Subject(s)
Erythrocytes , Gastrointestinal Hemorrhage/etiology , Radiopharmaceuticals , Sex Cord-Gonadal Stromal Tumors/complications , Sodium Pertechnetate Tc 99m , Testicular Neoplasms/complications , Angiography , Diagnosis, Differential , Gastrointestinal Hemorrhage/diagnostic imaging , Humans , Male , Middle Aged , Radionuclide Imaging , Sex Cord-Gonadal Stromal Tumors/diagnostic imaging , Sex Cord-Gonadal Stromal Tumors/pathology , Testicular Neoplasms/diagnostic imaging , Testicular Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
PURPOSE: To evaluate the role of radiologic services in the assessment of injuries and identification of deceased victims of the bombing of the Alfred P. Murrah Federal Building in Oklahoma City, Okla. MATERIALS AND METHODS: In cooperation with the Oklahoma University Health Sciences Center Disaster Studies Group, all victims of the Oklahoma City bombing who were treated in hospitals were evaluated. All radiologic studies performed in these patients during a 4-week period after the bombing were recorded. Major injuries incurred by the victims were noted but were not documented. In addition, assistance provided by radiologic services to the medical examiner's office for identification of deceased victims was assessed. RESULTS: On the day of the bombing, 99% (480 of 485) of the imaging studies performed were either plain radiography, primarily of the extremities and chest, or computed tomography (CT), half of which were of the head. Six deceased victims were identified solely by means of characteristics on radiographs. CONCLUSION: Almost all bombing-related radiologic studies were either plain radiography or CT. Other modalities had only limited roles. In deceased victims, plain radiography aided identification, and in many other victims it allowed localization of materials that were potential pieces of evidence.