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Post mortem Computed Tomography (PMCT) in the 21st century
has become an integral feature in forensic medicine. Hanging
is the most common method of suicide in the United Kingdom,
peaking amongst those aged 45-54 years. This study examined
the two methodologies at post mortem to determine if they were
complimentary in identifying the cause of death in suspected
hanging cases. This study examined 19 cases (mean age, 44)
between January and August 2020 at the iGene CT facility in
the Coroners mortuary in Stoke-on-Trent. Retrospective images
produced using a �Siemens SOMATOM go. All CT� scanner in
a range of different parameters (e.g. KV, pitch, rotation time,
slice thickness (mm), increment (mm), Kernel and window were
evaluated. Post mortem reports from the external examinations
at the Coroners mortuary were anonymised and made available
for analyses in comparison to the PMCT data. Tabulated parameters
of the written statements as qualitative data were generated
and evaluated using descriptive statistical analyses. There
are case examples where PMCT is the superior methodology in
identifying and interpreting fracture of the hyoid bone where
post mortem external presentation showed inconsistencies. From
the data available from the 19 cases in 2020, this suggests that
PMCT is complimentary to the current conventional method of the
external post mortem examination to more confidently identify
neck trauma in suspected hanging cases. The documentation and
clinical terminology used in reporting post mortem neck trauma findings requires the development of best practice guidelines to
make reporting more consistent.
Biography
I am ma 22 year old graduate of a first class degree with Honours in Forensic Investigations from Staffordshire Police. I currently within the forensics department of Staffordshire Police. I am now embarking on my PhD looking further into Post Mortem Computed Tomography and conventional Post Mortem technologies.
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