Radiological Approaches in Legal Medicine: Strategies for Human Identification in Forensic Cases


Abstract

Legal Medicine applies medical principles in the legal field and Forensic Anthropology is essential for the identification of unknown individuals. In this field, imaging techniques have gained prominence due to technological advancements, emerging as crucial tools in human identification, especially in mass disasters. The objective of this study was to review the use of radiological techniques in forensic identification of corpses. The methodology included the analysis of 22 full articles, published between 2007 and 2023, in Portuguese, English, German, and Spanish, found in the PubMed and Google Scholar databases. The results showed that the techniques used include traditional and dental radiographs, computed tomography (CT), angiography, and post-mortem magnetic resonance imaging (MRI). Besides their applicability in human identification, these techniques are useful for performing 2D and 3D craniofacial reconstructions and identifying injuries. In conclusion, imaging techniques are promising in forensic identification as they offer a minimally invasive method and complement, but do not replace, conventional autopsies. However, they face challenges such as a lack of standardization and high costs.


References

  1. G.V. França. Fundamentos de Medicina Legal, Grupo GEN, Brasil (2018) 25-52.
  2. A. Jamieson; A. Moensssens. Wiley Encyclopedia of Forensic Science, John Wiley and Son Ltd, United States of America (2009) 1-27.
  3. R. Ciaffi; D. Gibelli; C. Cattaneo. Forensic radiology and personal identification of unidentified bodies: a review. Radiol Med 116: 960–968 (2011).
  4. M.J. Thali; M.D. Viner; B.G. Brodgon's Forensic Radiology, CRC Press, United States of America (2010) 9-23.
  5. M.F.G. Pereira. Identificação Humana através das particularidades ósseas no exame radiográfico da coluna vertebral e tórax. Dissertação de mestrado, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto (2018).
  6. W.L. Culbert; F.M. Law. Identification by Comparison of Roentgenograms: of Nasal Accessory Sinuses and Mastoid Processes. JAMA 88: 1634–1636 (1927).
  7. L.L. Sá; D.M. Santos; K.D.S Martins. Radiologia Forense no contexto Médico-Legal: atuação em casos de homicídio por arma de fogo. Rev. Bras. Crim. 11: 65–72 (2022).
  8. J.G.D. Pereira. et al. Reconstrução facial forense tridimensional: técnica manual vs. técnica digital. RBOL 4: 46-54 (2017).
  9. C. Cattaneo. Forensic anthropology: developments of a classical discipline in the new millennium. Forensic Sci Int 165: 185–193 (2007).
  10. M. Zhang. Forensic imaging: a powerful tool in modern forensic investigation. Forensic Sci Res. 7: 385–392 (2022).
  11. T. Sutherland; C. O’Donnell. The artefacts of death: CT post-mortem findings. J Med Imaging Radiat Oncol 62: 203–210 (2018).
  12. C.E. Offiah; J. Dean. Post-mortem CT and MRI: appropriate post-mortem imaging appearances and changes related to cardiopulmonary resuscitation. Br J Radiol 89: 20150851 (2016).
  13. A.V. Cardoso. et al. Radiologia forense: identificação de corpos por imagens de tomografia computadorizada. RASEd 1: 1-8 (2023).
  14. Brasil. Ministério da Saúde. Mortes por causas externas: qualificação dos registros inespecíficos [recurso eletrônico]. Ministério da Saúde, Ministério da Justiça e Segurança Pública. Brasília: Ministério da Saúde (2024).
  15. M.R. Tosta. Uso do diagnóstico por imagem aplicado à Medicina Forense. Rev. Bras. Crim. 12: 103-108 (2023).
  16. G.M. Alves; A.D.F. Farje. Radiologia Forense. 10ª Jornada Científica e Tecnológica da Fatec Botucatu. 1-8 (2021).
  17. C. O'Donnell; N. Woodford. Post-mortem radiology--a new sub-speciality?. Clin Radiol 63: 1189–1194 (2008).
  18. A.L.C. Silva. et al. Aplicabilidade da radiologia forense na medicina legal. Revista Atenas Higeia 5: 14-18 (2023).
  19. R. Kumar. et al. Forensic radiology: An emerging tool in identification. JIAOMR 27: 416-422 (2015).
  20. M. Yazdanian. et al. Dental Radiographic/Digital Radiography Technology along with Biological Agents in Human Identification. Scanning 2022: 1-30 (2022).
  21. A.L. Brough. et al. Post-mortem computed tomography and 3D imaging: anthropological applications for juvenile remains. Forensic Sci Med Pathol 8: 270–279 (2012).
  22. R.C. Alves. O uso de técnicas radiológicas na identificação forense de cadáveres. Arquivos do MUDI 23: 1-10 (2019).
  23. H.M. Garvin; M.K. Stock. The Utility of Advanced Imaging in Forensic Anthropology. Acad Forensic Pathol 6: 499-516 (2016).
  24. T. Thomsen. et al. Ultrasonography on the non-living. Current approaches. Med Ultrason 25: 56-65 (2023).
  25. F. Cascini. et al. Post-mortem computed tomography for forensic applications: A systematic review of gunshot deaths. Med Sci Law 60: 54-62 (2020).
  26. L.C. Ebert. et al. A review of visualization techniques of post‐mortem computed tomography data for forensic death investigations. Int J Legal Med 135: 1855-1867 (2021).
  27. H. Jalalzadeh. et al. Post-mortem imaging compared with autopsy in trauma victims – A systematic review. Forensic Sci Int 257: 29-48 (2015).
  28. P.S. Tofts. et al. Imaging cadavers: cold FLAIR and noninvasive brain thermometry using CSF diffusion. Magn Reson Med 59:190-195 (2008).
  29. T.Y.T. Zyoud. et al. Decoding death by unknown causes using post mortem image-guided virtopsy: A review of recent literature and the Malaysian experience. Med J Malaysia 75: 411–418 (2020).
  30. H.M. Bakker. et al. The value of post-mortem computed tomography of burned victims
  31. in a forensic setting. Eur Radiol 29: 1912–1921 (2019).
  32. R.F. Silva. et al. Human identification based on cranial computed tomography scan: a case report. Dentomaxillofacial Radiol 40: 257-61 (2011).
  33. S. Grabherr. et al. Application of contrast media in post-mortem imaging (CT and MRI). Radiol Med 120: 824–834 (2015).
  34. K.M. Stein; K. Grünberg. Forensische Radiologie [Forensic radiology]. Der Radiologe 49: 73–85 (2009).
  35. F. Dedouit. et al. Virtual anthropology and forensic identification using multidetector CT. Br J Radiol 87: 20130468 (2014).

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Copyright (c) 2024 Brazilian Journal of Criminalistics

Share

Author(s)