TY  - JOUR
PY  - 2012//
TI  - Assessment of the relationship between drowning and fluid accumulation in the paranasal sinuses on post-mortem computed tomography
JO  - European journal of radiology
A1  - Kawasumi, Yusuke
A1  - Kawabata, Tomoyoshi
A1  - Sugai, Yusuke
A1  - Usui, Akihito
A1  - Hosokai, Yoshiyuki
A1  - Sato, Miho
A1  - Saito, Haruo
A1  - Ishibashi, Tadashi
A1  - Hayashizaki, Yoshie
A1  - Funayama, Masato
SP  - 3953
EP  - 3955
VL  - 81
IS  - 12
N2  - Recent reports have detailed common computed tomography (CT) findings in drowning victims, most notably fluid accumulation in the maxillary and sphenoidal sinuses. This CT finding could help forensic doctors to diagnose drowning. This study retrospectively investigated 151 subjects: 39 drowning and 112 non-drowning cases. Pearson's chi-square tests demonstrated that fluid accumulation in the maxillary or sphenoidal sinuses was associated significantly with drowning (p=0.0001). The sensitivity of the drowning diagnosis was 97%, specificity was 35%, accuracy was 51%, positive predictive value was 34% and negative predictive value was 98%. Drowning was significantly associated with fluid accumulation in the maxillary and sphenoidal sinuses, but the specificity and positive predictive value of the drowning diagnosis were poor. Although the presence of fluid in the maxillary and sphenoidal sinuses cannot be used to diagnose drowning, the absence of the fluid can be used to virtually exclude drowning.<p />  <p>Language: en</p>
LA  - en
SN  - 0720-048X
UR  - http://dx.doi.org/10.1016/j.ejrad.2012.08.011
ID  - ref1
ER  -