Cómo citar
Najar Céspedes, A. P. (2015). Virtopsia. Radiología en medicina forense. Salud Areandina, 1(1), 60 - 76. https://doi.org/10.33132/23229659.311


Durante los últimos años, técnicas modernas en imagenología han sido pioneras en medicina forense. La resonancia magnética y, especialmente, la tomografía computarizada multicorte están incrementando su implementación en las evaluaciones post mortem. Estas técnicas no invasivas pueden aumentar su uso, y eventualmente, reemplazar la autopsia tradicional. Adicional a las técnicas radiológicas, los métodos para escanear superficies en tres dimensiones y la fotogrametría son usados para la documentación de los hallazgos externos del cuerpo. Para realizar una autopsia mínimamente invasiva, otras herramientas han sido desarrolladas, tales como la biopsia y la angiografía post-mortem. Análogo al uso clínico de la biopsia y la angiografía, estas técnicas permitirán tomar muestras de tejido post-mortem, para posteriores análisis, y evaluar el sistema vascular. Con el uso de estos métodos, se puede realizar una documentación de casos forenses independiente del investigador, de forma objetiva y mínimamente invasiva que contribuya a mejorar la calidad de las investigaciones en patología forense.


During the last few years, modern cross-sectional imaging techniques have pioneered forensic medicine. Magnetic resonance imaging and especially multislice computed tomography are becoming increasingly implemented into post-mortem examinations. These non-invasive techniques can augment and even partially replace a traditional autopsy. Beside the radiological imaging techniques, the methods of three-dimensional surface scanning and photogrammetry are used for the documentation of the external findings of the body. To realize the goal of a minimal-invasive autopsy, other tools like post-mortem biopsy and post-mortem angiography have been developed. In analogy to the clinical use of biopsy and angiography these techniques will permit post-mortem tissue sampling for further analyses and enable post-mortem examinations of the vascular system. With the use of these methods, a minimally invasive, objective and investigatorindependent documentation of forensic cases can be realized to reach quality improvements in forensic pathological investigations.

Keywords: Post-mortem radiology; computed tomography; virtual autopsy;
forensic radiology; minimal-invasive autopsy; surface scanning.


Lundberg GD. (1998). Low-tech autopsies
in the era of high-tech medicine: continued
value for quality assurance and patient
safety. JAMA. 280: 1273-1274.
Salud Areandina, Bogotá (Colombia). 1 (1): 60-76, julio-diciembre de 2012.
• Andrea Paola Najar Céspedes (trad.) •
2. Brogdon BG. (1998). Forensic Radiology.
CRC, Boca Raton, FL.
3. Vogel H. (1997). Gewalt im Ro¨ntgenbild:
Befunde bei Krieg, Folter und Verbrechen.
Echomed. 41: 13-42.
4. Beck NE, Hale JE. (1993). Cocaine ‘‘body
packers‘‘. Br J Surg. 80: 1513-1516.
5. Hergan K, Kofler K, Oser W. (2004).
Drug smuggling by boy packing: what
radiologists should know about it. Eur
Radiol. 14: 736-742.
6. Wu¨llenweber R, Schneider V, Grumme T.
(1977). Computertomographische Untersuchungen
bei Scha¨del-Schuss-Verletzungen.
Z Rechtsmed. 80: 227-246.
7. Schumacher M, Oehmichen M, Ko¨nig HG,
et al. (1983). Intravital and postmortal CT
examinations in cerebral gunshot injuries.
Rofo. 139: 8-63.
8. Kalender WA, Seissler W, Klotz E et al.
(1990). Spiral volumetric CT with singlebreath-
hold technique, continuous transport
and continuous scanner rotation. Radiologe.
176: 181-183.
9. Donchin Y, Rivkind AI, Bar-Ziv J et al.
(1994). Utility of post-mortem computed
tomography in trauma victims. J Traum. 37:
10. Oliver WR, Chancellor AS, Soltys M et al.
(1995). Three-dimensional reconstruction or
a bullet path: validation by computed radiography.
J Forensic Sci. 40: 321-324.
11. Farkash U, Scope A, Lynn M et al. (2000).
Preliminary experience with postmortem
computed tomography in military penetrating
trauma. J Trauma. 48: 303-308.
12. Bisset R. (1998). Magnetic reso nance
imaging may be alternative to necropsy.
BMJ. 317: 1450.
13. Bisset R, Thomas NB, Turnbull IW et al.
(2002). Postmortem examinations using
magnetic resonance imaging: four year
review of a working service. BMJ. 324:
14. Brookes JA, Hall-Craggs MA, Sams VR et
al. (1996). Non-invasive perinatal necropsy
by magnetic resonance imagining. Lancet
348: 1139-1141.
15. Hart BL, Dudley MH, Zumwalt RE. (1996).
Postmortem cranial MRI and autopsy
correlation in suspected child abuse.
Am J Forensic Med Pathol. 17: 217-224.
16. Woodward PJ, Sohaey R, Harris DP et
al. (1997). Postmortem fetal MR imaging:
comparison with findings at autopsy. Am J
Roentgenol. 168: 41-46.
17. Ros PR, Li KG, Vo P et al. (1990).
Preautopsy magnetic resonance imaging:
initial experience. Magn Reson Imaging.
8: 303- 308.
18. Patriquin L, Kassarjian A, Barish M et al.
(2001). Post-mortem whole-body magnetic
resonance imaging as an adjunct to autopsy:
preliminary clinical experience. J Magn
Reson Imaging. 13: 277-287.
19. AThali MJ, Yen K, Schweitzer W et al.
(2003). Virtopsy, a new imaging horizon in
forensic pathology: autopsy by postmortem
multislice computed tomography (MSCT)
and magnetic resonance imaging (MRI)-
a feasibility study. J Forensic Sci. 48: 386-
20. Dirnhofer R, Jackowski C, Vock P et al.
(2006). VIRTOPSY: minimally invasive,
imaging-guided virtual autopsy.
RadioGraphics. 26: 1305-1333.
21. BThali MJ, Braun M, Markwalder TA et al.
(2003). Bite mark documentation: the
forensic 3D/CAD supported photogrammetry
approach. Forensic Sci Int. 135: 115-121.
22. Thali MJ, Braun M, Wirth J et al. (2003).
3D surface and body documentation in
forensic medicine: 3-D/CAD Photogrammetry
merged with 3D radiological
scanning. J Forensic Sci. 48: 1356-1365.
23. Thali MJ, Braun M, Buck U et al. (2005).
VIRTOPSY: scientific documentation,
reconstruction and animation in forensics:
Salud Areandina, Bogotá (Colombia). 1 (1): 60-76, julio-diciembre de 2012.
Virtopsia® Radiología en medicina forense
individual and real 3D data based geometric
approach including optical body/object surface
and radiological CT/MRI scanning.
J Forensic Sci. 50: 428-442.
24. Buck U, Naether S, Braun M et al. (2006).
Application of 3D documentation and
geometrical reconstruction methods in traffic
accident analysis: with high resolution
surface scanning, radiological MSCT/MRI
scanning and real data based animation.
Forensic Sci Int. Sept. 22 [Epub ahead of
25. Aghayev E, Thali MJ, Sonnenschein M et al.
(2006). Post-mortem tissue sampling using
computed tomography guidance. Forensic
Sci Int. Jun. 27 [Epub ahead of print].
26. Jackowski C, Sonnenschein M, Thali MJ et
al. (2005). Virtopsy: postmortem minimally
invasive angiography using cross section
techniques - implementation and preliminary
results. J Forensic Sci. 50: 1157-1186.
27. Jackowski C, Bolliger S, Aghayev E et al.
(2006). Reduction of postmortem angiography-
induced tissue edema by using polyethylene
glycol as a contrast-agent dissolver. J
Forensic Sci. 51: 1134-1137.
28. Grabherr S, Djonov V, Friess A et al. (2006).
Postmortem angiography after vascular
perfusion with diesel oil and a lipophilic
contrast agent. Am J Roentgenol. 187:
29. Grabherr S, Djonov V, Yen K, et al. (2007).
Post-mortem angiography: a review of former
and current methods. AJR. 188: 832-838.
30. Johnson GA, Benveniste H, Black RD et
al. (1993). Histology by magnetic resonance
microscopy. Magn Reson Q. 9: 1-30.
31. Thali MJ, Dirnhofer R, Becker R et al.
(2004). Is ‘virtual histology’ the next step
after ‘virtual autopsy’? Magnetic resonance
microscopy in forensic medicine.
Magn Reson Imaging. 22: 1131-1138.
32. Engelke K, Karolczak M, Lutz A et al.
(1999). Micro CT: Technologie und
Applikation zur Erfassung der
Knochenstruktur. Radiology. 39: 203-212.
33. Thali MJ, Taubenreuther U, Karolczak M
et al. (2003). Forensic microradiology:
micro-computed tomography (Micro-CT)
and analysis of patterned injuries inside of
bone. J Forensic Sci. 48: 1336-1342.
34. Scheurer E, Ith M, Dietrich D et al. (2005).
Statistical evaluation of timedependent
metabolite concentrations: estimation
of post-mortem intervals based on in situ
1H-MRS of the brain. NMR Biomed. 18:
35. Woodward PJ, Sohaey R, Kennedy A et al.
(2005). From the archives of the AFIP: a
comprehensive review of fetal tumors with
pathologic correlation. RadioGraphics. 25:
36. Koeller KK, Rushing EJ. (2005). From the
archives of the AFIP: oligodendroglioma
and its variants: radiologic-pathologic
correlation. Radio- Graphics. 25: 1669-1688.
37. Jackowski C, Aghayev E, Sonnenschein M
et al. (2005). Maximum intensity projection
of cranial computed tomography data for
dental identification. Int J Legal Med.
120: 233-240.
38. Thali MJ, Markwalder T, Jackowski C et al.
(2006). Dental CT imaging as a screening
tool for dental profiling: advantages and
limitations. J Forensic Sci. 51: 113-119.
39. Jackowski C, Lussi A, Classens M et al.
(2006). Extended CT scale overcomes
restoration caused streak artifacts for dental
identification in CT- 3D color encoded automatic
discrimination of dental restoration.
J Comput Assist Tomogr. 30: 510-513.
40. Jackowski C, Thali M, Sonnenschein M et
al. (2004). Visualization and quantification
of air embolism structure by processing
postmortem MSCT data. J Forensic Sci.
49: 1339-1342.
41. Yen K, Vock P, Tiefenthaler B et al. (2004).
Virtopsy: forensic trauma-tology of the
Salud Areandina, Bogotá (Colombia). 1 (1): 60-76, julio-diciembre de 2012.
• Andrea Paola Najar Céspedes (trad.) •
subcutaneous fatty tissue: multislice
computed tomography (MSCT) and
magnetic resonance imaging (MRI) as
diagnostic tools. J Forensic Sci. 49: 799-806.
42. Jackowski C, Dirnhofer S, Thali M
et al. (2005). Postmortem diagnostics using
MSCT and MRI of a lethal streptococcus
group A infection at infancy: a case report.
Forensic Sci Int 151: 157-163.
43. Jackowski C, Schweitzer W, Thali MJ et al.
(2005). Virtopsy: postmortem imaging of the
human heart in situ using MSCT and MRI.
Forensic Sci Int. 149: 11-23.
44. Aghayev E, Sonnenschein M, Jackowski C
et al. (2006). Fatal hemorrhage in
postmortem radiology: measurements
of cross-sectional areas of major blood
vessels and volumes of aorta and spleen
by MSCT and volumes of heart chambers
by MRI. Am J Roentgenol 187: 209-215.
45. Aghayev E, Thali MJ, Jackowski C et al.
(2007). Post-mortem MSCT and MRI in
hypothermia: benefits, limitations and new
finding of hemorrhages in muscles of back.
Forensic Sci Int. in press.
46. Yen K, Thali M, Aghayev E et al. (2005).
Strangulation signs: initial correlation of
MRI, MSCT and forensic neck findings. J
Magn Reson Imaging. 22: 501-510.
47. Bolliger S, Thali MJ, Jackowski C et al.
(2005). Postmortem non-invasive virtual
autopsy: death by hanging in car. J Forensic
Sci. 50: 455-460.
48. Poulsen K, Simonsen J. (2006). Computed
tomography as routine in connection with
medico-legal autopsies. Forensic Sci Int
Aug 4 [Epub ahead of print].
49. Sidler M, Jackowski C, Dirnhofer R et al.
(2006). Use of multislice computed
tomography in disaster victim identification:
advantages and limitations. Forensic Sci Int.
Sept 22 [Epub ahead of print].


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