Evidence map›Paper›PMID 29714682›Full record

ArticleRadiology2018

Postmortem CT Angiography Compared with Autopsy: A Forensic Multicenter Study.

Silke Grabherr, Axel Heinemann, Hermann Vogel, Guy Rutty, Bruno Morgan, Krzysztof Woźniak, Fabrice Dedouit, Florian Fischer, Stefanie Lochner, Holger Wittig and 7 more

Open access · bronzeAbstract readComparative StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
10.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Forensic tissue mechanics of diabetes mellitus-related brain induration.Forensic science, medicine, and pathology · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Article
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  12. Article
  13. Review
  14. The current state of forensic imaging - post mortem imaging.International journal of legal medicine · 2025
    Review
  15. Article
  16. Review
  17. Review
  18. [Blunt force trauma in forensic radiology].Radiologie (Heidelberg, Germany) · 2024
    Review
  19. [Forensic radiology : Introduction and overview].Radiologie (Heidelberg, Germany) · 2024
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 6 countries.

Silke GrabherrFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).ORCID http://orcid.org/0000-0002-9914-2310
Axel HeinemannFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Hermann VogelFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Guy RuttyFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Bruno MorganFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Krzysztof WoźniakFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Fabrice DedouitFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Florian FischerFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Stefanie LochnerFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Holger WittigFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Giuseppe GuglielmiFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Franziska EpliniusFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Katarzyna MichaudFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Cristian PalmiereFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Christine ChevallierFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Patrice ManginFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Jochen M GrimmFrom the University Center of Legal Medicine Lausanne-Geneva, Chemin de la Vulliette 4, 1000 Lausanne 25, Switzerland (S.G., F.D., K.M., C.P., C.C., P.M., J.M.G.); Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (A.H., H.V.); East Midlands Forensic Pathology Unit, University of Leicester, Leicester, England (G.R.); University of Leicester Imaging Department, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, England (B.M.); Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland (K.W.); Departments of Legal Medicine and Radiology, Hôpital Rangueil, Toulouse, France (F.D.); Institute of Legal Medicine, Munich, Germany (F.F., S.L.); Institute of Legal Medicine, Basel, Switzerland (H.W.); University of Foggia, Foggia, Italy (G.G.); Institute of Forensic Medicine, University of Leipzig, Leipzig, Germany (F.E.); and Department of Medical Radiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland (J.M.G.).
Universität Hamburg · DEUniversity of Leicester · GBJagiellonian University · PLUniversity of Foggia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose To determine if postmortem computed tomography (CT) and postmortem CT angiography help to detect more lesions than autopsy in postmortem examinations, to evaluate the strengths and weaknesses of each method, and to define their indications. Materials and Methods Postmortem CT angiography was performed on 500 human corpses and followed by conventional autopsy. Nine centers were involved. All CT images were read by an experienced team including one forensic pathologist and one radiologist, blinded to the autopsy results. All findings were recorded for each method and categorized by anatomic structure (bone, organ parenchyma, soft tissue, and vascular) and relative importance in the forensic case (essential, useful, and unimportant). Results Among 18 654 findings, autopsies helped to identify 61.3% (11 433 of 18 654), postmortem CT helped to identify 76.0% (14 179 of 18 654), and postmortem CT angiography helped to identify 89.9% (16 780 of 18 654; P < .001). Postmortem CT angiography was superior to autopsy, especially at helping to identify essential skeletal lesions (96.1% [625 of 650] vs 65.4% [425 of 650], respectively; P < .001) and vascular lesions (93.5% [938 of 1003] vs 65.3% [655 of 1003], respectively; P < .001). Among the forensically essential findings, 23.4% (1029 of 4393) were not detected at autopsy, while only 9.7% (428 of 4393) were missed at postmortem CT angiography (P < .001). The best results were obtained when postmortem CT angiography was combined with autopsy. Conclusion Postmortem CT and postmortem CT angiography and autopsy each detect important lesions not detected by the other method. More lesions were identified by combining postmortem CT angiography and autopsy, which may increase the quality of postmortem diagnosis. Online supplemental material is available for this article.

Indexed as

Cause of DeathAdultAgedAged, 80 and overAutopsyComputed Tomography AngiographyEuropeFemaleForensic PathologyHumansMaleMiddle AgedProspective StudiesReproducibility of ResultsYoung Adult

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PMID29714682
PMCPMC6027995
OpenAlexW2799532998

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