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Essentials of Forensic Imaging

Forensic imaging with multidetector computed tomography (MDCT) and other cross-sectional imaging modalities is a rapidly evolving field. Understanding the pathological basis of disease and death is fundamental to the interpretation of radiologic images. Forming a bridge between these distinct disciplines, Essentials of Forensic Imaging: A Text-Atlas brings the long tradition of radiologic pathologic correlation to forensic radiology and autopsy. Providing readers with a technical and interpretive foundation for applying modern cross-sectional imaging to forensic autopsy, the book integrates more than 300 color autopsy photographs with postmortem MDCT and radiography in a topical format. Organized by cause of death, the rich pictorial display of case material that accompanies the text establishes a contextual understanding. Readers can learn the diagnostic value of imaging applied to forensic autopsy by correlating specific causes of death with their respective forensic and radiologic principles. Causes of death covered in this practical volume include: Gunshot wounds Blunt force injury Fire and burn injury Blast injury Drowning and other deaths in water Suicide Natural causes Asphyxia Electrocution As forensic imaging becomes more advanced, the possibilities for its use in autopsy continue to grow, as do the opportunities for application in related areas. In the final chapter, these expert authors also discuss the use of MDCT in the assessment of medical intervention, exhumation and second autopsy, and anthropology.
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Table of Contents

Introduction to Forensic ImagingPrinciples of Forensic AutopsyRole of Radiology in Forensic AutopsyRole of Imaging in the Determination of Cause, Mechanism, and Manner of DeathIntegrating Imaging and AutopsyIntegrating Cross-Sectional Imaging into a Forensic EnvironmentWorkflowAdvantages and LimitationsTechnical ConsiderationsRadiographyC-Arm FluoroscopyMultidetector Computed TomographyAngiography and Multidetector Computed Tomography AngiographyMagnetic Resonance ImagingUltrasoundRadiology ReportingPostmortem Change and DecompositionForensic PrinciplesAutopsy FindingsLivor MortisRigor MortisAlgor MortisDecompositionRadiologic PrinciplesImaging FindingsGunshot WoundsForensic PrinciplesBallistics Autopsy FindingsRadiologic PrinciplesEntry and Exit WoundsWound TracksPenetrating Gunshot WoundsPerforating Gunshot WoundsSpecial CasesBlunt Force InjuryForensic PrinciplesWound ClassificationAutopsy FindingsCraniocerebral InjuriesThoracoabdominal InjuriesSpine, Pelvic, and Extremity InjuriesRadiologic PrinciplesGoals of ImagingImaging FindingsDeath from Fire and BurnsForensic PrinciplesClassification and Prognosis of BurnsAutopsy FindingsRadiologic PrinciplesGoals of ImagingImaging FindingsBlast InjuryForensic PrinciplesExplosionBlast Injury MechanismsAutopsy FindingsRadiologic PrinciplesGoals of ImagingImaging FindingsSharp Force InjuryForensic PrinciplesWound ClassificationAutopsy FindingsRadiologic PrinciplesGoals of ImagingImaging FindingsDeath by Drowning and Bodies Found in WaterForensic PrinciplesPhysiology of DrowningAutopsy FindingsRadiologic PrinciplesGoals of ImagingImaging FindingsDifferential DiagnosisSuicideForensic PrinciplesAutopsy FindingsRadiologic PrinciplesGoals of ImagingImaging FindingsNatural DeathForensic PrinciplesAutopsy FindingsCardiovascular DiseaseIntracranial and Cerebrovascular DiseaseRespiratory DiseaseIntra-Abdominal HemorrhageRadiologic PrinciplesGoals of ImagingImaging FindingsOther Causes of DeathAsphyxiaForensic PrinciplesAutopsy FindingsRadiologic PrinciplesImaging FindingsElectrocutionChild Abuse and Elder AbuseBeyond Standard AutopsyAssessment of Medical InterventionExhumation and Second AutopsyAnthropology

About the Author

Georgetown University Hospital, Washington, D.C., USA and Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA Armed Forces Institute of Pathology, Washington, D.C., USA and Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA


The work is very well done and makes a significant contribution to the literature on the topic ! . [It] addresses, and is applicable to, the whole range of forensic autopsies. The printing and illustration quality is outstanding. --Joel Lichtenstein, M.D., University of Washington As the number of traditional autopsies continues to decline and as imaging technology becomes ever more sophisticated, radiological procedures, particularly multi-detector computed tomography, are being adapted for death investigation. These methods have demonstrated importance for detection and documentation of anatomic and pathologic alterations in the setting of un-natural death. ! The book is unusually well illustrated through correlation of photographs and radiological images of the highest quality. ! The book is certain to find extended use in training programs and daily death investigation and documentation. --William A. Murphy, Jr., M.D., Professor of Radiology and John S. Dunn, Sr. Distinguished Chair in Diagnostic Imaging, University of Texas MD Anderson Cancer Center I believe that the book will be useful for practicing forensic pathologists. The numerous examples covering a wide variety of forensic cases ! illustrate the value of imaging techniques in medicolegal death investigation. --Dr. John Butts, University of North Carolina at Chapel Hill

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