Assessment of the relationship between drowning and fluid accumulation in the paranasal sinuses on post-mortem computed tomography

Yusuke Kawasumi, Tomoyoshi Kawabata, Yusuke Sugai, Akihito Usui, Yoshiyuki Hosokai, Miho Satoh, Haruo Saito, Tadashi Ishibashi, Yoshie Hayashizaki, Masato Funayama

研究成果: Article査読

23 被引用数 (Scopus)

抄録

Recent reports have detailed common computed tomography (CT) findings in drowning victims, most notably fluid accumulation in the maxillary and sphenoidal sinuses. This CT finding could help forensic doctors to diagnose drowning. This study retrospectively investigated 151 subjects: 39 drowning and 112 non-drowning cases. Pearson's chi-square tests demonstrated that fluid accumulation in the maxillary or sphenoidal sinuses was associated significantly with drowning (p = 0.0001). The sensitivity of the drowning diagnosis was 97%, specificity was 35%, accuracy was 51%, positive predictive value was 34% and negative predictive value was 98%. Drowning was significantly associated with fluid accumulation in the maxillary and sphenoidal sinuses, but the specificity and positive predictive value of the drowning diagnosis were poor. Although the presence of fluid in the maxillary and sphenoidal sinuses cannot be used to diagnose drowning, the absence of the fluid can be used to virtually exclude drowning.

本文言語English
ページ(範囲)3953-3955
ページ数3
ジャーナルEuropean Journal of Radiology
81
12
DOI
出版ステータスPublished - 2012 12

ASJC Scopus subject areas

  • 放射線学、核医学およびイメージング

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