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Titre : | Évaluation de lexploitation de limagerie médicale en médecine légale thanatologique. Comparaison de la situation en Belgique par rapport à la Suisse et au monde. |
Auteurs : | Aurélie DUPUIS, Auteur ; S. Grabherr, Promoteur |
Type de document : | Travail de fin d'études |
Editeur : | Woluwe-Saint-Lambert : Haute École Léonard de Vinci, 2021 |
Langues: | Français |
Index. décimale : | TFE - Imagerie médicale |
Résumé : |
The application of medical imaging to forensic sciences, especially to post-mortem studies, is not a new topic but has been subject to some changes for the last decades. Thanks to technological improvements in medical imaging such as computed tomography (CT) and magnetic resonance imaging (MRI), it is now possible to obtain high-quality images in a short amount of time, as well as producing representative 3D rendering images. These are all reasons for which medical examiners are more and more interested in implementing radiology in their forensic investigations.
Studies about forensic radiography have been conducted around the world, highlighting the benefits of each imaging modality while clarifying limitations in forensics applications. The Virtopsy® project was one of the first of them and had a great impact in the field showing what can be diagnosed with each imaging modality. Because of the postmortem changes in bodies, all of the imaging techniques are not always relevant nor efficient in every situation, but they show various elements needed in diagnostic. Despite its benefits, postmortem imaging is not yet part of routine work in forensic departments around the world. This project seeks to assess the current applications of thanatological imaging in Belgium and compare them with Switzerlands and global practices. Therefore, several medical examiners of French-speaking part of Belgium were interviewed, as well as their fellow radiologists, to collect data about their practices and facilities, the limiting factors, and their opinion about it. Switzerland was chosen arbitrarily as a reference, because of its geographic proximity and the number of articles in the field of forensic sciences and postmortem imaging. Initially, the CURML in Lausanne should have been the place of a 3 weeks internship. However, due to the current pandemic, it was reorganized to fulfill the defined goals; thus meetings to collect data were only virtual. Practices around the world were assessed through scientific literature. Despite the heterogeneity of practices and expectations between all of the interviewed healthcare professionals, a shared opinion shows that limitations come from logistical, financial, and societal problems. From body transportation limitations to lack of funding, including religious believes or miscommunications, there is a range of reasons why they feel limited in the current situation. Even if the Dutch-speaking part of Belgium should be investigated as well to have a precise national state of affairs, the global opinion seems to be in favor of a valuation of postmortem imaging as an auxiliary in forensic investigations. They mostly think that each modality has its own advantages in the diagnosis of death and should be considered accordingly. This qualitative study is not a systematic review of the literature but sums up the possibilities in the field of postmortem imaging. In describing imaging technics used around the world and last innovations, this work highlights Belgiums capabilities to develop to fit European recommendations. |
Accès : | Identifiez-vous avant d'accéder au document électronique |
Disponible en ligne : | Oui |
Lieu du stage : | Cliniques Universitaires Saint - Luc |
Département : | Imagerie médicale |
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TFE imagerie médicale Adobe Acrobat PDF |