X-ray absorption-based imaging and its limitations in the differentiation of ancient mummified tissue

How to CT scan human mummies: Theoretical considerations and examples of use

OBJECTIVE

The purpose of this study was to develop and provide recommendations for computed tomography (CT) examinations of human mummies.

MATERIALS AND METHODS

Based on theoretical considerations and examples, recommendations for use are provided for scanning and image reconstruction parameters. Four examples are presented to illustrate the effect of different CT parameters on image quality.

RESULTS

The use of appropriate scanning parameters (detector collimation, pitch factor, rotation time) is known to improve image quality; technical considerations favor using lower tube voltage and higher tube current values for the purposes of scanning of human mummies. The use of appropriate image reconstruction parameters (slice thickness, increment, field of view, reconstruction filters) are the basis for individual reconstructions for the purpose of evaluation, documentation, illustration and data storage.

CONCLUSIONS

Downsizing the field of view to the region of interest as done in the clinical radiological routine represents one major tool to improve image quality.

SIGNIFICANCE

The provided recommendations should improve CT image quality in mummy studies as well as the handling of image data for reconstructions and storage.

LIMITATIONS

The recommendations for CT scanning parameters and image reconstructions were written with relatively new generation CT scanners in mind. Only a few examples of use were chosen and image quality assessment was performed subjectively and not by quantitative measurements.

Palaeopathology: Current challenges and medical impact

Palaeopathology is the science which studies ancient human diseases. Throughout its relatively young history it underwent tremendous technological and methodological improvements (from pure morphology and histology to CT scanning) that have constantly reshaped its scientific rationale. Among other achievements, the study of mummies and fossilized hominids has allowed to effectively extract ancient DNA, prove the existence of atherosclerosis in ancient times, demonstrate the presence of disease vectors, better clarify the etiology of infectious diseases otherwise only postulated on the basis of ancient accounts as well as to show the presence of spine pathology in our hominid ancestors. The research levels in this discipline are three: basic research, individual cases, population. The first and the third levels contribute most to the discipline, while the second is the one more appealing to the general public on account of its description of important cases reports. In addition, a recently introduced sub-specialty of palaeopathology, pathography is aiming to use an interdisciplinary approach to find traces of diseases in ancient literary sources and artistic representations. In spite of its discoveries, palaeopathology is not always viewed positively by clinicians because certain old-fashioned techniques are still due to technical restrictions. The authors provide a set of suggestions on how to strengthen the scientific recognition of this subject and explain at length how it could contribute to the progress of medical research. Clin. Anat. 29:816-822, 2016. © 2016 Wiley Periodicals, Inc.

A code of ethics for evidence-based research with ancient human remains

As clinical research constantly advances and the concept of evolution becomes a strong and influential part of basic medical research, the absence of a discourse that deals with the use of ancient human remains in evidence-based research is becoming unbearable. While topics such as exhibition and excavation of human remains are established ethical fields of discourse, when faced with instrumentalization of ancient human remains for research (i.e., ancient DNA extractions for disease marker analyses) the answers from traditional ethics or even more practical fields of bio-ethics or more specific biomedical ethics are rare to non-existent. The Centre for Evolutionary Medicine at the University of Zurich solved their needs for discursive action through the writing of a self-given code of ethics which was written in dialogue with the researchers at the Institute and was published online in Sept. 2011: http://evolutionäremedizin.ch/coe/. The philosophico-ethical basis for this a code of conduct and ethics and the methods are published in this article.

Paleopathological findings in radiographs of ancient and modern Greek skulls

OBJECTIVE

The skull, when portrayed radiologically, can be a useful tool in detecting signs of systemic diseases and results of pathological growth mechanisms. The aim of this study was therefore to examine, compare, and classify findings in cranial configuration of pathological origin, in modern and ancient skulls.

MATERIALS AND METHODS

The material consists of 240 modern and 141 ancient dry skulls. Three radiographs for each skull (lateral, anteroposterior, basilar) provide enough evidence for differential diagnoses.

RESULTS

Cases of osteoporosis are among the interesting pathological findings. A prevalence of female modern skulls in those determined as osteoporotic skulls is noted. Special interest is placed on the area of the sella turcica and many variations, regarding the shape and texture, are recognized both in ancient and modern skulls. Malignancies and important causes of cranial destruction are identified in both skull collections. Diploid thickening and osteolytic areas appear commonly among ancient remains. Moreover, from the ancient skull collection, one case possibly recognizable as fibrous dysplasia is noted while another case with an unusual exostosis gives rise to many questions.

CONCLUSIONS

Interpreted with caution, the results of the present study, which can serve as an approach of paleopathology and paleoradiology, indicate similarity trends in cranial configuration of pathologic origin in modern and ancient people. Radiography and cephalometry were the main diagnostic tools used to gather evidence and are evaluated as a quite appropriate method to examine anthropological material and assess the internal structure of skeletal remains since they are non-destructive techniques.

Radiological analysis of a naturally mummified body

A body in an advanced stage of mummification was found in a concrete apartment in Japan. Natural complete mummification is very rare in Japan's humid and temperate climate. We performed multi-slice computed tomography (MSCT) to obtain information on the body prior to autopsy. MSCT clearly illustrated old fractures in the right lower leg. Bone resists destruction during body decomposition. If antemortem medical records of the deceased are available, MSCT scanning can provide information for positive identification. At autopsy, the cervical tissues presented as a dried mass, and it was difficult to separately remove the hyoid bone and thyroid cartilage. Fractures of the large horn of the hyoid bone and superior horn of the thyroid cartilage, which are not observed in all strangulation cases, strongly suggest criminal activity. The diagnosis of these fractures is of great value. In our case, MSCT revealed that there was no fracture in the hyoid bone or ossified area of the thyroid cartilage. Hard tissues are usually well preserved in mummies. Although MSCT images have limits in mummies because of the severe dryness of soft tissues and organs, they could become a useful tool not only for personal identification, but also for the identification of neck compression.