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The idea for writing the book “Synopsis of Postmortem CT and CT Angiography for Death Investigation” originated from a sincere and longstanding collaboration between clinical radiologists at Soonchunhyang University Hospital Bucheon and forensic pathologists working for the National Forensic Service, Republic of Korea (NFS Korea). Over the past 10 years, they have been at the forefront of introducing and operating computed tomography (CT) systems in forensic and medicolegal death investigations in Korea. Their unique partnership helped them to implement a head-to-head comparison between imaging findings and autopsy results. This direct radiological-pathological comparison has provided excellent learning tools and opportunities for both radiologists and pathologists to address a wide variety of challenging forensic and medicolegal questions. We believe that this collaboration of expertise based on mutual understanding will continue to benefit forensic science for many years to come.

Postmortem CT and CT angiography have gained increasing attention in the field of death investigation worldwide. These CT techniques are useful in screening for potential pathologies, guiding subsequent autopsy dissection to the target area, and identifying lesions that are difficult or impossible to detect during conventional autopsy dissection. This book introduces radiologists to emerging postmortem CT techniques while providing essential knowledge of typical postmortem body changes or artifacts to prevent misinterpretation of those findings as true pathologies. Additionally, this book provides forensic pathologists with a technical basis and interpretive fundamentals for the application of modern CT imaging technologies to their daily routine. In this book, particular focus has been placed on the pictorial depiction of representative cases that demonstrate the diagnostic utility of CT imaging in death investigations. These cases have been presented in a few relevant images using various reconstruction techniques to condense the corresponding diagnostic information in an intuitive manner. Furthermore, autopsy photographs and brief forensic explanations have been included in most cases, thus facilitating a comprehensive understanding of the utility of CT imaging by direct comparison between radiological and pathological findings.

The idea for writing the book “Synopsis of Postmortem CT and CT Angiography for Death Investigation” originated from a sincere and longstanding collaboration between clinical radiologists at Soonchunhyang University Hospital Bucheon and forensic pathologists working for the National Forensic Service, Republic of Korea (NFS Korea). Over the past 10 years, they have been at the forefront of introducing and operating computed tomography (CT) systems in forensic and medicolegal death investigations in Korea. Their unique partnership helped them to implement a head-to-head comparison between imaging findings and autopsy results. This direct radiological-pathological comparison has provided excellent learning tools and opportunities for both radiologists and pathologists to address a wide variety of challenging forensic and medicolegal questions. We believe that this collaboration of expertise based on mutual understanding will continue to benefit forensic science for many years to come.

Postmortem CT and CT angiography have gained increasing attention in the field of death investigation worldwide. These CT techniques are useful in screening for potential pathologies, guiding subsequent autopsy dissection to the target area, and identifying lesions that are difficult or impossible to detect during conventional autopsy dissection. This book introduces radiologists to emerging postmortem CT techniques while providing essential knowledge of typical postmortem body changes or artifacts to prevent misinterpretation of those findings as true pathologies. Additionally, this book provides forensic pathologists with a technical basis and interpretive fundamentals for the application of modern CT imaging technologies to their daily routine. In this book, particular focus has been placed on the pictorial depiction of representative cases that demonstrate the diagnostic utility of CT imaging in death investigations. These cases have been presented in a few relevant images using various reconstruction techniques to condense the corresponding diagnostic information in an intuitive manner. Furthermore, autopsy photographs and brief forensic explanations have been included in most cases, thus facilitating a comprehensive understanding of the utility of CT imaging by direct comparison between radiological and pathological findings.

최근 몇 년 동안 법의학 분야에 최신 영상진단기술이 도입되면서 세계적으로 사후 CT와 CT 혈관 조영술이 사인규명을 위한 검시 분야에서 주목을 받고 있다. 국내 대학의 영상의학과 전문의와 국립과학수사연구원의 법의관들이 모여 집필한 이 책은 법의 병리학자들과 영상의학 전문의들의 전문 지식과 오랜 협력을 바탕으로 저술되었으며
병리학 전문의나 영상의학 전문의들에게 사후 CT 검사 및 영상해석을 위한 실용적이고 유익한 정보를 제공할 뿐 아니라, 전공에 상관없이 법의학 관련분야 종사자들이 사인규명에서 사후 CT 영상의 현재 역할과 미래 가능성을 더 잘 이해할 수 있도록 도움을 주는 안내서이다.

최근 몇 년 동안 법의학 분야에 최신 영상진단기술이 도입되면서 세계적으로 사후 CT와 CT 혈관 조영술이 사인규명을 위한 검시 분야에서 주목을 받고 있다. 국내 대학의 영상의학과 전문의와 국립과학수사연구원의 법의관들이 모여 집필한 이 책은 법의 병리학자들과 영상의학 전문의들의 전문 지식과 오랜 협력을 바탕으로 저술되었으며
병리학 전문의나 영상의학 전문의들에게 사후 CT 검사 및 영상해석을 위한 실용적이고 유익한 정보를 제공할 뿐 아니라, 전공에 상관없이 법의학 관련분야 종사자들이 사인규명에서 사후 CT 영상의 현재 역할과 미래 가능성을 더 잘 이해할 수 있도록 도움을 주는 안내서이다.

Part I. Application of CT in postmortem imaging
– an emerging subspecialty of radiology
Chapter 1. Brief history of forensic imaging • 03
Chapter 2. Fundamental aspects of X-ray computed tomography • 06
Chapter 3. Postmortem CT and CT angiography • 15

Part II. Traumatic death
Chapter 4. Blunt force trauma • 28
Chapter 5. Penetrating injuries • 53
Chapter 6. Blast injury • 72

Part III. Death by asphyxiation
Chapter 7. Strangulation • 80
Chapter 8. Drowning • 85

Part IV. Nontraumatic death
Chapter 9. Deaths by natural causes • 94
Chapter 10. Death with medicolegal issues • 140

Part V. Artifacts frequently found on postmortem CT and CTA
Chapter 11. Perimortem intervention and CTA-specific artifacts • 152
Chapter 12. Decomposition • 160

Part I. Application of CT in postmortem imaging
- an emerging subspecialty of radiology
Chapter 1. Brief history of forensic imaging ㆍ 03
Chapter 2. Fundamental aspects of X-ray computed tomography ㆍ 06
Chapter 3. Postmortem CT and CT angiography ㆍ 15

Part II. Traumatic death
Chapter 4. Blunt force trauma ㆍ 28
Chapter 5. Penetrating injuries ㆍ 53
Chapter 6. Blast injury ㆍ 72

Part III. Death by asphyxiation
Chapter 7. Strangulation ㆍ 80
Chapter 8. Drowning ㆍ 85

Part IV. Nontraumatic death
Chapter 9. Deaths by natural causes ㆍ 94
Chapter 10. Death with medicolegal issues ㆍ 140

Part V. Artifacts frequently found on postmortem CT and CTA
Chapter 11. Perimortem intervention and CTA-specific artifacts ㆍ 152
Chapter 12. Decomposition ㆍ 160