Research in forensic radiology and imaging; Identifying the most important issues

This study assesses the need for education in forensic medicine and forensic radiology among radiographers by investigating the perceptions and experiences of Korean radiographers working in medical institutions. A structured questionnaire was administered to participants, collected, and analyzed. The results showed that despite receiving frequent forensic cases, Korean radiographers face difficulties in taking appropriate measures about forensic radiology due to a lack of awareness and knowledge of its forensic aspects. The participants indicated that university education in forensic medicine and forensic radiology is necessary. Therefore, it is imperative to develop and implement policies for forensic education programs to enhance radiographers’ forensic knowledge and capabilities. Universities should conduct courses on forensic radiology and provide continuing education for radiographers working in this field.

In Denmark, post-mortem CT scanning (PMCT) was introduced over 20 years ago. The Department of Forensic Medicine, University of Copenhagen, implemented whole-body CT scanning before each autopsy in December 2002, followed by the Department at University of Southern Denmark in Odense in 2006 and at the University of Aarhus 2008. Subsequently, other equipment, including Magnetic Resonance (MR) scanners, surface scanners, photogrammetry equipment and 3D printers, were introduced in the following years. In this review, we will provide contemporary insights into the status of forensic imaging in Denmark, including requisitioned work and research. We will also discuss future directions in the field.

The porcine model shows structural features comparable to that of humans and are routinely used within research, due to the ethical, legal, and practical use of post-mortem human samples. Methods for obtaining high quality and comparable reference data using standardised acquisition protocols are essential.

The decapitated heads of three adult white sows were subjected to radiographic imaging before and after cranial trauma (9 mm, Heckler and Koch MP5). Digital radiographs were generated using a Siemens MULTIX TOP system with an Agfa digital detector, with foam blocks and sandbags as ancillary equipment. An iterative approach was adopted by the authors to generate reproducible radiographic views from two perpendicular angles. Specimens were kept at 5 °C and wrapped in polythene bags to reduce the impact of putrefaction.

Standardised head radiography technique was developed for superior-inferior and lateral views demonstrating porcine anatomy. Key parameters included: automatic exposure control for tube current (∼4 mAs), tube voltage of 73 kVp, 100 cm source to image receptor distance, and an anti-scatter grid. Slight variances in specimen morphology, developmental status, and soft tissue changes did not affect imaging outcomes.

The technique and positioning proposed in this study allows for the acquisition of high quality and reproducible radiographic images for comparable ballistic research datasets. Specimen positioning and centring of the primary beam may be applied across porcine breeds, although individual radiographic parameters may differ according to equipment specifications and specimen size.

Development of a reproducible radiographic technique of porcine heads in forensic and veterinary research.

A specialized branch of medical imaging known as forensic radiology is employed in legal proceedings by forensic experts, doctors, pathologists, and anthropologists for the purpose of evaluation. In the realm of forensic medicine and toxicology, imaging technologies and procedures have the potential to be effective and strong instruments in resolving medicolegal cases. In addition to a brief history, this article also discusses the application of post-mortem imaging, its economic benefits, and its current status in India with respect to the global context. Radiography is still the choice of modality for identifying and locating foreign bodies at the time of death despite the increase in PMMR and PMCT.

This study presents the incidental finding of Paget's disease within archaeological skeletal remains using radiography. The remains of a late medieval (14^th-15^th century AD) adult male were excavated in 2017 from St Albans Monks’ Graveyard, Hertfordshire, United Kingdom. Upon visual inspection the skeleton exhibited widespread changes suggestive of Paget's disease which prompted the radiographic investigation. The resultant imaging demonstrated an expanded bone and coarse trabecular patterns characteristic of the pathology.

Forensic radiography provides valuable information for the reconstruction of biological profiles of the deceased for victim identification. Characteristic medical conditions such as Paget's disease aid identification by excluding unaffected persons, as the pathology exhibits a higher prevalence among British white males of advanced age. This example, although archaeological in origin, illustrates how data available from human skeletal remains can be leveraged through radiographic imaging to glean biographical information which might otherwise be unavailable. In the presence of fragmentary skeletal remains, and the absence of DNA profiling, pathologies with characteristic radiographic appearances could be of forensic significance.

This example demonstrates the radiographic appearances of Paget's disease on fragmentary skeletal remains which may aid victim identification efforts. Consideration must be given to the limitations of Paget's disease including anthropological estimations and the potential for alternative diagnoses. Lastly, radiography may offer an accurate, permanent record of the deceased as secondary evidence for identification efforts.

The purpose of this study was to review the findings of computed tomography (CT) performed early postmortem on infants and to clarify the postmortem CT lung findings that occur in the absence of abnormal histopathological findings.

From July 2016 to March 2022, 72 infants were autopsied with postmortem CT (41 boys 31 girls, aged 0–36 (mean 8.2) months). Autopsy and postmortem CT lung findings were compared with the causes of death identified by the autopsies, namely sudden infant death syndrome (n = 37), acute circulatory system disease (18), drowning (7), asphyxia (5), and dehydration/undernutrition (5).

The %aerated lung volume (−700 HU or less) ranged from 0 % to 33 % (mean 1.5 %, median 0 %), being <1 % in 61 cases (84.7 %) and >3 % in 3/5 (60 %) of the dehydration/undernutrition group. The dehydration/undernutrition group showed significant preservation of lung field air content compared with the other causes of death groups (p < 0.05). Receiver characteristic curve analysis showed a cut off value of 0.8 % and area under the curve of 0.88806. The drowning group had significantly greater pleural cavity fluid retention than the other causes of death groups (p < 0.05). No correlation was found between postmortem interval and pleural cavity fluid retention. However, resuscitation time and pleural cavity fluid retention were correlated.

Evaluation of CT values on postmortem lung fields of infants usually reveals a marked decrease in air content. When air content exceeds 0.8% on infant postmortem CT, dehydration/undernutrition should be considered in the differential diagnosis.