Estimation of the time of death by measuring the variation of lateral cerebral ventricle volume and cerebrospinal fluid radiodensity using postmortem computed tomography

Int J Legal Med. 2021 Nov;135(6):2615-2623. doi: 10.1007/s00414-021-02698-6. Epub 2021 Sep 25.

Abstract

Using postmortem CT (PMCT), changes in the volume of the lateral cerebral ventricles (LCVs) and modifications of the radiodensity of cerebrospinal fluid (CSF) have been examined to identify a possible relationship between these changes and the time of death. Subsequent periodical CT scans termed "sequential scans" for ten corpses at known time of death were obtained, and a 3D segmentation of the entire LCV was carried out to measure its volume and radiodensity over time from ~ 5.5- h up to 273-h postmortem. A linear decrease of the LCV volume for all the cases was observed in the investigated time range, together with an overall logarithmic increase of radiodensity. Although a larger sampling should be performed to improve the result reliability, our finding suggests that the postmortem variation of CSF radiodensity can be a potentially useful tool in determining postmortem interval, a finding that is worthy of further investigation.

Keywords: Cerebrospinal fluid; Lateral cerebral ventricle; Postmortem changes; Postmortem computed tomography; Postmortem interval; Radiodensity; Time of death.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cerebrospinal Fluid / diagnostic imaging*
  • Female
  • Humans
  • Lateral Ventricles / diagnostic imaging*
  • Linear Models
  • Male
  • Middle Aged
  • Postmortem Changes
  • Time Factors
  • Tomography, X-Ray Computed