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A NEW APPLICATION OF FORENSIC RADIOLOGY: IDENTIFICATION OF DECEASED FROM A SINGLE CLAVICLE

ISAAC SANDERS M.D.1, MERLIN E. WOESNER M.D.2, ROLAND A. FERGUSON M.D.3, and THOMAS T. NOGUCHI M.D.4

1 Deputy Medical Examiner, Radiology Branch, Los Angeles County; Director of Training, Radiological 5ciences; Associate Clinical Professor of Radiology, Loma Linda University School of Medicine.
2 Chief of Diagnostic Radiology; Associate Clinical Professor of Radiology, Loma Linda University School of Medicine.
3 Resident in Radiology.
4 Chief Medical Examiner-Coroner, County of Los Angeles; Clinical Professor of Pathology, Loma Linda University School of Medicine.

The Department of Chief Medical Examiner-Coroner was recently presented with the problem of identifying a deceased from the bone fragments in which there was only a single intact bone, the left clavicle. Previous chest roentgenograms of the presumed deceased were obtained and compared with detailed roentgenograms made of the single clavicle.

The points of identification used were: (1) general bony configuration; (2) thickness and density of the cortex; (3) individuality of a cortical spun; and (4) matching of unique trabecular pattern. This is believed to be the first report of such an identification utilizing a single extra-corporal clavicle.

This presentation also serves to emphasize the value of the multidisciplinary approach utilizing expertise which an interested radiologist can offer, in assistance, to the forensic pathologist or coroner.


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