Massive systemic fat embolism detected by postmortem imaging and biopsy*

Postmortem computed tomography (pmCT) and pmCT angiography (pmCTA) provide a minimally invasive method to determine the cause of death. Postmortem image-guided biopsy allows for precise sampling of histological specimens. This case study describes the findings of lethal systemic fat embolism (FE) on whole-body unenhanced pmCT, pmCTA, and image-guided biopsy, with autopsy and histopathologic correlation. Unenhanced pmCT revealed a distinct fat level on top of sedimented layers of corpuscular blood particles and serum in the arterial system and pulmonary trunk. Subsequent pmCTA showed reproducible results, and image-guided biopsy confirmed fatal FE. pm CT/pmCTA combined with image-guided biopsy established the cause of death as right heart failure as a result of systemic fatal FE prior to autopsy. All imaging findings were consistent with traditional autopsy and histological specimens. This unique case demonstrates new imaging findings in massive, fatal FE and highlights that postmortem imaging, supplemented by image-guided biopsy, may detect the cause of death prior to traditional autopsy.     

Anatomical Placement of the Human Eyeball in the Orbit-Validation Using CT Scans of Living Adults and Prediction for Facial Approximation*

Abstract: Accuracy of forensic facial approximation and superimposition techniques relies on the knowledge of anatomical correlations between soft and hard tissues. Recent studies by Stephan and collaborators (6,8,10) reviewed traditional guidelines leading to a wrong placement of the eyeball in the orbit. As those statements are based on a small cadaver sample, we propose a validation of these findings on a large database (n = 375) of living people. Computed tomography scans of known age and sex subjects were used to collect landmarks on three‐dimensional surfaces and DICOM with TIVMI. Results confirmed a more superior and lateral position of the eyeball relatively to the orbital rims. Orbital height and breadth were used to compute regression formulae and proportional placement using percentages to find the most probable position of the eyeball in the orbit. A size‐related sexual dimorphism was present but did not impact on the prediction accuracy.     

The forensic radiographer: a new member in the medicolegal team

Multidetector computed tomography is becoming more widespread in forensic medicine. In most services, autopsy assistants perform the radiological examination. We introduced professional radiographers into the legal medicine service and hypothesized they would also be able to take over duties currently reserved for other specialists. The aims of this study were to evaluate if radiographers could be trained as "forensic radiographers" by (1) integrating graduated medical radiographers into the legal medicine service, (2) investigating the advantages of this collaboration, and (3) defining the duties of the forensic radiographers.The study was performed prospectively on a group of 8 recruited radiographers who underwent a testing period with special training. They learned the basics of medicolegal case treatment, the autonomous execution of postmortem computed tomography angiography, and postprocessing of data. Seven of 8 radiographers finished the training and were integrated into our service. Although all radiographers were able to fulfill the duties demanded after the training period, some radiographers could not enter or complete the program because they were unable to work with dead bodies.Our study presents the advantages of integrating radiographers into the medicolegal team and proposes how to train the forensic radiographers. In addition, the duties and responsibilities of these new specialists are defined.     

Camouflaging Facial Emphysema: A new syndrome

Some cosmetic products manufactured in Korea for the treatment of eczema, seborrhea and psoriasis have been suspected to contain anti-inflammatory corticosteroids such as prednisolone, hydrocortisone, betamethasone, dexamethasone and triamcinolone acetonide without these ingredients being indicated on the label. Due to their severe side effects such as permenent skin atopy, these corticosteroids have to be monitored in cosmetic products from a forensic point of view. Many cosmetic product samples (N=65) have been collected from both local and online markets in Korea. The corticosteroid content of these samples was analyzed by LC-MS/MS with diagnostic ions (m/z). Linearity was studied with 0.1-10 μg/mL range in all corticosteroids. Good correlation coefficients (r(2)≥0.997) were found and the limits of quantification were 4.68-7.97 ng/mL for each of the corticosteroids. At three different concentrations spanning the linear dynamic ranges, mean recoveries were 97.2-113.5%and precisions (RSD) for intra-day and inter-day analysis were less than 8.9%. Also, accuracy (Bias %) was less than 11.8%. The results showed that between 0.76-0.94 μg/g levels of prednisolone were detected in four cosmetic products and triamcinolone acetonidewas detected with a concentration in the range of 11.5-272 μg/g in nine samples. This fact reveals that some manufacturers have arbitrarily added these corticosteroids in their cosmetic products without indicating them on the label. Thus, these cosmetic products have to be monitored and if proven illegal preparations removed from the market.     

Three-dimensional computer-assisted craniometrics: a comparison of the uncertainty in measurement induced by surface reconstruction performed by two computer programs

Digital investigation of anthropological material through computed tomography (CT) offers several new opportunities in morphometrics. However, an object measured with computer-assisted methods does not necessarily exactly match the original one. The scanning and surface reconstruction of the object induce some alterations, and data acquisition is prone to measurement uncertainty. The purpose of this research is to evaluate the intra- and inter-observers variations in medical CT scan measurements of a known-size phantom and two dry crania. Two software packages, AMIRA and Treatment and Increased Vision for Medical Imaging (TIVMI), which use different techniques of surface reconstructions, were compared. The mean difference between the measurements was lower for TIVMI, using an objective algorithm based on the half-maximum height (HMH) protocol in three dimensions (3D). AMIRA can induce up to a 4% error in known measurements and 5% uncertainty in dry skull measurements. This study emphasises the risk of object shape alteration in each step of its digitisation.     

Experimental forensic scenes for the characterization of ground-penetrating radar wave response

Over the last few decades, the use of non-intrusive geophysical techniques, which allows for coverage of an entire crime scene in a reasonable amount of time, in forensic investigation has increased. In this study, we analyze the effectiveness of ground-penetrating radar (GPR) in forensics. Experimental scenes were simulated and some of the most commonly buried items in actual crime scenes were introduced, such as bone remains, guns and drug caches. Later, a GPR survey was conducted on the experimental grids with a 500 MHz antenna. The final purpose was to characterize the radar wave response expected for each set of remains to assist with its identification in later actual investigations. The results collected provided promising information that can be used when surveying real cases. Nevertheless, there were some interpretational difficulties regarding the sizes of the items and the electromagnetic properties of the materials. For these cases, finite-difference time-domain modeling was employed to achieve an advanced interpretation of the field data. The simulated models used were built from accurate geometric data provided by photogrammetric methods, which replicate the experimental scenes in fine detail. Furthermore, this approach allowed for the simulation of more realistic models, and the synthetic data obtained provided valuable information for assisting in the interpretation of field data. As a result of this work, it was concluded that GPR can be an effective tool when searching for a variety of materials during a crime scene investigation.     

Past victimizations and dating violence perpetration in adolescence: the mediating role of emotional distress and hostility

This study aimed to understand the nature of the relationships between three forms of past victimizations (exposure to interparental violence in childhood, sexual harassment by peers since beginning high school, prior experience of dating violence), physical dating violence perpetration by adolescents, and anger-hostility and emotional distress. The sample was composed of 1,259 high school students aged between 14 and 19 years who answered self-report questionnaires. Mediation analyses were conducted according to Baron and Kenny's approach. Logistic and linear regression analyses reveal that being victim of sexual harassment by peers and of dating violence are associated to physical dating violence perpetration via a partial mediating effect of hostility in girls. Contrary to results with girls, there is a complete mediating effect of emotional distress for boys. Results suggest that dating violence prevention and intervention strategies could be adapted according to gender and that sexual harassment should be addressed.     

Offenders’ uncoerced false confessions: A new application of statement analysis?

Purpose. Deception detection research has mainly studied denials and distortions given by students. This study examined true and false confessions as told by offenders. It was hypothesized that the statement analytic techniques Criteria‐Based Content Analysis (CBCA) and Reality Monitoring (RM) would discriminate truths and lies. Methods. Truthful and deceptive confessions to crime were given by 30 offenders (both women and men) in a within‐subject design. The participants were in prison at the time of data collection, and told the truth about a crime they had committed and been sentenced for. In addition, they made up a lie about a different crime after a few minutes of preparation. The transcribed statements were scored for CBCA and RM criteria. Results. Results showed that neither total CBCA nor total RM scores differentiated between lies and truths. Some individual CBCA criteria, however, showed differences: more self‐deprecations and doubts about own testimony in the told lies, and more unexpected complications in the truths. Conclusions. The results are discussed in relation to statement analysis of offenders’ accounts, individual CBCA criteria, as well as the development of criminal experience and familiarity with the event and setting. Implications for triers of fact and suggestions for future research are considered.