Radiographic Identification Using Midline Medical Sternotomy Wires,

Technical Note: Individuals identified by radiographic comparison: A sample of demographics and the region of body used for identification in Clark County, Nevada, USA (2017-2020)

Radiographs regularly aid in identifications by comparing antemortem and postmortem images. The forensic community has widely accepted this method because radiographic images are low in cost, easily transferable, and generally believed to be uncomplicated to assess. However, there is a dearth of diverse, modern radiographic datasets as well as a deficiency in assessing population frequencies of nonmetric traits via radiographs. Further, radiographic comparisons, although typically required as a core competency of practicing forensic anthropologists, do not have standard training and education requirements. To understand the diversity and representation within an opportunistic dataset, we provide a case study of the demographics of decedents identified via radiographic comparison at the Clark County Office of the Coroner/Medical Examiner (CCOCME) in Las Vegas, NV, USA from 2017 to 2020. Additionally, we examined each region of the body used to make radiographic identifications. The sample was majority Caucasian and male, with a mean and median age at death of 64.9 years and 67.0 years, respectively. Our results indicated that this sample was not representative of the greater Clark County population. The most common body region used for comparisons was the chest, followed by the head and neck, pelvis, dentition, and the extremities. Thus, large generalizations made from these types of datasets must be implemented with caution due to the relative lack of diversity and representation. As well, current discussions regarding training and education of forensic anthropologists as they relate to radiographic comparisons are explored.

Methods of forensic facial reconstruction and human identification: historical background, significance, and limitations

Facial reconstruction is the most frequently used method for human identification in forensic examinations. It is a complex and time-consuming technique and an actively growing field with a wide array of applications. The methods of forensic facial reconstruction are helpful in those cases where other methods of identification are not applicable. Identification of the dead is always a challenging task for forensic teams in cases involving terrorists' attacks and mass disasters where the corpses are fragmented, decomposed, and skeletonized. In such cases, only the skeletal remains and few other clues are available to establish the identity of a person. The progress of facial reconstruction was initiated in the nineteenth century, reconstructing the facial profiles of some famous and rich people. Various novel techniques for facial reconstruction have been devised in the recent past. We conducted literature search, using databases PubMed, Scopus, Web of Science, and ScienceDirect for analyzing different methods developed and practiced till date for human facial reconstruction. We outline the brief history along with a discussion regarding the different methods of forensic facial reconstruction and their limitations. We also discuss future recommendations and preferences for further research in the field of forensic facial reconstruction and human identification.

Radiography of human dry bones: A reflective account with recommendations for practice

INTRODUCTION

This study presents the reflective account of a large-scale radiographic survey of medieval and post-medieval long bones from St Albans, United Kingdom. As a practicing diagnostic radiographer and archaeologist, the author sought to apply experiential learning to generate recommendations for archaeological and forensic radiography practice. The purpose of the imaging was to identify Harris lines for biological stress, however this reflective piece concerns the adaptation of clinical radiographic technique for human dry bones.

METHODS

Imaging took place over five sessions in early 2021 with the assistance of an osteoarchaeologist. Radiography followed standard clinical views (anterior-posterior and medio-lateral) of femora, humeri, radii and tibiae using a digital radiography system. A workplace diary was used to record challenges, solutions and musings related to radiographic technique. The Rolfe, Freshwater and Jasper reflective model was applied to collate and present findings.

RESULTS

A total of 502 radiographs of 426 long bones (92 individuals) were acquired. A multidisciplinary team was found to be essential for correct identification of anatomy, laterality and orientation of remains during the survey. Anterior-posterior views were easiest to achieve, with medio-lateral imaging requiring considerably more effort. Radiolucent sponge supports were necessary, although fragmented remains were often impossible to position accurately. Hands-on experience of human bones improved the author's knowledge and confidence with osteology.

CONCLUSION

Although limited to selective long bones of archaeological context and personal experience, the findings of this study have direct applications for forensic radiography practice. This includes use of a multidisciplinary team, robust workflow with integrated failsafe checks, consistent imaging approach and the application of radiolucent sponge supports.

IMPLICATIONS FOR PRACTICE

Recommendations within this study may contribute towards a comprehensive guide for radiographic technique for human dry bones.

Strengthening the role of forensic anthropology in personal identification: Position statement by the Board of the Forensic Anthropology Society of Europe (FASE)

In this position statement, the Board members of the Forensic Anthropology Society of Europe (FASE) argue that forensic anthropology methods can be used as means of personal identification, particularly in situations with limited availability of traditional identification methods (i.e. dactyloscopy, odontology, and molecular genetic analysis). This statement has been issued taking into account the international migration crises related to thousands of deaths worldwide, in which the utility of these traditional means of identification has been sporadic to non-existent. The statement is however not limited to deaths related to the migration crises, as similar problems may occur in fatalities en masse such as in natural disasters and armed conflicts, and on a smaller scale in cases of homeless or otherwise socioeconomically disadvantaged persons. The number of reports on personal identification based on sound anthropological methodology is increasing in the scientific literature. However, more research is needed to develop evidence-based standard operating procedures and statistical frameworks. It remains essential to raise awareness among forensic practitioners, law enforcement, and judiciary professionals on the utility of forensic anthropology in cases where it can provide sufficient information for identification.

A Pilot Study Comparing Postmortem and Antemortem CT for the Identification of Unknowns: Could a Forensic Pathologist Do It?

Forensic pathologists are commonly tasked with identifying human remains. Although DNA analysis remains the gold standard in identification, time and cost make it particularly prohibitive. Radiological examination, more specifically analog imaging, is more cost-effective and has been widely used in the medical examiner setting as a means of identification. In the United States, CT imaging is a fairly new imaging modality in the forensic setting, but in more recent years, offices are acquiring CT scans or collaborating with local hospitals to utilize the technology. To broaden the spectrum of potential identifying characteristics, we collected 20 cases with antemortem and postmortem CT images. The results were qualitatively assessed by a forensic pathologist and a nonmedically trained intern, and all cases were correctly identified. This study demonstrates that identification of human remains using visual comparison could be performed with ease by a forensic pathologist with limited CT experience.

Intra- and Inter-Element Variability in Mitochondrial and Nuclear DNA from Fresh and Environmentally Exposed Skeletal Remains

Successful identification of skeletonized remains often relies upon DNA analyses, frequently focusing on the mid-diaphysis of weight-bearing long bones. This study explored intra-bone DNA variability using bovine and porcine femora, along with calcanei and tali. DNA from fresh and short-term environmentally exposed bone was extracted utilizing demineralization and standard lysis buffer protocols, and DNA quantity and quality were measured. Overall, femoral epiphyses, metaphyses, and the tarsals had more nuclear and mitochondrial DNA than did the femoral diaphyses. DNA loss was much more rapid in buried bones than in surface exposed bones, while DNA quality differed based on environment, but not bone region/element. The demineralization protocol generated more DNA in some bone regions, while the standard lysis was more effective in others, and neither significantly affected DNA quality. Taken together, these findings reinforce the importance of considering inter- and intra-bone heterogeneity when sampling skeletal material for forensic DNA-based identifications.

Identification of Bodies by Unique Serial Numbers on Implanted Medical Devices

Visual identification is the most common identification method used by medical examiners but is not always possible. Alternative methods include X-ray, fingerprint, or DNA comparison, but these methods require additional resources. Comparison of serial numbers on implanted medical devices is a rapid and definitive method of identification. To assess the practicality of using this method, we reviewed 608 consecutive forensic autopsies performed at a regional medical examiner office. Of these, 56 cases required an alternative method of identification due to decomposition (n = 35), gunshot wound (n = 9), blunt trauma (n = 6), or charring (n = 6). Of these 56 cases, eight (14.3%) were known to have an implanted medical device. Of these eight cases, five (63%) could be positively identified by comparing serial numbers. If an implanted medical device is known to be present, and medical records are available, identification by medical device serial number should be a first-line method.