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Questions of forensic science and radiology on live births and stillbirths: cases from expert practice

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1. Title Title of document Questions of forensic science and radiology on live births and stillbirths: cases from expert practice
2. Creator Author's name, affiliation, country Vladimir A. Klevno; Moscow Regional Research and Clinical Institute; Россия
2. Creator Author's name, affiliation, country Yulia V. Chumakova; Moscow Regional Research and Clinical Institute; Forensic Medical Examination Bureau; Россия
2. Creator Author's name, affiliation, country Sofia E. Dubrova; Moscow Regional Research and Clinical Institute; Россия
2. Creator Author's name, affiliation, country Natalia S. Muranova; Forensic Medical Examination Bureau; Россия
2. Creator Author's name, affiliation, country Olga M. Popova; Forensic Medical Examination Bureau; Россия
3. Subject Discipline(s)
3. Subject Keyword(s) newborns; forensic medicine; radiology; postmortem computed tomography
4. Description Abstract

Background: The article discusses the criteria, forensic and radiological “life tests,” difficulties in assessing the results of live births and stillbirths. It also dives into the history of the development of X-ray, including pre-sectional examination of newborn corpses. Two cases of newborn corpses that were subjected to pre-sectional computed tomography (CT) are presented. Case presentation: Case no. 1: Examination of a newborn corpse found in a cardboard box on the unheated terrace of a private house after a secret self-birth. Case no. 2: Examination of the corpse of an infant with massive injuries and the division of the body into two fragments, found on a sorting tape in the premises of a waste sorting shop. Conclusion: Postmortem CT of newborn corpses was an evidence-based and visual addition to the traditional forensic medical study. This helped determine the maturity of fetuses even at the pre-dissection stage to identify injuries and anatomical variants of the structure, to refute the presence of congenital deformities, and to establish and record evidence-based CT signs of live birth and stillbirth.

5. Publisher Organizing agency, location Eco-Vector
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 02.07.2021
8. Type Status & genre Peer-reviewed Article
8. Type Type Research Article
9. Format File format PDF (Rus),
10. Identifier Uniform Resource Identifier https://for-medex.ru/jour/article/view/364
10. Identifier Digital Object Identifier (DOI) 10.17816/fm364
10. Identifier Digital Object Identifier (DOI) (PDF (Rus)) 10.17816/fm364-380
11. Source Title; vol., no. (year) Russian Journal of Forensic Medicine; Vol 7, No 2 (2021)
12. Language English=en ru
13. Relation Supp. Files Fig. 1. The corpse of a child: а — appearance; b — 3D image. (821KB) doi: 10.17816/fm364-194
Fig. 2. Computed tomography scan of the brain: The 5th ventricular cavity — variant anatomy. (591KB) doi: 10.17816/fm364-195
Fig. 3. Computed tomography, 3D-reconstruction: dislocation of the left humerus. (628KB) doi: 10.17816/fm364-196
Fig. 4. Computed tomography scan, frontal reconstruction, pulmonary window: the lungs are straightened, widely adjacent to the chest wall; gas in the jejunal loop. (591KB) doi: 10.17816/fm364-197
Fig. 5. Computed tomography, frontal reconstruction, soft-tissue window: contents in the small and large intestine. (542KB) doi: 10.17816/fm364-198
Fig. 6. Computed tomography, sagittal reconstruction, bone window: kernel of ossification in the sternum. (660KB) doi: 10.17816/fm364-199
Fig. 7. Appearance of the corpse of the child: а — upon detection; b — 3D image. (1MB) doi: 10.17816/fm364-201
Fig. 8. Computed tomography: multiple fractures of the skull bones; decomposition of the brain. (554KB) doi: 10.17816/fm364-200
Fig. 9. Computed tomography, 3D reconstruction: complete separation of the spinal column at the midpoint of the Th11 vertebral body; multiple fractures of most of the ribs. (640KB) doi: 10.17816/fm364-202
Fig. 10. Computed tomography findings: the lungs are located outside the chest cavity, totally compacted, not straightened. (577KB) doi: 10.17816/fm364-203
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2021 Klevno V.A., Chumakova Y.V., Dubrova S.E., Muranova N.S., Popova O.M.
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