Computed tomography as routine in connection with medico-legal autopsies

Abstract

CT-scanning as routine examination before medico-legal autopsy was introduced at the Institute of Forensic Medicine in Copenhagen, Denmark, in December 2002. The present series comprises of 525 medico-legal examinations performed in the year 2003. The purpose is to determine the value of CT-scanning prior to the post-mortem examination. All findings, CT- as well as patho-anatomic findings - more than 4000 - were registered in a database. To increase the clearness, the findings are divided in accordance to regions such as head, thorax, abdomen, pelvis, extremities and vessels and the CT-findings are compared to the patho-anatomic findings, with the purpose to estimate the advantages and disadvantages with the two types of examination. The preliminary results show, that the CT-scanner is superior when it comes to detection of extremity fractures. The scanner has ability in detecting hemorrhages and hematomas, especially, intracranial.