Pitfalls on Postmortem Imaging: The Need of Blending Conventional and Virtual Autopsy on Burnt-Charred Body

  • Giuseppe Lo Re
  • Antonina Argo
  • Salvatore Serraino
  • Stefania Zerbo
  • Elvira Ventura Spagnolo
  • Massimo Midiri


Joining forensic traditional autopsy and CT-MR postmortem virtual approach may assist forensic experts in adequate reconstruction of cause, manner, and way of death, significantly to find evidence of found wound/fracture and relative interpretation. Evaluation of criminal burning is often a difficult challenge in the view of misinterpretation of wound/fracture victims and usually poor case history of this criminal offense. In this scenario, a strong collaboration between imaging and classical forensic techniques is helpful.


Forensic medicine Radiology Postmortem X-ray Postmortem CT Pitfalls Charred body 


  1. 1.
    Ubelaker D (2009) The forensic evaluation of burned skeletal remains: a synthesis. Forensic Sci Int 183:1–5PubMedCrossRefGoogle Scholar
  2. 2.
    Thompson TJU (2005) Heat-induced dimensional changes in bone and their consequences for forensic anthropology. J Forensic Sci 50(5):1–8CrossRefGoogle Scholar
  3. 3.
    Stuckert CM, Kricun ME (2011) A case of bilateral forefoot amputation from the Romano-British cemetery of Lankhills, Winchester, UK. Int J Paleopathol 1(2):111–116PubMedCrossRefGoogle Scholar
  4. 4.
    Averna L, Argo A, Cascino FM, Nicosia A, D’Anna T, Procaccianti P (2012) Suspected child abuse: unusual death in western country. Suicide or homicide? EMBJ 7(11):52–54Google Scholar
  5. 5.
    Carcione P, Lo Re G, Argo A, Carcione G, Picone D, Zerbo S, Scopelliti L, Sortino C, Procaccianti P (2014) Role of MDCT virtopsy in valuation of burned bodies and its comparison with traditional autopsy Conference Paper, January 2014, European Society of Radiology, WienGoogle Scholar
  6. 6.
    Fanton L, Jdeed K, Tilhet S, Malicier D (2006) Criminal burning. Forensic Sci Int 158:87–93PubMedCrossRefGoogle Scholar
  7. 7.
    Grabherr S, Baumann P, Minoiu C, Fahrni S, Mangin P (2016) Post-mortem imaging in forensic investigations: current utility, limitations, and ongoing developments. Res Rep Forensic Med Sci 2016(6):25–37Google Scholar
  8. 8.
    Bohnert M, Rost T, Faller-Marquardt M, Ropohl D, Pollak S (1997) Fractures of the base of the skull in charred bodies: post-mortem heat injuries or signs of mechanical traumatization? Forensic Sci Int 87:55–62PubMedCrossRefGoogle Scholar
  9. 9.
    Iwase H, Yamada Y, Ootani S, Sasaki Y, Nagao M, Iwadate K, Takatori T (1998) Evidence for an antemortem injury of a burned head dissected from a burned body. Forensic Sci Int 94:9–14PubMedCrossRefGoogle Scholar
  10. 10.
    Thali M, Yen K, Plattner T, Schweitzer W, Vock P, Ozdoba C, Dirnhofer R (2002) Charred body: virtual autopsy with multi-slice computed tomography and magnetic resonance imaging. J Forensic Sci 47(6):1326–1331PubMedCrossRefGoogle Scholar
  11. 11.
    Marella GL, Perfetti E, Arcudi G (2012) Differential diagnosis between cranial fractures of traumatic origin and explosion fractures in burned cadavers. J Forensic Legal Med 19:175–178CrossRefGoogle Scholar
  12. 12.
    Adair TW, DeLong L, Dobersen MJ, Sanamo S, Young R, Oliver B, Rotter T (2003) Suicide by fire in a car trunk: a case with potential pitfalls. J Forensic Sci 48(5):1113–1116PubMedCrossRefGoogle Scholar
  13. 13.
    Amadasi A, Borgonovo S, Brandone A, Di Giancamillo M, Cattaneo C (2014) A comparison between digital radiography, computed tomography, and magnetic resonance in the detection of gunshot residues in burnt tissues and bone. J Forensic Sci 59(3):712–717PubMedCrossRefGoogle Scholar
  14. 14.
    Amadasi A, Brandone A, Rizzi A, Mazzarelli D, Cattaneo C (2012) The survival of metallic residues from gunshot wounds in cremated bone: a SEM-EDX study. Int J Legal Med 126(4):525–531PubMedCrossRefGoogle Scholar
  15. 15.
    Bohnert M, Werner CR, Pollak S (2003) Problems associated with the diagnosis of vitality in burned bodies. Forensic Sci Int 135:197–205PubMedCrossRefGoogle Scholar
  16. 16.
    Bohnert M, Schmidt U, Große Perdekamp M, Pollak S (2002) Diagnosis of a captive-bolt injury in a skull extremely destroyed by fire. Forensic Sci Int 127:192–197PubMedCrossRefGoogle Scholar
  17. 17.
    Nigel CP (2006) Burn injury. In: Rutty GN (ed) Essential of autopsy practice. Current methods and modern trends. Springer, LondonGoogle Scholar
  18. 18.
    de Gruchy S, Rogers TL (2002) Identifying chop marks on cremated bone: a preliminary study. J Forensic Sci 47(5):1–4CrossRefGoogle Scholar
  19. 19.
    Eckert WG, James S, Katchis S (1988) Investigation of cremations and severely burned bodies. Am J Forensic Med Pathol 9(3):188–200PubMedCrossRefGoogle Scholar
  20. 20.
    Glassmann DM, Crow RM (1996) Standardization model for describing the extent of burn injury to human remains. J Forensic Sci 41(1):152–154CrossRefGoogle Scholar
  21. 21.
    Gruenthal A, Moffatt C, Simmons T (2012) Differential decomposition patterns in charred versus un-charred remains. J Forensic Sci 57:12–18PubMedCrossRefGoogle Scholar
  22. 22.
    Holden JL, Phakey PP, Clement JG (1995) Scanning electron microscope observations of heat-treated human bone. Forensic Sci Int 74:29–45PubMedCrossRefGoogle Scholar
  23. 23.
    Marciniak SA (2009) A preliminary assessment of the identification of saw marks on burned bone. J Forensic Sci 54(4):779–785PubMedCrossRefGoogle Scholar
  24. 24.
    Peuntes K, Cardoso HFV (2013) Reliability of cut mark analysis in human cartilage: the effects of blade penetration angle and intra- and interindividual differences. Forensic Sci Int 231:244–248CrossRefGoogle Scholar
  25. 25.
    Robbins SC, Fairgrieve SI, Oost TS (2015) Interpreting the effects of burning on pre-incineration saw marks in bone. J Forensic Sci 60:S1CrossRefGoogle Scholar
  26. 26.
    Rotschild MA, Raatschen HJ, Schneider V (2001) Suicide by self-immolation in Berlin from 1990 to 2000. Forensic Sci Int 124:163–166CrossRefGoogle Scholar
  27. 27.
    Quatrehomme G, Bolla M, Muller M, Rocca JP, Grevin G, Bailet P, Ollier A (1998) Experimental single controlled study of burned bones: contribution of scanning electron microscopy. J Forensic Sci 43(2):417–422PubMedCrossRefGoogle Scholar
  28. 28.
    Saukko P, Knight B (2016) Knight’s forensic pathology, 4th edn. CRC Press, Taylor and Francis Group, New York, pp 475–495Google Scholar
  29. 29.
    Shkrum MJ, Johnston KA (1992) Fire and suicide: a three-year study of self-immolation deaths. J Forensic Sci 37(1):208–221PubMedCrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Giuseppe Lo Re
    • 1
  • Antonina Argo
    • 2
  • Salvatore Serraino
    • 1
  • Stefania Zerbo
    • 2
  • Elvira Ventura Spagnolo
    • 2
  • Massimo Midiri
    • 1
  1. 1.Department of Biopathology and Medical BiotechnologiesUniversity of PalermoPalermoItaly
  2. 2.Department of Sciences for the Promotion of Health and Maternal and Child Care “G. D’Alessandro”University of PalermoPalermoItaly

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