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Postmortem Radiology of Fatal Hemorrhage: Measurements of Cross-Sectional Areas of Major Blood Vessels and Volumes of Aorta and Spleen on MDCT and Volumes of Heart Chambers on MRI

Emin Aghayev1, Martin Sonnenschein2, Christian Jackowski1, Michael Thali1, Ursula Buck1, Kathrin Yen1, Stephan Bolliger1, Richard Dirnhofer1 and Peter Vock2

1 Institute of Forensic Medicine, Buehlstrasse 20, Bern 3012, Switzerland.
2 Department of Diagnostic Radiology, University Hospital Bern, Bern, Switzerland.


Figure 1
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  		Fig. 1 —Axial MDCT image of thorax in case 25 shows measurements performed on workstation of cross-sectional areas of superior vena cava (2); main pulmonary artery (3); ascending aorta (1); and descending aorta (4) just above coronary orifices.

 

Figure 2
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  		Fig. 2 —Axial MDCT image of thorax of case 14 shows collapsed superior vena cava (SVC), main pulmonary artery (MPA), ascending aorta (AA), and descending aorta (DA1) just above the coronary orifices.

 

Figure 3
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  		Fig. 3 —Three-step algorithm for differentiation of fatal hemorrhage (FH) from other causes of death. Note that steps 1 (right pulmonary artery [RPA]) and 2 (main pulmonary artery [MPA]) use MDCT, whereas step 3 (right atrium [RA]) requires MRI.

 

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