The aim was to determine if dual-energy computed tomography (DECT) can discriminate ferromagnetic bullets from nonferromagnetic ones.
The ferromagnetic properties of 29 bullets were determined. All bullets underwent a DECT evaluation, and a manual measurement of the dual-energy index was performed by 2 radiologists, followed by a fully automatic measurement, in 3 different positions in a phantom (air, water, and bone).
Twenty-one bullets were found to be nonferromagnetic. There were significant differences between the mean of the dual-energy index measured in the core of ferromagnetic projectiles and those of nonferromagnetic ones in the lung position of the phantom (P = 0.007). Specificity was 86.36%, and negative predictive value was 90.48%. Among the 29 bullets, 24 were correctly classified.
Our study demonstrates that DECT can assess the ferromagnetic status of bullets and their magnetic resonance imaging compatibility using an extended computed tomography scale in an ex vivo phantom model.
From the *Forensic Imaging Unit, University Hospital of Brest
†Laboratoire de traitement de l'information médicale—LaTIM (Inserm UMR 1101), Brest
‡Imaging and Radiology Service, Cornouaille Hospital of Quimper, Quimper
§French National Forensic Science Institute, Lyon
∥Clinical Forensic Medicine and Pathology, University Hospital of Brest, Brest, France.
Received for publication December 27, 2018; accepted May 23, 2019.
Correspondence to: Julien Ognard, MD, PhD, Service d'Imagerie Médicale, CHU de la Cavale Blanche, Boulevard Tanguy-Prigent, 29609 Brest, France (e-mail: firstname.lastname@example.org).
The authors declare no conflict of interest.
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Online date: July 29, 2019