|Tipo di tesi||Tesi di laurea magistrale|
|Autore||GANGI, BRUNO GIULIANO|
|Titolo||L'angiografia TC multifase post-mortem (MPMCTA): applicazioni nelle morti cardiache improvvise|
|Titolo in inglese||Multiphase post-mortem computed tomography angiography (MPMCTA): applications in unexpected sudden cardiac death cases|
|Struttura||Dipartimento di Scienze Biomediche, Metaboliche e Neuroscienze|
|Corso di studi||MEDICINA E CHIRURGIA (D.M.270/04)|
|Data inizio appello||2017-10-17|
|Disponibilità||Accessibile via web (tutti i file della tesi sono accessibili)|
La medicina legale e la radiologia vantano una lunga collaborazione. Sin dalla scoperta dei raggi X l’acquisizione di immagini radiografiche da cadavere è stato uno dei principali strumenti di ricerca per entrambe le discipline, fornendo alla radiologia dei soggetti su cui testare e affinare le proprie innovazioni tecnologiche e fornendo alla medicina legale una visione oggettiva dell’interno del corpo prima dell’autopsia.
Forensic science and radiology have a long-lasting connection. Since the discovery of X-rays, post-mortem imaging has been one of the main research tool for both disciplines, giving radiology the possibility of non-invasive technology testing and giving forensic science a preautoptic and objective view of the body. Nowadays forensic imaging is not only a research field, but also a resource to satisfy the need of less invasive and more objective forensic investigations. This is due to the growing opposition to autoptic manoeuvres by relatives in addition to the courtroom’s request of a less subjective documentation. This change is due to the culture’s evolution, that see autopsy as to be considered only if strictly needed, and to the courtroom procedures’ evolution, that request more objectiveness and inclusiveness from scientific evidences. Following this orientation, forensic radiology importance has been steadily growing, until some forensic imaging techniques, like post-mortem CT scanning, are almost routine in many forensic science centres. By the will of further implementing radiological tools in the forensic practice, the Virtopsy project was born in Zurich. This project aims to aid the traditional forensic methods by combining various techniques (surface scan, MRT, CT) in order to create an objective, lasting and reproducible documentation. One of the main drawback of the Virtopsy project was the scarce visualization of the cardiovascular system, so many research groups focused on developing an efficient post-mortem angiography protocol that could be implemented in the current routine. Many techniques were tested and one of the most standardized and used is the multiphase post-mortem CT angiography (MPMCTA) protocol, developed by the research group of the University Center of Legal Medicine Lausanne-Geneva (CURML), that involve the use of a specifically developed machine: the Virtangio® Machine. This work aims to describe the sudden cardiac death cases, observed in the Forensic science OU of the UHA “Modena’s policlinic”, that were investigated using the MPMCTA protocol after the acquisition of the Virtangio® Machine and after that part of the personnel underwent training at the CURML. This paper will focus on the description preliminary and imaging procedures and on the single case description. Finally the whole casuistry will be analysed, trying to underline immediate benefit and possible drawbacks of the technique in order to discuss the future of radiological tools’ use in Modena’s forensic OU.