法医学杂志 ›› 2020, Vol. 36 ›› Issue (6): 820-827,840.DOI: 10.12116/j.issn.1004-5619.2020.06.012

• 综 述 • 上一篇    下一篇

尸体MSCT血管造影技术的法医学研究现状

万雷1,2 ,邹冬华1 ,汪茂文1 ,王亚辉1 ,黄平1 ,李正东1 ,田志岭1 ,宋凤祥2 ,刘宁国1 ,陈忆九1   

  1. 1. 司法鉴定科学研究院 上海市法医学重点实验室 司法部司法鉴定重点实验室 上海市司法鉴定专业技 术服务平台,上海 200063;2. 上海市(复旦大学附属)公共卫生临床中心,上海 201700
  • 收稿日期:2019-10-08 发布日期:2020-12-25 出版日期:2020-12-28
  • 通讯作者: 陈忆九,男,研究员,博士研究生导师,主要从事法医病理学研究;E-mail:chenyj@ssfjd.cn 刘宁国,男,研究员,主任法医师,主要从事法医病理学和环境损害鉴定研究;E-mail:liuningguo@foxmail.com
  • 作者简介:万雷(1982—),男,博士研究生,副研究员,主要从事法医临床学和法医影像学研究;E-mail:wanlei-820628@163.com
  • 基金资助:
    国家自然科学基金资助项目(81401559,81571851);国家重点研发计划资助项目(2016YFC0800702);司法部司法鉴定 重点实验室资助项目;上海市法医学重点实验室资助项目(17DZ2273200);上海市科委社会发展专项资助项目(14231202500);上 海市司法鉴定专业技术服务平台资助项目(19DZ2292700)

Research Status of Postmortem MSCT Angiography in Forensic Science

WAN Lei1,2 , ZOU Dong- hua1 , WANG Mao-wen1 , WANG Ya- hui1 , HUANG Ping1 , LI Zheng- dong1 , TIAN Zhi-ling1 , SONG Feng-xiang2 , LIU Ning-guo1 , CHEN Yi-jiu1   

  1. 1. Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China; 2. Shanghai Public Health Clinical Center, Shanghai 201700, China
  • Received:2019-10-08 Online:2020-12-25 Published:2020-12-28

摘要: 虚拟解剖是应用医学影像学技术探究尸体组织器官形态学改变的一门新技术,目前其在死因鉴定 中的应用日趋广泛。某些鉴定机构已将尸体多层螺旋计算机断层扫描(multislice spiral computed tomogra? phy,MSCT)作为常规检查手段,虽然其尚不能完全替代传统尸体解剖,但在某些非正常死亡的鉴定中可起 到关键辅助或替代作用。MSCT平扫无法对尸体脉管系统进行成像,但可以进行尸体血管造影来判断血管 损伤或者疾病。近年来,该技术进入了快速发展阶段,在对比剂、灌注方法以及成像方法上都有较大进 展。本文综述了常见的几种尸体MSCT血管造影技术,包括全身造影、心肺复苏技术造影、靶向造影和心腔 穿刺造影等,并对其应用前景进行分析比对。

关键词: 法医病理学, 虚拟解剖, 多层螺旋计算机断层扫描, 血管造影, 综述

Abstract: Virtual autopsy is a new technique for investigating the morphological changes of cadaveric tissues and organs by medical imaging technology. It has been widely used in the identification of causes of death. Multislice spiral computed tomography (MSCT)has become a routine inspection method in some identification institutions, although it cannot completely replace traditional autopsy, it plays a key auxiliary or substitute role in the identification of certain abnormal causes of death. Plain MSCT scan cannot visualize cadaveric vessels, but can perform cadaveric angiography to determine vascular injury or disease. This technology has entered a rapid development period in recent years, and has made a considerable progress in contrast agent, perfusion methods and imaging methods. This article summarizes several common cadaveric MSCT angiography methods, such as systemic angiography, angiography through cardiopulmonary resuscitation, targeted angiography, and angiography by cardiac puncture, and analyzes and compares the application prospects.

Key words: forensic pathology, virtual autopsy, multislice spiral computed tomography, angiography, review

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