nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”nmp-203Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS OF LITERATUREВОЗМОЖНОСТИ КОМПЬЮТЕРНОЙ И МАГНИТНО-РЕЗОНАНСНОЙ ТОМОГРАФИИ В СУДЕБНО-МЕДИЦИНСКОЙ ЭКСПЕРТИЗЕ МЕХАНИЧЕСКОЙ ТРАВМЫ И СКОРОПОСТИЖНОЙ СМЕРТИ (ОБЗОР ЛИТЕРАТУРЫ)POSSIBILITIES OF COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING IN FORENSIC MEDICAL EXAMINATION OF MECHANICAL TRAUMA AND SUDDEN DEATH (A LITERATURE REVIEW)КоковЛ. С.KokovL. S.КинлеА. Ф.KinleA. F.СиницынВ. Е.SinitsynV. Y.ФилимоновБ. А.FilimonovB. A.

интерн

кафедра лучевой диагностики

Институт профессионального образования 

filimonov@hpmp.ruПервый МГМУ им. И.М. СеченоваРоссияI.M. Sechenov First Moscow State Medical UniversityRussian FederationРоссийская медицинская академия последипломного образованияРоссияRussian Medical Academy for Postgraduate EducationRussian FederationМосковский государственный университет им. М.В. Ломоносова, МоскваРоссияM.V. Lomonosov Moscow State University, MoscowRussian Federation201503042016021626Copyright © Коков Л.С., Кинле А.Ф., Синицын В.Е., Филимонов Б.А., 20162016Коков Л.С., Кинле А.Ф., Синицын В.Е., Филимонов Б.А.Kokov L.S., Kinle A.F., Sinitsyn V.Y., Filimonov B.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/203РЕЗЮМЕ

РЕЗЮМЕ. В обзоре проанализирована возможность использования мультиспиральной компьютерной томографии (МСКТ) и магнитно-резонансной томографии (МРТ) в судебно-медицинской экспертизе трупов взрослых лиц. Представлен критический анализ литературы по проблеме посмертной визуализации с точки зрения судебно-медицинской танатологии. При подготовке обзора были использованы основные интернет-ресурсы: научная электронная библиотека (elibrary), Scopus, PubMed. В обзор включены статьи, в которых обсуждались как преимущества, так и ограничения посмертной МСКТ- и МРТ-визуализации в судебно-медицинской экспертизе трупа.

В ходе анализа доступной литературы авторы попытались ответить на два вопроса: 1) какой лучевой метод, МСКТ или МРТ, в большей степени подходит для целей судебно-медицинской экспертизы трупа; 2) сможет ли виртуальная аутопсия заменить традиционное вскрытие в ближайшей перспективе?

Выводы

Выводы: для всестороннего исследования трупа часто требуются оба метода визуализации; в случаях смерти от механических повреждений диапазон возможностей МСКТ превышает МРТ; в настоящее время виртуальная аутопсия не может полностью заменить традиционное вскрытие в судебно-медицинской экспертизе, поскольку отсутствуют убедительные, основанные на принципах доказательной медицины, сравнительные исследования, а также правовая база использования метода. 

ABSTRACT

ABSTRACT. The review analyzes the possibility of multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) use in the forensic examination of corpses of adults. We present the critical analysis of literature on post-mortem imaging in terms of forensic thanatology. The review is based on basic Internet resources: Scientific Electronic Library (elibrary), Scopus, PubMed. The review includes articles that discuss both advantages and limitations of post-mortem MSCT and MRI imaging in forensic examination of the corpse.

Through studying the available literature, the authors attempted to answer two questions: 1) which method was more suitable for the purposes of forensic examination of the corpse - MSCT or MRI; 2) whether the virtual autopsy replaced the traditional autopsy in the near future?

Conclusion

Conclusion: comprehensive study of the corpse often requires both imaging methods; in cases of death under mechanical damage, MSCT exceeds the range of possibilities of MRI; today, virtual autopsy cannot completely replace traditional autopsy in forensic science, since there are no convincing evidence-based comparative studies, as well as the legal framework of the method. 

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The authors declare that there are no conflicts of interest present.