Post-mortem CT and MR brain imaging of putrefied corpses

Tschui, Joëlle; Jackowski, Christian; Schwendener, Nicole; Schyma, Christian; Zech, Wolf-Dieter (2016). Post-mortem CT and MR brain imaging of putrefied corpses. International journal of legal medicine, 130(4), pp. 1061-1068. Springer 10.1007/s00414-016-1385-5

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INTRODUCTION Putrefaction of the brain is a challenge to a forensic pathologist because it may lead to considerable organ alterations and restrict documenting reliable autopsy findings. OBJECTIVES This study aims to present a new and systematic evaluation of possible benefits of post-mortem MR Neuroimaging (1.5 Tesla, sequences: T1w, T2w) in putrefied corpses in comparison to PMCT and autopsy. METHODS A post-mortem MRI brain examination was conducted on 35 adult, putrefied corpses after performing a whole body CT scan prior to a forensic autopsy. Imaging data and autopsy findings were compared with regard to brain symmetry, gray and white matter junction, ventricular system, basal ganglia, cerebellum, brain stem, and possible pathological findings. RESULTS At autopsy, a reliable assessment of the anatomical brain structures was often restricted. MR imaging offered an assessment of the anatomical brain structures, even at advanced stages of putrefaction. In two cases, MR imaging revealed pathological findings that were detectable neither by CT scans nor at autopsy. CONCLUSIONS Post-mortem MR imaging of putrefied brains offers the possibility to assess brain morphology, even if the brain is liquefied. Post-mortem MR imaging of the brain should be considered if the assessment of a putrefied brain is crucial to the evaluation of a forensic autopsy case.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute of Legal Medicine
04 Faculty of Medicine > Service Sector > Institute of Legal Medicine > Forensic Medicine

UniBE Contributor:

Tschui, Joëlle; Jackowski, Christian; Schwendener, Nicole; Schyma, Christian and Zech, Wolf-Dieter

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0937-9827

Publisher:

Springer

Language:

English

Submitter:

Antoinette Angehrn

Date Deposited:

13 Jul 2016 15:45

Last Modified:

15 Jul 2016 13:02

Publisher DOI:

10.1007/s00414-016-1385-5

PubMed ID:

27225392

Uncontrolled Keywords:

Brain; Forensic imaging; Post-mortem MRI; Post-mortem imaging; Putrefaction

BORIS DOI:

10.7892/boris.83463

URI:

https://boris.unibe.ch/id/eprint/83463

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