Observational studyLa Radiologia medica2026
The impact of forensic experience on postmortem CT interpretation in firearm deaths: an interobserver reliability study.
Observational study in La Radiologia medica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- B-Mode Ultrasound Radiomics for Differentiating Benign and Malignant Small Hyperechoic Renal Masses: An Exploratory Single-Center Experience.Journal of imaging · 2026Article
- Preparation of male genital organs - a new autopsy technique.Forensic science, medicine, and pathology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Forensic radiology training significantly enhances the diagnostic accuracy of postmortem computed tomography (PMCT) in firearm-related deaths, reducing inter-reader variability and improving injury detection. This study examines the impact of forensic expertise on PMCT interpretation, evaluating whether specialized training supersedes clinical radiology experience (non-forensic). A retrospective observational analysis was conducted at the University of Palermo, examining 10 firearm fatalities (homicides or suicides) between 2021 and 2024. The sample included individuals aged 25 to 66, with injuries from both short- and long-barrel firearms. Four radiologists with varying forensic experience analyzed the PMCT scans: an experienced forensic radiologist, an experienced clinical radiologist without forensic training, a radiology resident with forensic training, and a radiology resident without forensic expertise. Findings were compared against autopsy results as the gold standard. A lesion-based analysis was carried out in performance metrics considering the total number of findings (n = 960) and the number of findings in each subgroup (ranging from 40 up to 230 lesions). Inter-rater agreement was assessed using Fleiss' kappa and Cohen's kappa, while diagnostic performance was evaluated with ROC curve analysis. Results showed significantly higher diagnostic accuracy among radiologists with forensic training, particularly in detecting entrance and exit wounds, as well as organ injuries. These findings underscore the critical role of forensic radiology training in enhancing PMCT reliability, particularly for firearm-related injuries. Standardized reporting protocols and structured training programs are crucial for strengthening medicolegal investigations, thereby ensuring accurate and reproducible forensic imaging assessments. Future research should explore advanced imaging techniques, including radiomics and AI-driven analysis, to optimize forensic radiology practices.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.