Baier, Waltraud, Burnett, Brian A., Payne, Mark, Warnett, Jason M. and Williams, Mark A. (2020) Using micro computed tomography to examine the larynx in cases of suspected strangulation- a comparison of case findings and control images. International Journal of Legal Medicine, 134 . pp. 1441-1450. doi:10.1007/s00414-019-02194-y ISSN 1437-1596.

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Abstract

The examination of strangulation is one of the most challenging cause of death diagnoses encountered in forensic pathology. The injuries are often subtle and difficult to detect, especially in cases that lack superficial marks. Fractures of the laryngeal skeleton are commonly regarded as evidence of strangulation but these can be too subtle to be detected during autopsy. Micro-CT is a novel imaging technique that achieves a spatial resolution 1µm or less which lends itself to the examination of small and delicate structures such as the larynx. However, there is little information to date regarding the appearance of the larynx at this scale, thus complicating the interpretation of the micro-CT images. This study therefore uses micro-CT to examine ten larynges from strangulation deaths and to compare them to nineteen samples from donor individuals in order to distinguish between naturally occurring features and actual trauma. It was found that there are several features which mimic damage in the donor group. Using associated case information, initial trends and patterns of different strangulation methods were established.

Item Type:	Journal Article
Subjects:	Q Science > QM Human anatomy R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine R Medicine > RB Pathology R Medicine > RC Internal medicine
Divisions:	Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group)
Library of Congress Subject Headings (LCSH):	Tomography, Forensic engineering, Image processing -- Digital techniques, Strangling, Larynx
Journal or Publication Title:	International Journal of Legal Medicine
Publisher:	Springer
ISSN:	1437-1596
Official Date:	July 2020
Dates:	Date Event July 2020 Published 12 November 2019 Available 22 October 2019 Accepted 4 April 2019 Submitted
Volume:	134
Page Range:	pp. 1441-1450
DOI:	10.1007/s00414-019-02194-y
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Copyright Holders:	Authors
Date of first compliant deposit:	27 November 2019
Date of first compliant Open Access:	27 November 2019
Open Access Version:	https://link.springer.com/article/10.100...

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