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ZENODO
Article . 2023
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2023
License: CC BY
Data sources: Datacite
ZENODO
Article . 2023
License: CC BY
Data sources: Datacite
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Intravital CT and Autopsy Findings in Traumatic Head Injuries: A Comparative Study

Authors: Raju Surwase;

Intravital CT and Autopsy Findings in Traumatic Head Injuries: A Comparative Study

Abstract

Background: Any injury to the skull or brain that causes trauma qualifies as a head injury. Inthe medical literature, the phrases traumatic brain injury and head injury are sometimes usedinterchangeably. One of the major health issues of the present is traumatic injuries.Approximately 4.5 million people each year globally pass away from trauma in the twentyfirst century. CT scans are frequently used to diagnose injuries and provide details on theprecise location and degree of organ and tissue damage. Whole-body CT is becoming acommon diagnostic tool in cases ofsevere trauma. The final diagnostic test is an autopsy, whichis still regarded as the best diagnostic technique in medicine. Rarely are secondary analysesconducted because they are never as effective as the initial one. The use of post-mortemimaging (CT and MRI) has increased although the number of autopsies has declined recently,mostly due to financial concerns.Aim: The aim of the study was to assess the reliability and accuracy of CT scan results, as wellas limits in detecting trauma for forensic purposes.Material and Method: The Department of Forensic Medicine carried out this retrospectiveprospective investigation. At the Department of Forensic Medicine, all fatal head injury casesunderwent a medico-legal autopsy after a prior CT head scan was performed while the patientwas hospitalized. 25 cases totalled in our final dataset, 15 of which were men and 10 of whichwere women. When antemortem CT scan records were available, all fatal instances of headinjuries that were subjected to post-mortem inspection were selected for analysis.Results: The age group with the greatest vulnerability in the current study was those betweenthe ages of 21 and 30 (13 cases), followed by those under 20 (7 cases). The most vulnerableage range was between the ages of 21 and 30 (13 instances), followed by the under-20 agerange (7 cases). 19 of the instances included RTA injuries, and the other 3 involved assault andfalls, respectively. At autopsies, scalp injuries were found in 22 out of the 25 cases, althoughCT found them in just 28. Of the 25 cases, skull fractures were found at autopsy in 22 cases,but the CT scan revealed the same thing in 25 cases.Conclusion: It was found that the diagnosis of different types of brain injury lesions may bemade using a combination of CT scan and autopsy results, which aids in developing betterpolicies. In forensic medicine, certain injuries that are clinically inconsequential but crucial tounderstanding the mechanism of harm and mode of death may be present. A CT scan canconsiderably supplement an autopsy's results. It is currently still not viable as a substitute forthe conventional autopsy, nevertheless. Only in a few number of situations is CT scanningthought to be a viable alternative to an autopsy

Background: Any injury to the skull or brain that causes trauma qualifies as a head injury. Inthe medical literature, the phrases traumatic brain injury and head injury are sometimes usedinterchangeably. One of the major health issues of the present is traumatic injuries.Approximately 4.5 million people each year globally pass away from trauma in the twentyfirst century. CT scans are frequently used to diagnose injuries and provide details on theprecise location and degree of organ and tissue damage. Whole-body CT is becoming acommon diagnostic tool in cases ofsevere trauma. The final diagnostic test is an autopsy, whichis still regarded as the best diagnostic technique in medicine. Rarely are secondary analysesconducted because they are never as effective as the initial one. The use of post-mortemimaging (CT and MRI) has increased although the number of autopsies has declined recently,mostly due to financial concerns.Aim: The aim of the study was to assess the reliability and accuracy of CT scan results, as wellas limits in detecting trauma for forensic purposes.Material and Method: The Department of Forensic Medicine carried out this retrospectiveprospective investigation. At the Department of Forensic Medicine, all fatal head injury casesunderwent a medico-legal autopsy after a prior CT head scan was performed while the patientwas hospitalized. 25 cases totalled in our final dataset, 15 of which were men and 10 of whichwere women. When antemortem CT scan records were available, all fatal instances of headinjuries that were subjected to post-mortem inspection were selected for analysis.Results: The age group with the greatest vulnerability in the current study was those betweenthe ages of 21 and 30 (13 cases), followed by those under 20 (7 cases). The most vulnerableage range was between the ages of 21 and 30 (13 instances), followed by the under-20 agerange (7 cases). 19 of the instances included RTA injuries, and the other 3 involved assault andfalls, respectively. At autopsies, scalp injuries were found in 22 out of the 25 cases, althoughCT found them in just 28. Of the 25 cases, skull fractures were found at autopsy in 22 cases,but the CT scan revealed the same thing in 25 cases.Conclusion: It was found that the diagnosis of different types of brain injury lesions may bemade using a combination of CT scan and autopsy results, which aids in developing betterpolicies. In forensic medicine, certain injuries that are clinically inconsequential but crucial tounderstanding the mechanism of harm and mode of death may be present. A CT scan canconsiderably supplement an autopsy's results. It is currently still not viable as a substitute forthe conventional autopsy, nevertheless. Only in a few number of situations is CT scanningthought to be a viable alternative to an autopsy

Keywords

Trauma, Autopsy, Computed tomography, CT scan and Head injury

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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