Applications And Limitations Of Radiological Modalities In Disaster Victim Identifications (Dvi): A Forensic Perspective
DOI:
https://doi.org/10.48165/jfmt.2025.42.4.16Keywords:
Disaster victim identification (DVI), Radiological modalities, identity establishment, virtual autopsy, forensicAbstract
The aftermath of mass disasters presents a chaotic scene where the immediate identification of victims becomes a critical concern. Traditional methods of disaster victim identification (DVI) often confront numerous challenges, particularly when the remains are heavily fragmented, burned, or in a highly decomposed state. This review underscores the signif icant role of forensic radiology in the DVI process, offering a comprehensive examination of its applications, advance ments, limitations and future prospects. By integrating multiple studies and real-case applications, this review elucidates how forensic radiology has become instrumental in expediting accurate identifications, thereby aiding legal processes and providing closure to affected families.
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The Palestine Yearbook of International Law. Annual report of the United Nations High Commissioner for Human Rights and reports of the Office of the High Commissioner and the Secretary-General (February 26, 2009). Palestine Yearb Int Law Online. 2009;15(1):265–268.
Cordner S, Tidball-Binz M. Humanitarian forensic action—its origins and future. Forensic Sci Int. 2017;279:65–71.
Thali MJ, Yen K, Schweitzer W, Vock P, Boesch C, Ozdoba C, et al. Virtopsy, a new imaging horizon in forensic pathology: virtual autopsy by postmortem multislice CT and MRI—a feasibility study. J Forensic Sci. 2003;48(2):386–403.
Levy AD, Harcke HT Jr. Essentials of forensic imaging: a text-atlas. Boca Raton: CRC Press; 2010. doi:10.1201/b10444
Patel R, Thong EHE, Batta V, Bharath AA, Francis D, Howard J. Automated identification of orthopedic implants on radiographs using deep learning. Radiology Artif Intell. 2021;3(4):e200183. doi:10.1148/ryai.2021200183
Kuruc R, Szórádová A, Šikuta J, Mikuláš L, Šidlo J. A comparative study of intravital CT and autopsy findings in fatal traumatic injuries. Healthcare. 2022;10:1465. doi:10.3390/healthcare10081465
Thali MJ, Yen K, Schweitzer W, Vock P, Ozdoba C, Dirnhofer R. Into the decomposed body—forensic digital autopsy using multislice computed tomography. Forensic Sci Int. 2003;134(2–3):109–114.
Levy AD, Abbott RM, Mallak CT, Getz JM, Harcke HT, Champion HR, et al. Virtual autopsy: preliminary experience in high-velocity gunshot wound victims. Radiology. 2006;240(2):522–528.
Blau S, Robertson S, Johnstone M. Disaster victim identification: new applications for postmortem computed tomography. J Forensic Sci. 2008;53(4):956–961.
Brough AL, Morgan B, Rutty GN. Postmortem computed tomography (PMCT) and disaster victim identification. Radiol Med. 2015;120:866–873.
Brogdon BG. The scope of forensic radiology. Clin Lab Med. 1998;18(2):203–240.
de Boer HH, Blau S, Delabarde T, Hackman L. The role of forensic anthropology in disaster victim identification (DVI): recent developments and future prospects. Forensic Sci Res. 2019;4(4):303–315.
Ruder TD, Kraehenbuehl M, Gotsmy WF, Mathier S, Ebert LC, Thali MJ, et al. Radiologic identification of disaster victims using CT of the paranasal sinuses. Eur J Radiol. 2012;81(2):e132–e138.
Pretty IA, Sweet D. A look at forensic dentistry—Part 1: the role of teeth in the determination of human identity. Br Dent J. 2001;190(7):359–366.
Schmeling A, Grundmann C, Fuhrmann A, Kaatsch HJ, Knell B, Ramsthaler F, et al. Criteria for age estimation in living individuals. Int J Legal Med. 2008;122:457–460.
Samworth R, Gowland R. Estimation of adult skeletal age at death: statistical assumptions and applications. Int J Osteoarchaeol. 2007;17(2):174–188.
Cameriere R, Ferrante L, Cingolani M. Age estimation in children by measurement of open apices in teeth. Int J Legal Med. 2006;120:49–52.
Bassed RB, Drummer OH, Briggs C, Valenzuela A. Age estimation and the medial clavicular epiphysis using CT. Forensic Sci Med Pathol. 2011;7:148–154.
Ruder TD. Forensic institutes across the world place CT or MRI scanners or both into their mortuaries. J Trauma. 2008;65(2):493–494.
Aghayev E, Sonnenschein M, Jackowski C, Thali M, Buck U, Yen K, et al. Postmortem radiology of fatal hemorrhage. AJR Am J Roentgenol. 2006;187(1):209–215.
Morgan OW, Sribanditmongkol P, Perera C, Sulasmi Y, van Alphen D, Sondorp E. Mass fatality management following the South Asian tsunami disaster. PLoS Med. 2006;3(6):e195.
Christensen AM, Passalacqua NV, Bartelink EJ. Forensic anthropology: current methods and practice. London: Academic Press; 2019.
Holland MM, Cave CA, Holland CA, Bille TW. Development of a high-throughput DNA analysis procedure for skeletal samples. Croat Med J. 2003;44(3):264–272.
Thali MJ, Dirnhofer R, Vock P, editors. Autopsy to virtopsy: oral description versus image—value of evidence. In: The virtopsy approach. Boca Raton: CRC Press; 2009. doi:10.1201/9780849381898
Jackowski C, Thali MJ, Aghayev E, Yen K, Dirnhofer R, Sonnenschein M, et al. Virtopsy: postmortem minimally invasive angiography. J Forensic Sci. 2005;50(5):JFS2005023.
Dirnhofer R, Jackowski C, Vock P, Potter K, Thali MJ. Virtopsy: minimally invasive, imaging-guided virtual autopsy. Radiographics. 2006;26(5):1305–1333.
Grabherr S, Djonov V, Yen K, Thali MJ, Dirnhofer R. Postmortem angiography: review of former and current methods. AJR Am J Roentgenol. 2007;188(3):832.
Aghayev E, Thali MJ, Jackowski C, Sonnenschein M, Dirnhofer R, Yen K. MRI detects hemorrhages in the muscles of the back in hypothermia. Forensic Sci Int. 2008;176(2–3):183–186.
Bolliger SA, Thali MJ, Ross S, Buck U, Naether S, Vock P. Virtual autopsy using imaging: bridging radiologic and forensic sciences. Eur Radiol. 2008;18:273–282.
Yen K, Scheurer E, Thali MJ, Dirnhofer R, Tiefenthaler B, Vock P, et al. Virtopsy: forensic traumatology of subcutaneous fatty tissue. J Forensic Sci. 2004;49(4):799–806.
Christe A, Thali MJ. Abdominal trauma: sensitivity and specificity of postmortem noncontrast imaging. J Trauma Acute Care Surg. 2009;67(5):1131.
Dedouit F, Ducloyer M, Elifritz J, Adolphi NL, Wong YL, Decker S, et al. The current state of forensic imaging—perspectives. Int J Legal Med. 2025;139:2819–2827. doi:10.1007/s00414-025-03466-6
Makino Y, Yokota H, Nakatani E, Yajima D, Inokuchi G, Motomura A, et al. Differences between postmortem CT and autopsy in cervical spine injuries. Forensic Sci Int. 2017;281:44–51. doi:10.1016/j.forsciint.2017.10.029
Prinz M, Carracedo A, Mayr WR, Morling N, Parsons TJ, Sajantila A, et al. Recommendations regarding the role of forensic geneticists in DVI. Forensic Sci Int Genet. 2007;1(1):3–12. doi:10.1016/j.fsigen.2006.10.003
Usui A, Kawasumi Y, Usui K, Ishizuka Y, Takahashi K, Funayama M, et al. Postmortem CT analysis of death caused by oral drug intoxication. Tohoku J Exp Med. 2017;242(3):183–192. doi:10.1620/tjem.242.183
Biswas UK, Khan NT, Hossain MA, Kader A. Collection, preservation and forwarding of biological samples in medico-legal autopsy. J ZHSWMC. 2019;1(2):25–28.
Decker SJ, Braileanu M, Dey C, Lenchik L, Pickup M, Powell J, et al. Forensic radiology: a primer. Acad Radiol. 2019;1–11. doi:10.1016/j.acra.2019.03.006
Omran BHF. Systematic review of postmortem examination in toxicological fatalities. ESCTJ. 2022;10(2):1–19.

