PMID- 32939427
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210428
IS  - 2471-1411 (Electronic)
IS  - 2096-1790 (Print)
IS  - 2471-1411 (Linking)
VI  - 5
IP  - 2
DP  - 2020
TI  - Neck-MRI experience for investigation of survived strangulation victims.
PG  - 113-118
LID - 10.1080/20961790.2019.1592314 [doi]
AB  - For the medicolegal evaluation of victims of survived strangulation, a 
      neck-magnetic resonance imaging (MRI) can be performed for assessing lesions in 
      the inner soft tissues (fat, muscles or lymph nodes, for example). In our 
      institute, such MRI examinations have been performed for a test period of 4 years 
      with the aim of evaluating the use of this tool by forensic pathologists and 
      identifying medicolegal indicators for the performance of neck-MRI in surviving 
      victims of strangulation. We retrospectively reviewed medicolegal reports from 
      all victims examined during the test period. We extracted objective lesions (e.g. 
      petechiae, bruising and abrasions) and reported clinical symptoms (e.g. vision 
      disorder, dysphasia) from the reports. These findings were compared to those 
      reported from the neck-MRI. In total, 112 victims were clinically examined after 
      suspected strangulation. Eleven of these victims underwent an MRI examination of 
      the neck. Eighty-four of the victims presented objective lesions during the 
      clinical examination, with eight showing signs of both petechiae and bruising. 
      Neck-MRI was performed in four of these eight victims and three of them showed 
      lesions visible in MRI. Of 76 victims with bruising as the only objective 
      finding, 66 victims described clinical symptoms. Of those 66 victims, seven were 
      examined by MRI and two demonstrated lesions in MRI. When MRI was performed, 
      relevant findings were detected in 45% of the cases. This leads to the suspicion 
      that many more findings could have been detected in the other victims, if an MRI 
      had been performed in those cases. Our results lead us to the conclusion that an 
      MRI examination of victims of suspected strangulation is useful, and strict 
      indications for its application should be established.
CI  - (c) 2019 The Author(s). Published by Taylor & Francis Group on behalf of the 
      Academy of Forensic Science.
FAU - Bruguier, Christine
AU  - Bruguier C
AD  - University Center of Legal Medicine Lausanne - Geneva, University Hospital 
      Lausanne, Lausanne, Switzerland.
AD  - Department of Diagnostic and Interventional Radiology, University Hospital 
      Lausanne, Lausanne, Switzerland.
FAU - Genet, Pia
AU  - Genet P
AD  - University Center of Legal Medicine Lausanne - Geneva, University Hospital 
      Lausanne, Lausanne, Switzerland.
FAU - Zerlauth, Jean-Baptiste
AU  - Zerlauth JB
AD  - Department of Diagnostic and Interventional Radiology, University Hospital 
      Lausanne, Lausanne, Switzerland.
AD  - Clinique Cecile, Lausanne, Switzerland.
FAU - Dedouit, Fabrice
AU  - Dedouit F
AD  - University Center of Legal Medicine Lausanne - Geneva, University Hospital 
      Lausanne, Lausanne, Switzerland.
FAU - Grimm, Jochen
AU  - Grimm J
AD  - University Center of Legal Medicine Lausanne - Geneva, University Hospital 
      Lausanne, Lausanne, Switzerland.
AD  - Department of Diagnostic and Interventional Radiology, University Hospital 
      Lausanne, Lausanne, Switzerland.
FAU - Meuli, Reto
AU  - Meuli R
AD  - Department of Diagnostic and Interventional Radiology, University Hospital 
      Lausanne, Lausanne, Switzerland.
FAU - Fracasso, Tony
AU  - Fracasso T
AD  - University Center of Legal Medicine Lausanne - Geneva, University Hospital 
      Lausanne, Lausanne, Switzerland.
FAU - Grabherr, Silke
AU  - Grabherr S
AD  - University Center of Legal Medicine Lausanne - Geneva, University Hospital 
      Lausanne, Lausanne, Switzerland.
LA  - eng
PT  - Journal Article
DEP - 20190507
PL  - England
TA  - Forensic Sci Res
JT  - Forensic sciences research
JID - 101724928
PMC - PMC7476612
OTO - NOTNLM
OT  - Forensic sciences
OT  - forensic pathology
OT  - medicolegal evaluation
OT  - neck-MRI
OT  - radiological findings
OT  - strangulation survivors
EDAT- 2019/05/07 00:00
MHDA- 2019/05/07 00:01
PMCR- 2019/05/07
CRDT- 2020/09/17 05:45
PHST- 2018/10/25 00:00 [received]
PHST- 2019/02/28 00:00 [revised]
PHST- 2019/02/28 00:00 [accepted]
PHST- 2020/09/17 05:45 [entrez]
PHST- 2019/05/07 00:00 [pubmed]
PHST- 2019/05/07 00:01 [medline]
PHST- 2019/05/07 00:00 [pmc-release]
AID - 1592314 [pii]
AID - 10.1080/20961790.2019.1592314 [doi]
PST - epublish
SO  - Forensic Sci Res. 2019 May 7;5(2):113-118. doi: 10.1080/20961790.2019.1592314. 
      eCollection 2020.