Abstract
1761
Objectives Positive confirmation of an alleged act of torture is difficult for the medico-legal investigator, particularly in those individuals who are assessed several months after the physical trauma had taken place, and particularly in those in whom the medical reports written by the practitioners in the acute traumatic phase fail to demonstrate positive signs. As a part of the medico-legal investigation, patients with the suspicion of bone damage following alleged torture occurring in the past should be referred for bone scintigraphy, which is a sensitive indicator of trauma, and may still show detectable signs there of several months or years after the torture had occurred Human rights violations and alleged child abuse not been identified any visible lesions, such as in patients with trauma and bone damage in this way can be demonstrated. For this purpose the and oncological diseases, osseous surgery, known because of its F-18 FDG PET/CT Imaging patients made retrospectively. This patient group belongs to the bone lesion SUVmax offers value relationship between trauma and bone age were investigated.
Methods The images were evaluated retrospectively. oncology purposes F-18 FDG PET/CT imaging of 254 patients (179 K, 75 K; 68 ± 7 years) with known surgical bone trauma (cardiovascular reasons kraniokaudal sternotomy) were included in this study. The historical trauma and surgical interventation of patients ( eg. Sternotomy for CABG) and lesion SUVmax values were recorded.
Results The average age of 43 years with 2 months of bone trauma (4.6 ± 8 years) and SUVmax values were ranged from 1.3 and 6.0 (2.72 ± 2.09). Less than a year before operation in patients with average SUVmax value of 6.76 ± 1.01 (4.0-6.0), with an average of more than one year long SUVmax values 1.91 ± 0.12 (1.3-2.2). The age of the bone trauma with a linear inverse relationship between the value of the sternotomy region was SUVmax offers (r:-0.38, p:0.04).
Conclusions Macroscopic and microscopic lesions identified after trauma, trauma of the relationship between evaluation of living lesion with time occur in forensic practice in terms of importance. Primary or metastatic bone tumors of F-18 FDG used in order to display these fields as shown by non-malignant osteoblatik activity in the areas of recovery from post-traumatic malignant similarly involvement. Radiological method in cases of inadequate bone scintigraphy and F18 FDG PET/CT-to-use yet very new in this area, as well as of the F18 NaF PET/CT Imaging in bone lesions may appear.