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현장검안 시 외상성 머리안출혈 진단을 위한 근적외선 분광분석기의 유용성에 대한 고찰

Usefulness of Near-infrared Spectroscopy for Diagnosis of Traumatic Intracranial Hemorrhage in Postmortem Inspection

대한법의학회지 2020년 44권 1호 p.24 ~ 30
박종필 ( Park Jong-Pil ) - 연세대학교 의과대학 법의학과

이탁수 ( Lee Tak-Su ) - 국립과학수사연구원 서울과학수사연구소 법의조사과
최민성 ( Choi Min-Sung ) - 국립과학수사연구원 서울과학수사연구소 법의조사과
양경무 ( Yang Kyung-Moo ) - 국립과학수사연구원 중앙법의학센터
박정우 ( Park Jeong-Woo ) - 국립과학수사연구원 서울과학수사연구소 법의조사과
원유진 ( Won You-Jin ) - 국립과학수사연구원 서울과학수사연구소 법의조사과
최승규 ( Choi Seung-Gyu ) - 국립과학수사연구원 서울과학수사연구소 법의조사과
김정환 ( Kim Jung-Hwan ) - 국립과학수사연구원 대전과학수사연구소 법의학과
강채린 ( Kang Chae-Lin ) - 서울대학교 의과대학원 의과학과
최승우 ( Choi Seung-Woo ) - 질병관리본부

Abstract


Near-infrared spectroscopy is a device used to determine whether traumatic intracranial hemorrhage has occurred and is primarily used for screening in emergency situations. In this study we examined the applicability of this equipment in postmortem inspection. This study included 124 autopsy cases and 59 postmortem inspection cases performed in the National Forensic Service from July 2017 to October 2018. We carried out the test using Infrascanner Model 2000 (Infrascan Inc.). Autopsy cases were divided into four groups (epidural hemorrhage or subdural hemorrhage group, traumatic subarachnoid hemorrhage or cerebral contusion group, nontraumatic intracerebral hemorrhage group, and control group) and analyzed. There was no difference in the test results according to the presence and type of intracranial hemorrhage. The possibility that variables related to postmortem change affected the test results was considered. In conclusion, this study confirmed that nearinfrared spectroscopy is not suitable for the detection of traumatic intracranial hemorrhage in postmortem inspection.

키워드

Near-infrared spectroscopy; Intracranial hemorrhages; Postmortem changes
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