法医学杂志2012，Vol.28Issue(5)：379-382,4.DOI:10.3969/j.issn.1004-5619.2012.05.015
Assessment of a Sudden Death Case due to Coronary Artery Disease Based on the PMCT and Forensic Autopsy
Assessment of a Sudden Death Case due to Coronary Artery Disease Based on the PMCT and Forensic Autopsy
摘要
Abstract
It is never an easy thing to diagnose heart vascular disease only depending on the unenhanced postmortem computed tomography (PMCT).This article reported a case of sudden natural death after the complaint of anterior chest pain in which coronary artery calcification (CAC) was clearly displayed using PMCT scan.The entire coronary artery system was almost reconstructed via multiplanar reformation (MPR) and volume-rendering reconstruction (VR),and the total calcium score of the coronary arteries was obtained with CaScoring automatic analysis software.The results showed that CAC was conspicuous; the total calcium score was 640.3,considerably higher than 400.The pulmonary ground-glass opacity (GGO) and small amount of fluid both in the subglottic trachea and main bronchi were also found.The imaging results confirmed those of autopsy.In addition,the results concluded that PMCT might serve as an invaluable adjunct to the classic autopsy procedure.关键词
forensic pathology/tomography, spiral computed/autopsy/death,sudden,cardiac/coronary diseaseKey words
forensic pathology/tomography, spiral computed/autopsy/death,sudden,cardiac/coronary disease分类
社会科学引用本文复制引用
WAN Lei,ZHANG Jian-hua,HUANG Ping,YING Chong-liang,LIU Ning-guo,ZHU Guang-you..Assessment of a Sudden Death Case due to Coronary Artery Disease Based on the PMCT and Forensic Autopsy[J].法医学杂志,2012,28(5):379-382,4.基金项目
This study was funded by the Council of National Natural Science Foundation of China (GY2012-1).We would like to thank Prof.ZHANG Guo-zhen for his technical assistance,who works in the CT room of Huadong Hospital,Shanghai,China. （GY2012-1）
