x射线成像在法医学中的应用

Q4 Medicine Soudni Lekarstvi Pub Date : 2014-07-01
Stěpánka Kučerová, Miroslav Safr, Michaela Ublová, Petra Urbanová, Petr Hejna
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引用次数: 0

摘要

x射线是法医学中最常用、最基本、最重要的成像方法。它用于显示和定位体内异物,并有助于检测各种创伤和病理变化。x射线成像在对个体的人类学评估中是有价值的。x射线可以在尸检前对重要发现进行无创评估,从而选择最佳的解剖策略。法医尸检x射线成像的基本指征包括枪击和爆炸死亡(识别和定位射弹或弹药的其他组成部分,二级导弹的可视化)、锐器伤(空气栓塞,识别武器)和与机动车有关的死亡。该方法也有助于对受虐者或疑似受虐者进行复杂伤害评估。最后,x射线成像仍然是鉴别未知死者的金标准方法。随着时间的推移,现代成像技术,特别是计算机断层扫描和磁共振成像技术在法医学中的应用越来越广泛。它们的应用扩展了骨结构可视化的可能性,使软组织和内脏的成像更加详细。现代成像方法在死后尸体调查中的应用被称为数字或虚拟尸检。目前,数字尸检成像被认为是传统尸检的一种无血替代方法。
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[The application of X-ray imaging in forensic medicine].

X-ray is the most common, basic and essential imaging method used in forensic medicine. It serves to display and localize the foreign objects in the body and helps to detect various traumatic and pathological changes. X-ray imaging is valuable in anthropological assessment of an individual. X-ray allows non-invasive evaluation of important findings before the autopsy and thus selection of the optimal strategy for dissection. Basic indications for postmortem X-ray imaging in forensic medicine include gunshot and explosive fatalities (identification and localization of projectiles or other components of ammunition, visualization of secondary missiles), sharp force injuries (air embolism, identification of the weapon) and motor vehicle related deaths. The method is also helpful for complex injury evaluation in abused victims or in persons where abuse is suspected. Finally, X-ray imaging still remains the gold standard method for identification of unknown deceased. With time modern imaging methods, especially computed tomography and magnetic resonance imaging, are more and more applied in forensic medicine. Their application extends possibilities of the visualization the bony structures toward a more detailed imaging of soft tissues and internal organs. The application of modern imaging methods in postmortem body investigation is known as digital or virtual autopsy. At present digital postmortem imaging is considered as a bloodless alternative to the conventional autopsy.

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来源期刊
Soudni Lekarstvi
Soudni Lekarstvi Medicine-Medicine (all)
CiteScore
0.30
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