{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:31:35Z","timestamp":1792146695662,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2008,9,26]],"date-time":"2008-09-26T00:00:00Z","timestamp":1222387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the diagnostic accuracy of in situ postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) in the detection of primary traumatic extra\u2010axial hemorrhage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Thirty forensic neurotrauma cases and 10 nontraumatic controls who underwent both in situ postmortem cranial MSCT and MR imaging before autopsy were retrospectively reviewed. Both imaging modalities were analyzed in view of their accuracy, sensitivity, and specificity concerning the detection of extra\u2010axial hemorrhage. Statistical significance was calculated using the McNemar test. <jats:italic>\u03ba<\/jats:italic> values for interobserver agreement were calculated for extra\u2010axial hemorrhage types and to quantify the agreement between both modalities as well as MRI, CT, and forensics, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analysis of the detection of hemorrhagic localizations showed an accuracy, sensitivity, and specificity of 89%, 82%, and 92% using CT, and 90%, 83%, and 94% using MRI, respectively. MRI was more sensitive than CT in the detection of subarachnoid hemorrhagic localizations (<jats:italic>P<\/jats:italic> = 0.001), whereas no significant difference resulted from the detection of epidural and subdural hemorrhagic findings (<jats:italic>P<\/jats:italic> = 0.248 and <jats:italic>P<\/jats:italic> = 0.104, respectively). Interobserver agreement for all extra\u2010axial hemorrhage types was substantial (CT <jats:italic>\u03ba<\/jats:italic> = 0.76; MRI <jats:italic>\u03ba<\/jats:italic> = 0.77). The agreement of both modalitites was almost perfect (readers 1 and 2 <jats:italic>\u03ba<\/jats:italic> = 0.88).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CT and MRI are of comparable potential as forensic diagnostic tools for traumatic extra\u2010axial hemorrhage. Not only of forensic, but also of clinical interest is the observation that most thin blood layers escape the radiological evaluation. J. Magn. Reson. Imaging 2008;28:823\u2013836. \u00a9 2008 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmri.21495","type":"journal-article","created":{"date-parts":[[2008,9,27]],"date-time":"2008-09-27T00:56:52Z","timestamp":1222477012000},"page":"823-836","source":"Crossref","is-referenced-by-count":52,"title":["Traumatic extra\u2010axial hemorrhage: Correlation of postmortem MSCT, MRI, and forensic\u2010pathological findings"],"prefix":"10.1002","volume":"28","author":[{"given":"Javier","family":"A\u00f1on","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Remonda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Spreng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Scheurer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Schroth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Boesch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Thali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Dirnhofer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathrin","family":"Yen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,9,26]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1528-1157.44.s10.3.x"},{"key":"e_1_2_6_3_2","volume-title":"Traumatic brain injury in the United States: emergency department visits, hospitalizations, and deaths","author":"Langlois JA","year":"2004"},{"key":"e_1_2_6_4_2","first-page":"1","article-title":"Surveillance for traumatic brain injury deaths\u2014United States, 1989\u20101998","volume":"51","author":"Adekoya N","year":"2002","journal-title":"MMWR Surveill Summ"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.191.1.8134551"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1602\/neurorx.2.2.372"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0730-725X(90)90103-9"},{"key":"e_1_2_6_8_2","first-page":"219","article-title":"Utility of postmortem magnetic resonance imaging in clinical neuropathology","volume":"118","author":"Boyko OB","year":"1994","journal-title":"Arch Pathol Lab Med"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.3109\/02841859909175593"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02092336"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0379-0738(91)90149-D"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000433-199609000-00008"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1201\/9781420048339"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/1522-2586(200102)13:2<277::AID-JMRI1040>3.0.CO;2-W"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1520\/JFS2002166"},{"key":"e_1_2_6_16_2","volume-title":"Injuries of intracranial vessels","author":"Krauland W","year":"1982"},{"key":"e_1_2_6_17_2","first-page":"199","volume-title":"Diagnostic neuroradiology","author":"Osborn AG","year":"1994"},{"key":"e_1_2_6_18_2","first-page":"154","volume-title":"Diagnostic neuroradiology","author":"Osborn AG","year":"1994"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_6_20_2","first-page":"351","article-title":"Blinded comparison of cranial CT and MR in closed head injury evaluation","volume":"15","author":"Orrison WW","year":"1994","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.147.6.1215"},{"key":"e_1_2_6_22_2","first-page":"699","article-title":"Head trauma: comparison of MR and CT\u2014experience in 100 patients","volume":"9","author":"Kelly AB","year":"1988","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.181.1.1887020"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.150.3.673"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.152.3.6463251"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.150.1.6689790"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-198601000-00008"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.166.3.8623649"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-198008000-00016"},{"key":"e_1_2_6_30_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.154.2.2105031"},{"key":"e_1_2_6_31_2","first-page":"174","article-title":"Magnetic resonance imaging of brain death","volume":"46","author":"Lee DH","year":"1995","journal-title":"Can Assoc Radiol J"}],"container-title":["Journal of Magnetic Resonance Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjmri.21495","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jmri.21495","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T10:46:58Z","timestamp":1697107618000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jmri.21495"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,9,26]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,10]]}},"alternative-id":["10.1002\/jmri.21495"],"URL":"https:\/\/doi.org\/10.1002\/jmri.21495","archive":["Portico"],"relation":{},"ISSN":["1053-1807","1522-2586"],"issn-type":[{"value":"1053-1807","type":"print"},{"value":"1522-2586","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,9,26]]}}}