consilium medicum. 2015;1:1-28. (In Russ.)]
  3. Клевно В. А., Чумакова Ю. В., Курдюков Ф. Н., Дуброва С. Э., Ефременков Н. В., Земур М. А. Возможности посмертной компьютерной томографии (виртуальной аутопсии) в случае смерти от механической асфиксии. Судебная медицина. 2018;4(4):22-26. [Klevno V. A., Chumakova Yu. V., Kurdyukov F. N., Dubrova S. E., Efremenkov N. F., Zemur M. A. Possibilities of posthumous computer tomography (virtual autopsy) in the event of death from mechanical asphixia. Russian Journal of Forensic Medicine. 2018;4(4):22-26. (In Russ.)] https://doi.org/10.19048/2411-8729-2018-4-4-22-26
  4. Клевно В. А., Чумакова Ю. В., Лебедева А. С., Козылбаев В. В., Дуброва С. Э., Ефременков Н. Н., Земур М. А. Виртопсия пилотов, погибших внутри легкомоторного самолета при падении его и ударе о землю. Судебная медицина. 2019;5(1):4-10. [Klevno V. A., Chumakova Yu. V., Lebedeva A. S., Kozylbaev V. V., Dubrova S. E., Efremenkov N. N., Zemur M. A. Virtopsy of pilots died inside a light airplane when it fell and hit the ground. Russian Journal of Forensic Medicine. 2019;5(1):4-10. (In Russ.)] http://dx.doi.org/10.19048/2411-8729-2019-5-1-4-10
  5. Клевно В. А., Чумакова Ю. В., Курдюков Ф. Н., Лебедева А. С., Дуброва С. Э., Ефременков Н. Н., Земур М. А. Виртопсия тела девушки-подростка, погибшей при падении с большой высоты. Судебная медицина. 2019;5(1):11-15. [Klevno V. A., Chumakova Yu.V., Kurdyukov F. N., Lebedeva A. S., Dubrova S. E., Efremenkov N. N., Zemur M. A. Virtopsy of the body of a girl-adolescent died after fall from a great height. Russian Journal of Forensic Medicine. 2019;5(1):11-15. (In Russ.)] http://dx.doi.org/10.19048/2411-8729-2019-5-1-11-15
  6. Клевно В. А., Чумакова Ю. В. Виртопсия - новый метод исследования в практике отечественной судебной медицины. Судебная медицина. 2019;5(2)27-31. [Klevno V. A., Chumakova Yu. V. Virtopsy – new method of research in national practice of forensic medicine. Russian Journal of Forensic Medicine. 2019;5(2)27-31. (In Russ.)] http://dx.doi.org/10.19048/2411-8729-2019-5-2-27-31
  7. Клевно В. А., Кислов М. А., Эрлих Э., ред. Секционная техника и технологии исследования трупов: учебное пособие. М.: Ассоциация СМЭ; 2019. [Klevno V. A., Kislov M. A., Erlich E., ed. Sektsionnaya tekhnika i tekhnologii issledovaniya trupov: uchebnoe posobie. Moscow: Association of Forensic Medical Experts; 2019. (In Russ.)]

Statistics

Views

Abstract - 140

PDF (Russian) - 0

PlumX

Dimensions

Refbacks

  • There are currently no refbacks.

Copyright (c)



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies