Virtual autopsy: preliminary experience in high-velocity gunshot wound victims.

Abstract:

PURPOSE:To retrospectively assess virtual autopsy performed with multidetector computed tomography (CT) for the forensic evaluation of gunshot wound victims. MATERIALS AND METHODS:The institutional review board approved this HIPAA-compliant study and did not require informed consent of the next of kin. Thirteen consecutive male gunshot wound victims (mean age, 27 years) were scanned with 16-section multidetector CT prior to routine autopsy. Retrospectively, the total-body nonenhanced scans were interpreted at a three-dimensional workstation by radiologists blinded to autopsy findings. Images were evaluated for lethal wound, number and location of wound tracks, injured structures, and metal fragment location. After image review, autopsy reports and photographs were compared with the images and interpretations to validate the multidetector CT determinations. RESULTS:Multidetector CT aided in correct identification of all lethal wounds, and metallic fragment location was always precise. In four cases, multidetector CT aided in accurate assessment of organ injuries and lethal wounds but led to underestimation of the number of wounds if comingling paths occurred. In two cases of a chest wound, multidetector CT aided in accurate assessment of the chest as having the lethal wound but failed to help identify specific sites of hemorrhage. In two cases of craniofacial injury, the path of the wound was not clear. Autopsy revealed a total of 78 wound tracks (mean, 6; range, 1-24). Ten (13%) wound tracks were not identified at multidetector CT (six upper extremity wounds and four thigh wounds). In two cases, findings missed at autopsy (fracture of the cervical spine, bullet fragments in the posterior area of the neck) were identified at multidetector CT. CONCLUSION:Multidetector CT can aid prediction of lethal wounds and location of metallic fragments.

journal_name

Radiology

journal_title

Radiology

authors

Levy AD,Abbott RM,Mallak CT,Getz JM,Harcke HT,Champion HR,Pearse LA

doi

10.1148/radiol.2402050972

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

522-8

issue

2

eissn

0033-8419

issn

1527-1315

pii

2402050972

journal_volume

240

pub_type

杂志文章
  • Infrapopliteal and below-knee popliteal lesions: treatment with sole laser thermal angioplasty. Work in progress.

    abstract::Laser-assisted balloon angioplasty has been successfully performed in peripheral and coronary arteries; however, the ability to perform laser angioplasty alone without the need for subsequent balloon angioplasty has not been reported. In the present series, infrapopliteal and below-knee popliteal sole laser thermal an...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.172.1.2525790

    authors: Sanborn TA,Mitty HA,Train JS,Dan SJ

    更新日期:1989-07-01 00:00:00

  • Spermatic vein embolization with hot contrast material: fertility results.

    abstract::Spermatic venography with hot contrast material embolization was undertaken in 81 patients with varicoceles and infertility. Long-term follow-up information was available in 91% of the patients, and there was an overall conception rate of 40.5%. Embolization with hot contrast material was easily performed without spec...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.168.1.3380950

    authors: Smith TP,Hunter DW,Cragg AH,Darcy MD,Castaneda-Zuniga WR,Sinclair TR,Ercole C,Hulbert JC,Kaye KW,Amplatz K

    更新日期:1988-07-01 00:00:00

  • Desmoplastic small round cell tumor of the abdomen: radiologic-histopathologic correlation.

    abstract:PURPOSE:To characterize the imaging features of desmoplastic small round cell tumor of the abdomen and correlate them with the histopathologic findings. MATERIALS AND METHODS:Eleven of 14 patients with desmoplastic small round cell tumor had primary abdominal involvement. In nine of these patients (mean age, 20 years)...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.210.3.r99mr42633

    authors: Pickhardt PJ,Fisher AJ,Balfe DM,Dehner LP,Huettner PC

    更新日期:1999-03-01 00:00:00

  • Molecular body imaging: MR imaging, CT, and US. part I. principles.

    abstract::Molecular imaging, generally defined as noninvasive imaging of cellular and subcellular events, has gained tremendous depth and breadth as a research and clinical discipline in recent years. The coalescence of major advances in engineering, molecular biology, chemistry, immunology, and genetics has fueled multi- and i...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiol.12102394

    authors: Kircher MF,Willmann JK

    更新日期:2012-06-01 00:00:00

  • Nuclear magnetic resonance evaluation of stroke. A preliminary report.

    abstract::Nine patients who had acute and subacute stroke were examined by nuclear magnetic resonance (NMR) using a 6-MHz Bruker Instruments proton scanner. A modified Carr-Purcell-Meiboom-Gill pulse sequence was used for signal detection. The resultant string of spin-echoes was Fourier transformed into projections that were su...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.149.1.6310680

    authors: Bryan RN,Willcott MR,Schneiders NJ,Ford JJ,Derman HS

    更新日期:1983-10-01 00:00:00

  • A new method of diagnosing myocardial contusion in man by radionuclide imaging.

    abstract::A new method of diagnosing myocardial contusion was studied in 8 patients in whom the injured mycardium was visualized as an abnormal area of increased activity in the region of the heart one hour after intravenous injection of 10 mCi of 99m-Tc-Sn-polyphosphate or pyrophosphate. Serum enzymes in these patients were el...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/116.1.107

    authors: Go RT,Doty BD,Chiu CL,Christie JH

    更新日期:1975-07-01 00:00:00

  • Surface coil assembly with switchable field of view.

    abstract::The authors designed and built an overlapping surface coil assembly for magnetic resonance imaging of the spine. A small and a large coil are included, and use of one can be switched to the other without need for patient repositioning. The images are not degraded, and screening studies can immediately be followed by d...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.164.3.3615890

    authors: Arakawa M,Krasnor S,Fehn J,McCarten B,Kaufman L

    更新日期:1987-09-01 00:00:00

  • Metastatic gastrinomas: localization with selective arterial injection of secretin.

    abstract:PURPOSE:To evaluate localization of hepatic metastases with the intraarterial secretin injection test in Zollinger-Ellison syndrome (ZES). MATERIALS AND METHODS:Results in 74 patients with ZES (aged 15-70 years) were retrospectively studied. All patients had undergone computed tomography (CT), magnetic resonance (MR) ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.198.1.8539410

    authors: Gibril F,Doppman JL,Chang R,Weber HC,Termanini B,Jensen RT

    更新日期:1996-01-01 00:00:00

  • When does a radiologist's recommendation for follow-up result in high-cost imaging?

    abstract:PURPOSE:To measure the proportion of high-cost imaging generated by a radiologist's recommendation and to identify the imaging findings resulting in follow-up. MATERIALS AND METHODS:This retrospective HIPAA-compliant study had institutional review board approval, with waiver of informed consent. A recommended examinat...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.11111091

    authors: Lee SI,Krishnaraj A,Chatterji M,Dreyer KJ,Thrall JH,Hahn PF

    更新日期:2012-02-01 00:00:00

  • Intraductal papillary mucinous tumors of the pancreas: helical CT with histopathologic correlation.

    abstract:PURPOSE:To evaluate the accuracy of preoperative computed tomography (CT) in predicting the location and type of ductal involvement and malignant transformation in intraductal papillary mucinous (IPM) pancreatic tumors and to determine the predictive factors for malignancy at CT. MATERIALS AND METHODS:The helical CT s...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.217.3.r00dc24757

    authors: Taouli B,Vilgrain V,Vullierme MP,Terris B,Denys A,Sauvanet A,Hammel P,Menu Y

    更新日期:2000-12-01 00:00:00

  • Percutaneous cholecystostomy in acute cholecystitis and common duct obstruction.

    abstract::Percutaneous cholecystostomy was performed in 36 patients, of whom 22 patients with acute cholecystitis had decompression of the gallbladder and 14 patients with common duct obstruction had biliary decompression through the gallbladder. In almost all cases of acute cholecystitis, percutaneous cholecystostomy quickly c...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.152.2.6739800

    authors: Pearse DM,Hawkins IF Jr,Shaver R,Vogel S

    更新日期:1984-08-01 00:00:00

  • Coronary artery calcification detected with ultrafast CT as an indication of coronary artery disease.

    abstract::To assess the relationship of coronary artery calcification to angiographically detectable disease, the authors evaluated 100 patients less than 60 years of age who underwent clinically indicated coronary angiography and ultrafast computed tomography (CT). The ultrafast CT technique consisted of 3-mm-thick contiguous ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.185.2.1410350

    authors: Breen JF,Sheedy PF 2nd,Schwartz RS,Stanson AW,Kaufmann RB,Moll PP,Rumberger JA

    更新日期:1992-11-01 00:00:00

  • CT predictors for differentiating benign and clinically worrisome pneumatosis intestinalis in children beyond the neonatal period.

    abstract:PURPOSE:To determine whether computed tomographic (CT) findings can help differentiate between benign and clinically worrisome causes of pneumatosis intestinalis (PI) in children. MATERIALS AND METHODS:This retrospective study was approved by the institutional review board, and requirement for informed consent was wai...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2532090168

    authors: Olson DE,Kim YW,Ying J,Donnelly LF

    更新日期:2009-11-01 00:00:00

  • Urinary tract after abdomino-perineal resection.

    abstract::Uroradiological examinations on 33 patients subjected to abdomino-perineal resection were analyzed. The most common finding was medial displacement of both ureters, with the right one frequently crossing the midline. Bladder deformity, sometimes severe, was present in all patients. Localized ureteral narrowing due to ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/128.2.345

    authors: Barbaric ZL,Wolfe DE,Segal AJ

    更新日期:1978-08-01 00:00:00

  • Coronary angiographic and scintigraphic findings in experimental cardiac contusion.

    abstract::Clinical, angiographic, scintigraphic and pathologic observations in myocardial contusion were correlated. Radionuclide imaging of the injured heart with 99mTc-Sn-polyphosphate provides an accurate diagnosis in acute, even mild, myocardial contusion. The study can be carried out without danger to the critically ill pa...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/116.3.679

    authors: Chiu CL,Roelofs JD,Go RT,Doty DB,Rose EF,Christie JH

    更新日期:1975-09-01 00:00:00

  • Cervical carcinoma: MR imaging with an endorectal surface coil.

    abstract::Ten consecutive patients with biopsy-proved invasive cervical carcinoma underwent magnetic resonance (MR) imaging with both a standard body coil and with an endorectal surface coil. The endorectal coil provided a markedly improved signal-to-noise ratio, enabling the use of small fields of view; thus, the images had si...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.180.1.2052730

    authors: Milestone BN,Schnall MD,Lenkinski RE,Kressel HY

    更新日期:1991-07-01 00:00:00

  • Incidence of nephrogenic systemic fibrosis after adoption of restrictive gadolinium-based contrast agent guidelines.

    abstract:PURPOSE:To retrospectively determine the incidence of nephrogenic systemic fibrosis (NSF) in a large academic medical center after the adoption of restrictive gadolinium-based contrast agent (GBCA) administration guidelines. MATERIALS AND METHODS:For this retrospective HIPAA-compliant study, institutional review board...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.11102340

    authors: Wang Y,Alkasab TK,Narin O,Nazarian RM,Kaewlai R,Kay J,Abujudeh HH

    更新日期:2011-07-01 00:00:00

  • Photographic method of recording radiation fields using the localizer light for illumination.

    abstract::By interposing a camera with a fish-eye lens between the collimator and the illuminated field, radiotherapy ports can be recorded using the localizer light for illumination. An acrylic mold of the camera was used to maintain alignment and immobilization during the necessarily long exposures. The authors consider this ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/123.3.801

    authors: Pantoja E,Frede T,Leininger V

    更新日期:1977-06-01 00:00:00

  • Focal liver tumors: characterization with 3D perflubutane microbubble contrast agent-enhanced US versus 3D contrast-enhanced multidetector CT.

    abstract:PURPOSE:To investigate the potential application of contrast material-enhanced three-dimensional (3D) ultrasonography (US), as compared with contrast-enhanced 3D computed tomography (CT), for characterization of focal liver tumors. MATERIALS AND METHODS:Institutional review board approval and informed patient consent ...

    journal_title:Radiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1148/radiol.2511081324

    authors: Luo W,Numata K,Morimoto M,Kondo M,Takebayashi S,Okada M,Morita S,Tanaka K

    更新日期:2009-04-01 00:00:00

  • The value of computed tomography in evaluating patients with prolactinomas.

    abstract::The use of computed tomography (CT) in 28 patients with surgically proved prolactinomas is described. The authors' experience suggests that in evaluating patients with galactorrhea-amenorrhea syndrome, CT in combination with pluridirectional tomography usually provides sufficient information to make further invasive s...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/131.1.117

    authors: Wolpert SM,Post KD,Biller BJ,Molitch ME

    更新日期:1979-04-01 00:00:00

  • Arteriovenous Fistula Development in the First 6 Weeks after Creation.

    abstract:PURPOSE:To assess the anatomic development of native arteriovenous fistula (AVF) during the first 6 weeks after creation by using ultrasonographic (US) measurements in a multicenter hemodialysis fistula maturation study. MATERIALS AND METHODS:Each institutional review board approved the prospective study protocol, and...

    journal_title:Radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1148/radiol.2015150385

    authors: Robbin ML,Greene T,Cheung AK,Allon M,Berceli SA,Kaufman JS,Allen M,Imrey PB,Radeva MK,Shiu YT,Umphrey HR,Young CJ,Hemodialysis Fistula Maturation Study Group.

    更新日期:2016-05-01 00:00:00

  • Prominent meningeal enhancement adjacent to meningioma on Gd-DTPA-enhanced MR images: histopathologic correlation.

    abstract::To assess tissue changes responsible for enhancement of the meninges adjacent to meningiomas on magnetic resonance (MR) images, the authors correlated the MR imaging characteristics of meningeal lesions seen before and after administration of gadolinium diethylenetriamine-pentaacetic acid (DTPA) with the appearance of...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.175.2.2326470

    authors: Tokumaru A,O'uchi T,Eguchi T,Kawamoto S,Kokubo T,Suzuki M,Kameda T

    更新日期:1990-05-01 00:00:00

  • Intraarticular facet block: diagnostic test or therapeutic procedure?

    abstract::The specificity of the intraarticular facet block as a diagnostic test for facet joint disease is currently unknown. Capsular rupture with epidural and periarticular diffusion is probably responsible for many false positive findings. We found a comparatively low success rate of the procedure in 25 patients in whom max...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.151.2.6709900

    authors: Raymond J,Dumas JM

    更新日期:1984-05-01 00:00:00

  • Ultrasonic visualization of an umbilical vein.

    abstract::A patent umbilical vein was demonstrated via ultrasound in a patient with portal hypertension. Ultrasonographic differential diagnosis of intra- and juxta-hepatic veins is given, with emphasis on real time ultrasonography. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/120.1.159

    authors: Weill F

    更新日期:1976-07-01 00:00:00

  • Diagnostic value of spinal US: comparative study with MR imaging in pediatric patients.

    abstract:PURPOSE:To assess the diagnostic value of spinal ultrasonography (US) in pediatric patients. MATERIALS AND METHODS:The findings on 38 spinal US scans in 30 patients (mean age, 5.5 months) were compared with those of corresponding magnetic resonance (MR) images. RESULTS:MR imaging showed a normal spinal canal in 14 of...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.200.2.8685330

    authors: Rohrschneider WK,Forsting M,Darge K,Tröger J

    更新日期:1996-08-01 00:00:00

  • Collimator misalignment in high energy therapy machines.

    abstract::Measurements of the intensity distribution of a 60-Co beam revealed a significant field distortion caused by minor misalignment of the collimator assembly which was not detected by routine methods. Accurate monitoring of radiation intensity distribution and periodic visual inspection of collimators are suggested for ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/116.1.226

    authors: Zeman GH,Rao GU,Hazra TA

    更新日期:1975-07-01 00:00:00

  • Mediastinal pseudotumors associated with exogenous obesity.

    abstract::In obese individuals, a localized deposit of normal fat may simulate a mediastinal tumor on chest radiography. It is important to consider this possibility in the differential diagnosis to avoid needless surgery and facilitate continued observation when appropriate. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/119.1.74

    authors: Steckel RJ

    更新日期:1976-04-01 00:00:00

  • Cartilage MR imaging at 3.0 versus that at 1.5 T: preliminary results in a porcine model.

    abstract:PURPOSE:To compare 1.5- and 3.0-T magnetic resonance (MR) images of porcine knee specimens containing artificial cartilage lesions in terms of accuracy of lesion depiction, image quality, and signal-to-noise ratio (SNR). MATERIALS AND METHODS:This Health Insurance Portability and Accountability Act-compliant study had...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2361040747

    authors: Masi JN,Sell CA,Phan C,Han E,Newitt D,Steinbach L,Majumdar S,Link TM

    更新日期:2005-07-01 00:00:00

  • Recurrent colorectal carcinoma: evaluation with barium enema examination and CT.

    abstract::The efficacy of the barium enema examination and abdominal computed tomography (CT) was investigated in 81 patients who had undergone operation for colorectal carcinoma. Recurrent disease was found in 52 patients and was divided into local (anastomotic and perianastomotic) and remote (distant and hepatic metastases) t...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.163.2.3562810

    authors: Chen YM,Ott DJ,Wolfman NT,Gelfand DW,Karsteadt N,Bechtold RE

    更新日期:1987-05-01 00:00:00

  • Adult respiratory distress syndrome from overdose of tricyclic antidepressants.

    abstract::Adult respiratory distress syndrome (ARDS) from overdose of tricyclic antidepressants (TCA) has been reported but is not well known. During a 1-year period, 81 patients with serious overdose from tranquilizers and other psychotropic drugs were examined. TCA alone induced overdose in 30 patients or were combined with o...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.170.3.2916020

    authors: Varnell RM,Godwin JD,Richardson ML,Vincent JM

    更新日期:1989-03-01 00:00:00