Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Adli Raporlara Esas Radyoloji Görüntüleme Raporları Arasındaki Farkların Adli Tıbbi Önemi: Retrospektif Bir Çalışma
Forensic Significance of Differences Between Radiology Imaging Reports Based on Forensic Reports: A Retrospective Study
Koray YILMAZa , Ahsen KAYAa , Ekin Özgür AKTAŞa
aEge Üniversitesi Tıp Fakültesi, Adli Tıp ABD, İzmir, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2024;21(1):1-9
doi: 10.5336/forensic.2023-99217
Article Language: TR
Full Text
ÖZET
 Amaç: Adli rapor düzenlerken, şüpheli radyolojik bulgular saptanması ve/veya bulguların yanlış ya da eksik yorumlanması nedeniyle radyoloji uzmanları tarafından tekrar değerlendirme istenmektedir. Bu çalışmada; aynı adli olgunun radyoloji raporları arasında farklılıklar ya da uyumsuzluklar olup olmadığı konusuna ve adli olguların raporlarının düzenlenmesi sırasında radyoloji raporlarının önemine dikkat çekilmesi amaçlandı. Gereç ve Yöntemler: 1 Ocak 2016-31 Aralık 2020 tarihleri arasında Ege Üniversitesi Tıp Fakültesi Adli Tıp Ana Bilim Dalına adli rapor düzenlenmesi için başvuran olgularda, çelişkiye neden olan radyolojik tetkik türü, radyolojik tetkik değerlendirmesini yapan hekimin unvanı, radyolojik olarak incelenen anatomik bölge, radyoloji raporları arasındaki uyumsuzluğun ya da farklılığın ne olduğu ve bu uyumsuzluk ya da farklılığın adli rapor sonucuna olan etkisi değerlendirildi. Bulgular: Çalışmaya dahil edilen yüz beş olguda radyoloji raporları arasında tutarsızlık saptandı. Saptanan uyumsuzluğun türü; olguların 64 tanesinde (%61,0) yanlış negatif iken, 41 tanesinde (%39,0) yanlış pozitifti. Tespit edilen tutarsızlığın adli raporda en sık kemik kırık skorlamasını (n=62; %59,0) değiştirdiği belirlendi. Ön rapor ve kesin rapor arasındaki tutarsızlık, radyolojik tetkik incelemesini yapan hekimin unvanına göre değerlendirildiğinde ise; adli rapor sonuçlarına etkisinin anlamlı olarak değiştiği tespit edildi (p=0,006). Sonuç: Adli rapor düzenlenirken radyoloji konsültasyonu ve tetkiklerinin adli rapor sonuçlarına etkisi oldukça fazladır. Eksik ya da yanlış yapılacak olan değerlendirmenin adli yargılama sürecini de olumsuz etkileyeceği unutulmamalıdır.

Anahtar Kelimeler: Adli rapor; radyoloji; konsültasyon; ön rapor; bilgisayarlı tomografi
ABSTRACT
 Objective: When preparing a forensic report, re-evaluation is requested by radiologists due to the detection of suspicious radiological findings or incorrect-incomplete interpretation of the findings. In this study; it was aimed to draw attention to whether there are differences or inconsistencies between radiology reports of the same forensic case and the importance of radiology reports in arranging reports of forensic cases. Material and Methods: In the cases for which a forensic report was requested from the Ege University Faculty of Medicine Forensic Medicine Department between January 1, 2016-December 31, 2020, the type of radiological examination that caused the discrepancy, the title of the physician who made the evaluation, the region examined radiologically, what the inconsistency was between the radiology reports and the effect of this inconsistency on the result of the forensic report were evaluated. Results: Inconsistency was detected between radiology reports in 105 cases. The type of incompatibility detected; while it was false negative in 64 (61.0%) of the cases, it was false positive in 41 (39.0%). It was determined that the detected inconsistency most frequently changed the bone fracture scoring in the forensic report (n=62; 59.0%). When the inconsistency between the preliminary report and the final report is evaluated according to the title of the examining physician; it was determined that its effect on the results of the forensic report changed significantly (p=0.006). Conclusion: Radiology consultation and examinations have a significant impact on the results of forensic reports. It shouldn't be forgotten that incomplete or incorrect evaluation will negatively affect the judicial process.

Keywords: Forensic report; radiology; consultation; preliminary report; computed tomography
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