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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

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참고문헌

키워드

주제분류기타의약학

초록

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.

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.

참고문헌 (8)

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  2. Ayaz H, "Early diagnosis of traumatic intracranial hematomas", J Biomed Opt, 24, pp.1~10 (2019)
  3. Bressan S, "The use of handheld near-infrared device(Infrascanner)for detecting intracranial haemorrhages in children with minor head injury", Childs Nerv Syst, 30, pp.477~484 (2014)
  4. Kontojannis V, "Detection of intracranial hematomas in the emergency department using near infrared spectroscopy", Brain Inj, 33, pp.875~883 (2019)
  5. Liang CY, "Chinese military evaluation of a portable near-infrared detector of traumatic intracranial hematomas", Mil Med, 183, pp.e318~e323 (2018)
  6. Peters J, "Near-infrared spectroscopy : a promising prehospital tool for management of traumatic brain injury", Prehosp Disaster Med, 32, pp.414~418 (2017)
  7. Schober P, "Intracranial hematoma detection by near infrared spectroscopy in a helicopter emergency medical service : practical experience", Biomed Res Int, 2017, pp.1846830~ (2017)
  8. Semenova Zh B, "Infrascanner in the diagnosis of intracranial lesions in children with traumatic brain injuries", Brain Inj, 30, pp.18~22 (2016)

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