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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 Imaging Principles of Forensic Autopsy Role of Radiology in Forensic Autopsy Role of Imaging in the Determination of Cause, Mechanism, and Manner of Death Integrating Imaging and Autopsy Integrating Cross-Sectional Imaging into a Forensic Environment Workflow Advantages and Limitations Technical Considerations Radiography C-Arm Fluoroscopy Multidetector Computed Tomography Angiography and Multidetector Computed Tomography Angiography Magnetic Resonance Imaging Ultrasound Radiology Reporting Postmortem Change and Decomposition Forensic Principles Autopsy Findings Livor Mortis Rigor Mortis Algor Mortis Decomposition Radiologic Principles Imaging Findings Gunshot Wounds Forensic Principles Ballistics Autopsy Findings Radiologic Principles Entry and Exit Wounds Wound Tracks Penetrating Gunshot Wounds Perforating Gunshot Wounds Special Cases Blunt Force Injury Forensic Principles Wound Classification Autopsy Findings Craniocerebral Injuries Thoracoabdominal Injuries Spine, Pelvic, and Extremity Injuries Radiologic Principles Goals of Imaging Imaging Findings Death from Fire and Burns Forensic Principles Classification and Prognosis of Burns Autopsy Findings Radiologic Principles Goals of Imaging Imaging Findings Blast Injury Forensic Principles Explosion Blast Injury Mechanisms Autopsy Findings Radiologic Principles Goals of Imaging Imaging Findings Sharp Force Injury Forensic Principles Wound Classification Autopsy Findings Radiologic Principles Goals of Imaging Imaging Findings Death by Drowning and Bodies Found in Water Forensic Principles Physiology of Drowning Autopsy Findings Radiologic Principles Goals of Imaging Imaging Findings Differential Diagnosis Suicide Forensic Principles Autopsy Findings Radiologic Principles Goals of Imaging Imaging Findings Natural Death Forensic Principles Autopsy Findings Cardiovascular Disease Intracranial and Cerebrovascular Disease Respiratory Disease Intra-Abdominal Hemorrhage Radiologic Principles Goals of Imaging Imaging Findings Other Causes of Death Asphyxia Forensic Principles Autopsy Findings Radiologic Principles Imaging Findings Electrocution Child Abuse and Elder Abuse Beyond Standard Autopsy Assessment of Medical Intervention Exhumation and Second Autopsy Anthropology

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

Reviews

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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