The role of mobile computed tomography in mass fatality incidents

被引:44
作者
Rutty, Guy N. [1 ]
Robinson, Claire E. [2 ]
BouHaidar, Ralph [1 ]
Jeffery, Amanda J. [1 ]
Morgan, Bruno [2 ]
机构
[1] Univ Leicester, Leicester Royal Infirm, Forens Pathol Unit, Leicester LE2 7LX, Leics, England
[2] Leicester Royal Infirm, Dept Imaging, Leicester LE1 5WW, Leics, England
关键词
forensic science; forensic radiology; mobile; computed tomography; CT; mass fatality; disaster;
D O I
10.1111/j.1556-4029.2007.00548.x
中图分类号
DF [法律]; D9 [法律]; R [医药、卫生];
学科分类号
0301 ; 10 ;
摘要
Mobile multi-detector computed tomography (MDCT) scanners are potentially available to temporary mortuaries and can be operational within 20 min of arrival. We describe, to our knowledge, the first use of mobile MDCT for a mass fatality incident. A mobile MDCT scanner attended the disaster mortuary after a five vehicle road traffic incident. Five out of six bodies were successfully imaged by MDCT in c. 15 min per body. Subsequent full radiological analysis took c. 1 h per case. The results were compared to the autopsy examinations. We discuss the advantages and disadvantages of imaging with mobile MDCT in relation to mass fatality work, illustrating the body pathway process, and its role in the identification of the pathology, personal effects, and health and safety hazards. We propose that the adoption of a single modality of mobile MDCT could replace the current use of multiple radiological sources within a mass fatality mortuary.
引用
收藏
页码:1343 / 1349
页数:7
相关论文
共 19 条
[1]   Postmortem radiology of fatal hemorrhage: Measurements of cross-sectional areas of major blood vessels and volumes of aorta and spleen on MDCT and volumes of heart chambers on MRI [J].
Aghayev, E ;
Sonnenschein, M ;
Jackowski, C ;
Thali, M ;
Buck, U ;
Yen, K ;
Bolliger, S ;
Dirnhofer, R ;
Vock, P .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2006, 187 (01) :209-215
[2]   Fatal steamer accident; blunt force injuries and drowning in post-mortem MSCT and MRI [J].
Aghayev, E ;
Thali, MJ ;
Sonnenschein, M ;
Hurlimann, J ;
Jackowski, C ;
Kilchoer, T ;
Dirnhofer, R .
FORENSIC SCIENCE INTERNATIONAL, 2005, 152 (01) :65-71
[3]   DentaScan in oral imaging [J].
Au-Yeung, KM ;
Ahuja, AT ;
Ching, ASC ;
Metreweli, C .
CLINICAL RADIOLOGY, 2001, 56 (09) :700-713
[4]   HEMOPERITONEUM STUDIED BY COMPUTED-TOMOGRAPHY [J].
FEDERLE, MP ;
JEFFREY, RB .
RADIOLOGY, 1983, 148 (01) :187-192
[5]   Forensic radiology: Response to the pentagon attack on September 11, 2001 [J].
Harcke, HT ;
Bifano, JA ;
Koeller, KK .
RADIOLOGY, 2002, 223 (01) :7-8
[6]   Does imaging technology overcome problems of conventional postmortem examination? A trial of computed tomography imaging for postmortem examination [J].
Hayakawa, M ;
Yamamoto, S ;
Motani, H ;
Yajima, D ;
Sato, Y ;
Iwase, H .
INTERNATIONAL JOURNAL OF LEGAL MEDICINE, 2006, 120 (01) :24-26
[7]  
*HOM OFF CAB OFF, 2004, GUID DEAL FAT EM
[8]   Maximum intensity projection of cranial computed tomography data for dental identification [J].
Jackowski, C ;
Aghayev, E ;
Sonnenschein, M ;
Dirnhofer, R ;
Thali, M .
INTERNATIONAL JOURNAL OF LEGAL MEDICINE, 2006, 120 (03) :165-167
[9]  
MOROZ IV, 2005, PROBL TUBERK BOLEZN, V12, P19
[10]   The role of radiology in the Oklahoma City bombing [J].
Nye, PJ ;
Tytle, TL ;
Jarman, RN ;
Eaton, BG .
RADIOLOGY, 1996, 200 (02) :541-543