머리뼈얼굴신원확인기법을 이용한 머리부위 총창 재구성 및 증거제시: 증례보고

• Published in: 대한법의학회지, 49(1) pp. 21 - 27
• Main Authors: 박소형, 이고은, 이원준, 이정혜
• Format: Journal Article
• Language: Korean
• Published: 대한법의학회 01.02.2025
• Subjects: 기타의약학
• ISSN: 2383-5702; 2383-5710
• DOI: 10.7580/kjlm.2025.49.1.21

This case study highlights craniofacial identification technology (CFIT) as a complementary and translational tool for reconstruction of cranial gunshot wounds (GSWs) and presenting evidence beyond forensic identification. In forensic cases involving GSWs, a visual demonstration of the bullet trajectory can improve communication between forensic pathologists and non-medical judicial agencies and the court. Postmortem computed tomography (PMCT) images and autopsy images are essential medical evidence, providing a robust visual display of the GSW and its bullet trajectory. PMCT images are useful for identifying the precise projectile localization and characteristics of bone fractures. However, PMCT images may not adequately present soft tissue injuries well, and autopsy images can be unpleasant to non-medical professionals, making it difficult for them to understand such specialized scientific evidence. CFIT is a well-established scientific tool with which forensic experts in craniofacial identification can create more advanced reconstructed three-dimensional (3D) images based on both postmortem findings and PMCT data. Intracranial bullet trajectory can be shown simply and directly in reconstructed 3D cranial images. CFIT can serve as an adjunctive tool to overcome the limitations of both PMCT images and autopsy images, thereby facilitating better understanding of such specialized medical evidence by non- medical professionals. Here, we present two cases of head GSWs, in which CFIT was newly implemented to reconstruct the cranial GSW including bullet trajectory, for evidence presentation—expanding its traditional use in forensic identification. Therefore, CFIT can help provide better forensic medical services for non-medical professionals. KCI Citation Count: 0