ArticleInternational journal of legal medicine2016
Postmortem computed tomography (PMCT) and autopsy in deadly gunshot wounds--a comparative study.
Article in International journal of legal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Postmortem imaging findings and cause of death determination compared with autopsy: a systematic review of diagnostic test accuracy and meta-analysis.International journal of legal medicine · 2020Pooled it
- Radiological investigation of gunshot wounds: a systematic review of published evidence.International journal of legal medicine · 2019Pooled it
- Radiopaque ring sign as a distinct finding at the entry site of gunshot wounds on postmortem CT.International journal of legal medicine · 2026Article
- The impact of forensic experience on postmortem CT interpretation in firearm deaths: an interobserver reliability study.La Radiologia medica · 2026Observational
- Silent Witnesses: Exploring the Impact of Cone Beam Computed Tomography on Forensic Investigations.Cureus · 2025Review
- VIRTual autOPSY-applying CT and MRI for modern forensic death investigations.Frontiers in radiology · 2025Review
- [Forensic-radiological diagnosis of gunshot wounds].Radiologie (Heidelberg, Germany) · 2024Review
- Optimization of Postprocessing parameters for abdominal Forensic CT scans.Forensic science international. Synergy · 2024Article
- Article
- Postmortem CT and autopsy findings in nine victims of terrorist attack.International journal of legal medicine · 2021Article
- Postmortem Computed Tomography in Firearm Homicides: A Retrospective Case Series.Journal of forensic sciences · 2020Article
- Heavy metal in radiology: how to reliably differentiate between lodged copper and lead bullets using CT numbers.European radiology experimental · 2020Article
- Synergistic Effects of Forensic Medicine and Traumatology: Comparison of Clinical Diagnosis Autopsy Findings in Trauma-Related Deaths.World journal of surgery · 2020Article
- State of the art in post-mortem computed tomography: a review of current literature.Virchows Archiv : an international journal of pathology · 2019Review
- Pandora's box.Forensic science, medicine, and pathology · 2018Article
- Detection of blood aspiration in deadly head gunshots comparing postmortem computed tomography (PMCT) and autopsy.European journal of medical research · 2016Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPostmortem computed tomography (PMCT) data in gunshot-related death were evaluated by two reader groups and compared to the gold standard autopsy for the determination of forensic pathology criteria. MATERIALS AND
methodsReader group I consisted of two board-certified radiologists whereas one board-certified radiologist and one board-certified forensic pathologist formed group II. PMCT data of 51 gunshot-related deaths were evaluated for the forensic pathology criteria number of gun shots, localization of gunshot injury, caliber, and direction of the gunshot differentiating between entry and exit wound as well as associated injury to surrounding tissue. The results of both reader groups were compared to the each other and to autopsy findings considered as gold standard.
resultsReader groups I and II and as gold standard the autopsy evaluation showed in general a good correlation between all results. The overall discrepancy rate was 12/51 (23.4%) cases for group I and 8/51 (15.6%) for group II. DISCUSSION: Ultimately, the designated reader is able to draw the following conclusion from the presented data. At first, physical autopsy is better than PMCT regarding the localization of most gunshot injuries. Second, PMCT presents with better results than physical autopsy in locating fragmented bullets/fragment clouds, and finally, PMCT results of two radiologists were equivalent to the results of one evaluating radiologist and one pathologist with the exception of caliber assessment. However, referring to the pure numbers, the slight but not significant difference in the overall discrepancy rate of both reader groups might indicate the advantage of combining expertise in evaluating imaging in cases of gunshot-related death.
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