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Micro-CT for the examination of paediatric rib injuries : a case series
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Baier, Waltraud, Norman, Danielle and Williams, Mark A. (2021) Micro-CT for the examination of paediatric rib injuries : a case series. Forensic Science International, 325 . 110789. doi:10.1016/j.forsciint.2021.110789 ISSN 0379-0738.
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Official URL: http://dx.doi.org/10.1016/j.forsciint.2021.110789
Abstract
Cases of child abuse and homicide are amongst the biggest challenges investigators face, with complex evidence bases often strongly contested and reliant on specialist interpretation of the medical evidence. In many cases, this medical evidence includes examination of the deceased’s skeleton using different macroscopic and microscopic imaging methods. Rib fractures are a common concern when examining suspicious cases and much research has been conducted on their causes. The role of CPR in particular has been controversial and therefore a clear assessment of the fracture distribution is crucial. Recent studies have shown the benefit of imaging techniques such as Computed Tomography, although the gold standard remains histology. This paper presents three cases of suspected non-accidental rib fractures of infants which had been examined using micro-CT and histology. Micro-CT has been shown to be superior to medical CT as it achieves a greater resolution, making it effective for paediatric post-mortem imaging. Micro-CT observations were compared retrospectively to the histology, which demonstrated that micro-CT found 69% of the fractures identified histologically as well as an additional 22% not identified through histology. As well as complimenting histological analysis, the extent to which micro-CT can enhance the overall examination of paediatric non-accidental injuries is also discussed.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RJ Pediatrics | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group) | ||||||||
| Library of Congress Subject Headings (LCSH): | Children -- Medical examinations, Children -- Wounds and injuries -- Imaging, Ribs -- Fractures, Child abuse, Filicide, Tomography, Abused children -- Mortality | ||||||||
| Journal or Publication Title: | Forensic Science International | ||||||||
| Publisher: | Elsevier Science BV | ||||||||
| ISSN: | 0379-0738 | ||||||||
| Official Date: | August 2021 | ||||||||
| Dates: |
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| Volume: | 325 | ||||||||
| Article Number: | 110789 | ||||||||
| DOI: | 10.1016/j.forsciint.2021.110789 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 11 June 2021 | ||||||||
| Date of first compliant Open Access: | 11 June 2021 |
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