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SCOPE OF RADIOLOGY IN FORENSIC
Presented by :
Aiswarya GR
IInd Semester
MSc . Forensic Odontology
1
CONTENTS
• Introduction
• Scope of Radiology in forensic
 Determination of Identity
 Determination of cause of injury and death
 Administrative proceedings
 Non accidental injuries of children
 To find the faulty charting of teeth
 Age estimation using dental radiograph
 Record keeping
 Research
• Reference
2
INTRODUCTION
• Now-a-days, forensic radiology is evolving as a branch of forensic dentistry,
in which radiographs play a vital role in identification of the dead.
• Radiographs makes a precise form of comparison between antemortem
and postmortem radiographs .
• Radiographs are able to capture their distinct anatomical features, that
become an invaluable tool in forensic sciences.
• Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci.
2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944
3
SCOPE OF RADIOLOGY IN FORENSIC
• Determination of Identity
• To determine the cause injury and death
• Administrative Proceedings
• To find faulty charting of teeth
• Non accidental injuries of children
• Age estimation using dental radiograph
• Record keeping
• Research
• Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci.
2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944
4
DETERMINATION OF IDENTITY
• Radiographs are helpful to determine the age of an individual by assessing
the stage of eruption of teeth.
• Skull radiographs can be used in the identification by superimposing on
antemortem radiograph or photograph.
• Radiological determination of individual identity may be presumptive upon
demonstration of pre-existing injuries , illness or any developmental
peculiarities .
• Deliberate alteration in the shape of the teeth in suspects can be identified
with radiographs in bite mark cases.
• Radiography also plays a very versatile role within mass disasters.
• Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci.
2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944
• Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press. 5
6
Nainan, Oommen. (2015). Dental Biometrics as an Aid in the Determination of Human Identity. International Journal of Clinical Case Reports.
10.5376/ijccr.2015.05.0032.
DETERMINATION OF CAUSE OF INJURY
AND DEATH
• The location and type of fracture , considered with reference to the
history , age and sex of the victim and the expected level of activity of the
individual ,which suggest whether the injury is accidental or inflicted.
• Radiographs are useful for localizing bullets or other metallic foreign
objects; confirming suspected air embolism.
• In a drowning case, massive vital decompression with pulmonary
barotrauma and a fatal gas embolism was identified in the radiological
image.
• Fracture of the hyoid bone or thyroid cornua usually suggest strangulation.
• Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci.
2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944
• Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press.
7
8
Keerthi, R, and Abdulhaseeb Quadri. “Hyoid Bone Fracture: Associated With Head and Neck Trauma-A Rare Case Report.” Journal of maxillofacial
and oral surgery vol. 15,Suppl 2 (2016): 249-52. doi:10.1007/s12663-015-0761-x
ADMINISTRATIVE PROCEEDINGS
• Radiograph which is considered as an evidence in a legal controversy is a
part of the clinical record made while the subject is in a hospital.
• Radiograph should be explained to the court , when pictures are made by
X-ray technicians it is necessary to call a witness qualified to interpret X-
ray photographs as an expert .
• The expert should know if the radiograph is original or a copy and the
whereabouts of the radiographs at all times.
• Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci.
2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944
• Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press. 9
NON ACCIDENTAL INJURIES OF CHILDREN
• Radiology places an important role in diagnosing child abuse .
• Forensic radiologists suggest different techniques for specific head injury.
• Computerized Tomography (CT) is recommended for detection of
subarachnoid hemorrhages .
• Magnetic resonance imaging (MRI) is superior in revealing subdural
hematomas, concussive injuries, and shear injuries.
• CT advocated detection of fractures.
• Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci.
2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944
10
TO FIND THE FAULTY CHARTING OF TEETH
• Antemortem and postmortem radiographs are compared noting
similarities and differences .
• The most current films are examined first because they will show the
greatest similarity to the postmortem status of the teeth and jaws.
• Sometimes, while charting postmortem data teeth may be wrongly
numbered especially in cases where adjacent tooth migrate into the
extraction space. This can be connected using radiographs.
• Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci.
2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944
• Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press.
11
AGE ESTIMATION USING DENTAL
RADIOGRAPH
• Secondary dentine deposit can be used as an indicator of age in adults.
• Secondary dentine as also been measured indirectly on radiograph of
extracted teeth.
• It is an nondestructive method to predict the age.
• The ratio between pulp and the root has also been used in age estimation as
the size of the pulp is reduced with age.
• Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci.
2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944
• Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press.
12
13
Limdiwala, Piyush G, and J S Shah. “Age estimation by using dental radiographs.” Journal of forensic dental sciences vol. 5,2 (2013): 118-22.
doi:10.4103/0975-1475.119778
RECORD KEEPING
• Careful record keeping, in medical facilities and private practices for as
long as feasible, is extremely important.
• Radiographs pertaining to inactive patient's files are stored for at least 5
years.
• Radiographs are generally regarded as the property of the hospital or
office in which they were produced although the law guarantees patient
access to them.
• While doing it so , which helps in future reference purposes or for any
cross examinations
• Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci.
2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944
• Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press.
14
RESEARCH
• Diagnostic imaging methods are , in general , underutilized in forensic
biomedical practice and research.
• Some very promising applications of modern radiological methods in the
courts have above already through individual effort , innovation and
inspiration.
• Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press.
15
REFERENCE
• Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A.
Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264.
doi:10.4103/0975-7406.155944
• Thali , M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic
Radiology, Second Edition. CRC Press.
• Limdiwala, Piyush G, and J S Shah. “Age estimation by using dental
radiographs.” Journal of forensic dental sciences vol. 5,2 (2013): 118-22.
doi:10.4103/0975-1475.119778
• Keerthi, R, and Abdulhaseeb Quadri. “Hyoid Bone Fracture: Associated With
Head and Neck Trauma-A Rare Case Report.” Journal of maxillofacial and oral
surgery vol. 15,Suppl 2 (2016): 249-52. doi:10.1007/s12663-015-0761-x
• Nainan , Oommen. (2015). Dental Biometrics as an Aid in the Determination of
Human Identity. International Journal of Clinical Case Reports.
10.5376/ijccr.2015.05.0032.
16
THANK YOU
17

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SCOPE OF RADIOLOGY IN FORENSIC.pptx

  • 1. SCOPE OF RADIOLOGY IN FORENSIC Presented by : Aiswarya GR IInd Semester MSc . Forensic Odontology 1
  • 2. CONTENTS • Introduction • Scope of Radiology in forensic  Determination of Identity  Determination of cause of injury and death  Administrative proceedings  Non accidental injuries of children  To find the faulty charting of teeth  Age estimation using dental radiograph  Record keeping  Research • Reference 2
  • 3. INTRODUCTION • Now-a-days, forensic radiology is evolving as a branch of forensic dentistry, in which radiographs play a vital role in identification of the dead. • Radiographs makes a precise form of comparison between antemortem and postmortem radiographs . • Radiographs are able to capture their distinct anatomical features, that become an invaluable tool in forensic sciences. • Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944 3
  • 4. SCOPE OF RADIOLOGY IN FORENSIC • Determination of Identity • To determine the cause injury and death • Administrative Proceedings • To find faulty charting of teeth • Non accidental injuries of children • Age estimation using dental radiograph • Record keeping • Research • Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944 4
  • 5. DETERMINATION OF IDENTITY • Radiographs are helpful to determine the age of an individual by assessing the stage of eruption of teeth. • Skull radiographs can be used in the identification by superimposing on antemortem radiograph or photograph. • Radiological determination of individual identity may be presumptive upon demonstration of pre-existing injuries , illness or any developmental peculiarities . • Deliberate alteration in the shape of the teeth in suspects can be identified with radiographs in bite mark cases. • Radiography also plays a very versatile role within mass disasters. • Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944 • Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press. 5
  • 6. 6 Nainan, Oommen. (2015). Dental Biometrics as an Aid in the Determination of Human Identity. International Journal of Clinical Case Reports. 10.5376/ijccr.2015.05.0032.
  • 7. DETERMINATION OF CAUSE OF INJURY AND DEATH • The location and type of fracture , considered with reference to the history , age and sex of the victim and the expected level of activity of the individual ,which suggest whether the injury is accidental or inflicted. • Radiographs are useful for localizing bullets or other metallic foreign objects; confirming suspected air embolism. • In a drowning case, massive vital decompression with pulmonary barotrauma and a fatal gas embolism was identified in the radiological image. • Fracture of the hyoid bone or thyroid cornua usually suggest strangulation. • Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944 • Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press. 7
  • 8. 8 Keerthi, R, and Abdulhaseeb Quadri. “Hyoid Bone Fracture: Associated With Head and Neck Trauma-A Rare Case Report.” Journal of maxillofacial and oral surgery vol. 15,Suppl 2 (2016): 249-52. doi:10.1007/s12663-015-0761-x
  • 9. ADMINISTRATIVE PROCEEDINGS • Radiograph which is considered as an evidence in a legal controversy is a part of the clinical record made while the subject is in a hospital. • Radiograph should be explained to the court , when pictures are made by X-ray technicians it is necessary to call a witness qualified to interpret X- ray photographs as an expert . • The expert should know if the radiograph is original or a copy and the whereabouts of the radiographs at all times. • Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944 • Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press. 9
  • 10. NON ACCIDENTAL INJURIES OF CHILDREN • Radiology places an important role in diagnosing child abuse . • Forensic radiologists suggest different techniques for specific head injury. • Computerized Tomography (CT) is recommended for detection of subarachnoid hemorrhages . • Magnetic resonance imaging (MRI) is superior in revealing subdural hematomas, concussive injuries, and shear injuries. • CT advocated detection of fractures. • Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944 10
  • 11. TO FIND THE FAULTY CHARTING OF TEETH • Antemortem and postmortem radiographs are compared noting similarities and differences . • The most current films are examined first because they will show the greatest similarity to the postmortem status of the teeth and jaws. • Sometimes, while charting postmortem data teeth may be wrongly numbered especially in cases where adjacent tooth migrate into the extraction space. This can be connected using radiographs. • Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944 • Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press. 11
  • 12. AGE ESTIMATION USING DENTAL RADIOGRAPH • Secondary dentine deposit can be used as an indicator of age in adults. • Secondary dentine as also been measured indirectly on radiograph of extracted teeth. • It is an nondestructive method to predict the age. • The ratio between pulp and the root has also been used in age estimation as the size of the pulp is reduced with age. • Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944 • Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press. 12
  • 13. 13 Limdiwala, Piyush G, and J S Shah. “Age estimation by using dental radiographs.” Journal of forensic dental sciences vol. 5,2 (2013): 118-22. doi:10.4103/0975-1475.119778
  • 14. RECORD KEEPING • Careful record keeping, in medical facilities and private practices for as long as feasible, is extremely important. • Radiographs pertaining to inactive patient's files are stored for at least 5 years. • Radiographs are generally regarded as the property of the hospital or office in which they were produced although the law guarantees patient access to them. • While doing it so , which helps in future reference purposes or for any cross examinations • Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944 • Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press. 14
  • 15. RESEARCH • Diagnostic imaging methods are , in general , underutilized in forensic biomedical practice and research. • Some very promising applications of modern radiological methods in the courts have above already through individual effort , innovation and inspiration. • Thali, M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press. 15
  • 16. REFERENCE • Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-S264. doi:10.4103/0975-7406.155944 • Thali , M. J., MD, Viner, M. D., & Brogdon, B. (2010). Brogdon’s Forensic Radiology, Second Edition. CRC Press. • Limdiwala, Piyush G, and J S Shah. “Age estimation by using dental radiographs.” Journal of forensic dental sciences vol. 5,2 (2013): 118-22. doi:10.4103/0975-1475.119778 • Keerthi, R, and Abdulhaseeb Quadri. “Hyoid Bone Fracture: Associated With Head and Neck Trauma-A Rare Case Report.” Journal of maxillofacial and oral surgery vol. 15,Suppl 2 (2016): 249-52. doi:10.1007/s12663-015-0761-x • Nainan , Oommen. (2015). Dental Biometrics as an Aid in the Determination of Human Identity. International Journal of Clinical Case Reports. 10.5376/ijccr.2015.05.0032. 16

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