Virtual Bullet Examination: Forensic Insights from CT Imaging in Gunshot Victims

The decision to remove a bullet from a gunshot victim depends on its location and associated medical risks, with surgical extraction often not indicated. Radiological imaging plays a vital role in assessing gunshot wounds and locating bullets, and it is essential in both clinical and forensic contex...

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Main Author: Dominic Gascho
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Forensic Sciences
Subjects:
Online Access:https://www.mdpi.com/2673-6756/5/2/23
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author Dominic Gascho
author_facet Dominic Gascho
author_sort Dominic Gascho
collection DOAJ
description The decision to remove a bullet from a gunshot victim depends on its location and associated medical risks, with surgical extraction often not indicated. Radiological imaging plays a vital role in assessing gunshot wounds and locating bullets, and it is essential in both clinical and forensic contexts. This narrative review examines the use of computed tomography (CT) for virtual bullet analysis, providing insights into shape, design, fragmentation, and material composition. Traditional 2D X-ray imaging, though commonly used, has limitations in accurately assessing caliber and position due to magnification and its 2D nature. In contrast, CT scans generate 3D reconstructions for detailed and precise examination, overcoming challenges such as metal artifacts with techniques such as extended Hounsfield unit (HU) reconstructions. These methods enhance the visualization of metal objects, allowing for better analyses of lodged bullets. Dual-energy CT further differentiates materials, such as lead and copper, using HU value differences at two energy levels. These advancements enable the virtual classification, shape analysis, and material identification of bullets in forensic investigations, even when the bullet remains in the body. As CT technology progresses, its forensic applications are expected to improve, providing more accurate and comprehensive differentiations of bullet types in future cases.
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spelling doaj-art-28b385d4e0044f28aa62fe83e2d2d1642025-08-20T03:27:10ZengMDPI AGForensic Sciences2673-67562025-05-01522310.3390/forensicsci5020023Virtual Bullet Examination: Forensic Insights from CT Imaging in Gunshot VictimsDominic Gascho0Institute of Forensic Medicine, University of Zurich, Winterthurerstrasse 190/52, 8057 Zurich, SwitzerlandThe decision to remove a bullet from a gunshot victim depends on its location and associated medical risks, with surgical extraction often not indicated. Radiological imaging plays a vital role in assessing gunshot wounds and locating bullets, and it is essential in both clinical and forensic contexts. This narrative review examines the use of computed tomography (CT) for virtual bullet analysis, providing insights into shape, design, fragmentation, and material composition. Traditional 2D X-ray imaging, though commonly used, has limitations in accurately assessing caliber and position due to magnification and its 2D nature. In contrast, CT scans generate 3D reconstructions for detailed and precise examination, overcoming challenges such as metal artifacts with techniques such as extended Hounsfield unit (HU) reconstructions. These methods enhance the visualization of metal objects, allowing for better analyses of lodged bullets. Dual-energy CT further differentiates materials, such as lead and copper, using HU value differences at two energy levels. These advancements enable the virtual classification, shape analysis, and material identification of bullets in forensic investigations, even when the bullet remains in the body. As CT technology progresses, its forensic applications are expected to improve, providing more accurate and comprehensive differentiations of bullet types in future cases.https://www.mdpi.com/2673-6756/5/2/23bullet identificationbullet classificationterminal ballisticsimaging wound ballisticsradiologic wound ballisticscomputed tomography
spellingShingle Dominic Gascho
Virtual Bullet Examination: Forensic Insights from CT Imaging in Gunshot Victims
Forensic Sciences
bullet identification
bullet classification
terminal ballistics
imaging wound ballistics
radiologic wound ballistics
computed tomography
title Virtual Bullet Examination: Forensic Insights from CT Imaging in Gunshot Victims
title_full Virtual Bullet Examination: Forensic Insights from CT Imaging in Gunshot Victims
title_fullStr Virtual Bullet Examination: Forensic Insights from CT Imaging in Gunshot Victims
title_full_unstemmed Virtual Bullet Examination: Forensic Insights from CT Imaging in Gunshot Victims
title_short Virtual Bullet Examination: Forensic Insights from CT Imaging in Gunshot Victims
title_sort virtual bullet examination forensic insights from ct imaging in gunshot victims
topic bullet identification
bullet classification
terminal ballistics
imaging wound ballistics
radiologic wound ballistics
computed tomography
url https://www.mdpi.com/2673-6756/5/2/23
work_keys_str_mv AT dominicgascho virtualbulletexaminationforensicinsightsfromctimagingingunshotvictims