Postmortem computed tomography (PMCT) is well established for medicolegal death investigation. However, certain limitations of PMCT can be overcome with postmortem magnetic resonance imaging (PMMRI) especially in the brain, spinal cord, and heart, and in young children. Postmortem imaging uses all the CT and MRI techniques available in clinical radiology, albeit with adjustments to allow for changes in the body after death and refrigeration. The authors present a case of hypoxic ischemic brain injury, where both PMCT and PMMRI provided information about the deceased. This included iodine leak into the basal ganglia following high-dose antemortem CT scanning confirmed on dual energy PMCT, and swelling and T2 hyperintensity in gray matter of the basal ganglia and cortex on PMMRI. These findings were confirmed as hypoxic ischemic encephalopathy at autopsy examination. 🔗 Follow the link to learn about imaging parameters and imaging technique. Shoutout to the co-authors: Miranda Northey, Grad. Dip. MRT; Catherine Vincent, BMedRadSci; Felicity Barnes, MB BS (Hons); Joanna Glengarry, MB ChB (Dist.) Department of Forensic Medicine, Monash University, Australia Aoife Reid, BRadMedImag (Hons), Siemens Healthineers
Advanced Imaging-Based Medicolegal Death Investigation: Postmortem #MRI and CT by Dr. Chris O’Donnell, et al. (Victorian Inst. of Forensic Medicine, Australia).
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#ForensicRadiology #PMCT #PMMRI
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