HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Harcke, H. T. Articles by Robinson, S. R. Search for Related Content PubMed PubMed Citation Articles by Harcke, H. T. Articles by Robinson, S. R. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

MDCT Analysis of Projectile Injury in Forensic Investigation

¹ Department of Radiologic Pathology, Armed Forces Institute of Pathology, Washington, DC.
² Department of Radiology, Uniformed Services University of the Health Sciences, Bethesda, MD.
³ Office of the Armed Forces Medical Examiner, Armed Forces Institute of Pathology, Rockville, MD.

View larger version (121K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1A —Single gunshot wound to head. Three-dimensional reconstruction image shows midline frontal entrance (solid arrow) and right occipital exit (dashed arrow).

View larger version (92K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1B —Single gunshot wound to head. Axial CT image shows frontal entrance wound has internal beveling (arrowheads) and occipital exit wound has external beveling (arrows).

View larger version (103K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1C —Single gunshot wound to head. Reconstructed oblique sagittal image shows bone and metallic fragments are distributed along track within soft tissue.

View larger version (87K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2A —Gunshot wound to chest. Images show evidence of tissue and organ damage and bone interaction with bilateral pleural fluid. Axial image of chest shows wound entrance in right chest wall (arrow). Bullet passes through posterior mediastinum (arrowhead).

View larger version (77K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2B —Gunshot wound to chest. Images show evidence of tissue and organ damage and bone interaction with bilateral pleural fluid. Axial image of abdomen shows left lower rib fracture at site of exit (arrow).

View larger version (125K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3A —Penetrating projectile injury of head. Three-dimensional reconstruction of skull shows occipital entry fracture defect.

View larger version (98K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3B —Penetrating projectile injury of head. Coronal reconstruction image shows projectile in right parietal lobe (arrow).

View larger version (114K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3C —Penetrating projectile injury of head. Sagittal oblique reconstruction image shows wound path is determined by bone fragments along right petrous ridge and high-attenuation hemorrhage in wound path (arrowhead). Projectile struck petrous bone after entry and changed direction to its final location. Note bone fragments adjacent to right petrous bone (arrow).

View larger version (91K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4A —Penetrating projectile wound of head. Photograph shows entry wound through nose.

View larger version (107K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4B —Penetrating projectile wound of head. Sagittal reconstructed CT image shows projectile wound track passes into posterior fossa through inferior portion of petrous ridge. Nonlinear path of projectile indicates that it was diverted by impact on occipital bone.

View larger version (107K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4C —Penetrating projectile wound of head. Sagittal reconstructed CT image shows final position of projectile.

View larger version (112K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4D —Penetrating projectile wound of head. Photograph shows gross pathology. Note right petrous fracture at skull base (arrow).

View larger version (102K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4E —Penetrating projectile wound of head. Photograph shows recovered projectile.

View larger version (101K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 5A —Perforating gunshot wound of head and neck. Photograph shows entrance wound of left cheek.

View larger version (103K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 5B —Perforating gunshot wound of head and neck. Coronal CT image at entry shows fractures of left mandible (arrow).

View larger version (121K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 5C —Perforating gunshot wound of head and neck. Coronal CT image shows C2 and C3 fractures and wound track (arrows).

View larger version (49K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 5D —Perforating gunshot wound of head and neck. Coronal CT image shows exit wound in right track (arrow).

View larger version (98K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 5E —Perforating gunshot wound of head and neck. Photograph shows exit wound.

View larger version (95K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 5F —Perforating gunshot wound of head and neck. Oblique sagittal reconstruction image approximating wound track.

View larger version (62K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 6A —Perforating gunshot wound of thorax. Axial CT image shows entrance wound in anterior left chest (arrowhead). Note right pneumothorax and bilateral hemothoraces.

View larger version (62K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 6B —Perforating gunshot wound of thorax. Axial CT image shows path crosses mediastinum and exits through right posterior rib (arrowhead).

View larger version (56K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 6C —Perforating gunshot wound of thorax. Axial chest CT image shows fracture defect in right scapula. Note this image is more cranial than where rib fracture occurred.

View larger version (219K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 6D —Perforating gunshot wound of thorax. Three-dimensional reconstruction image of thorax viewed from posterior shows bone fracture defects in right sixth rib and medial margin of right scapula. Note malalignment in autopsy position.

View larger version (143K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 6E —Perforating gunshot wound of thorax. Autopsy photograph shows rod demonstration of wound track. Note that with flexion of upper arm, scapula rotates, and alignment is achieved.

View larger version (107K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 7A —Keyhole fracture of skull caused by tangential gunshot. Sagittal reconstruction image at entry impact shows internal beveling (arrows).

View larger version (115K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 7B —Keyhole fracture of skull caused by tangential gunshot. Sagittal reconstruction image at exit shows larger defect and external bevel (arrows).

View larger version (124K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 7C —Keyhole fracture of skull caused by tangential gunshot. Three-dimensional reconstruction image of skull shows smaller entry (arrows) and larger exit.

View larger version (153K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 7D —Keyhole fracture of skull caused by tangential gunshot. Photograph shows gross pathology.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati