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      3D printed skulls in court — a benefit to stakeholders?

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          Abstract

          Forensic pathologists may use 3D prints as demonstrative aids when providing expert testimony in court of law, but the effects remain unclear despite many assumed benefits. In this qualitative study, the effects of using a 3D print, demonstrating a blunt force skull fracture, in court were explored by thematic analysis of interviews with judges, prosecutors, defence counsels, and forensic pathologists with the aim of improving the expert testimony. Five semi-structured focus groups and eight one-to-one interviews with a total of 29 stakeholders were transcribed ad verbatim and analysed using thematic analysis. The study found that a highly accurate 3D print of a skull demonstrated autopsy findings in detail and provided a quick overview, but sense of touch was of little benefit as the 3D print had different material characteristics than the human skull. Virtual 3D models were expected to provide all the benefits of 3D prints, be less emotionally confronting, and be logistically feasible. Both 3D prints and virtual 3D models were expected to be less emotionally confronting than autopsy photos. Regardless of fidelity, an expert witness was necessary to translate technical language and explain autopsy findings, and low-fidelity models may be equally suited as demonstrative aids. The court infrequently challenged the expert witnesses’ conclusions and, therefore, rarely had a need for viewing autopsy findings in detail, therefore rarely needing a 3D print.

          Supplementary Information

          The online version contains supplementary material available at 10.1007/s00414-023-03054-6.

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          Most cited references39

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          Sample Size in Qualitative Interview Studies: Guided by Information Power

          Sample sizes must be ascertained in qualitative studies like in quantitative studies but not by the same means. The prevailing concept for sample size in qualitative studies is "saturation." Saturation is closely tied to a specific methodology, and the term is inconsistently applied. We propose the concept "information power" to guide adequate sample size for qualitative studies. Information power indicates that the more information the sample holds, relevant for the actual study, the lower amount of participants is needed. We suggest that the size of a sample with sufficient information power depends on (a) the aim of the study, (b) sample specificity, (c) use of established theory, (d) quality of dialogue, and (e) analysis strategy. We present a model where these elements of information and their relevant dimensions are related to information power. Application of this model in the planning and during data collection of a qualitative study is discussed.
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            3D Slicer as an image computing platform for the Quantitative Imaging Network.

            Quantitative analysis has tremendous but mostly unrealized potential in healthcare to support objective and accurate interpretation of the clinical imaging. In 2008, the National Cancer Institute began building the Quantitative Imaging Network (QIN) initiative with the goal of advancing quantitative imaging in the context of personalized therapy and evaluation of treatment response. Computerized analysis is an important component contributing to reproducibility and efficiency of the quantitative imaging techniques. The success of quantitative imaging is contingent on robust analysis methods and software tools to bring these methods from bench to bedside. 3D Slicer is a free open-source software application for medical image computing. As a clinical research tool, 3D Slicer is similar to a radiology workstation that supports versatile visualizations but also provides advanced functionality such as automated segmentation and registration for a variety of application domains. Unlike a typical radiology workstation, 3D Slicer is free and is not tied to specific hardware. As a programming platform, 3D Slicer facilitates translation and evaluation of the new quantitative methods by allowing the biomedical researcher to focus on the implementation of the algorithm and providing abstractions for the common tasks of data communication, visualization and user interface development. Compared to other tools that provide aspects of this functionality, 3D Slicer is fully open source and can be readily extended and redistributed. In addition, 3D Slicer is designed to facilitate the development of new functionality in the form of 3D Slicer extensions. In this paper, we present an overview of 3D Slicer as a platform for prototyping, development and evaluation of image analysis tools for clinical research applications. To illustrate the utility of the platform in the scope of QIN, we discuss several use cases of 3D Slicer by the existing QIN teams, and we elaborate on the future directions that can further facilitate development and validation of imaging biomarkers using 3D Slicer. Copyright © 2012 Elsevier Inc. All rights reserved.
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              Thematic Analysis

                Author and article information

                Contributors
                Mikkel.henningsen@sund.ku.dk
                Journal
                Int J Legal Med
                Int J Legal Med
                International Journal of Legal Medicine
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0937-9827
                1437-1596
                1 July 2023
                1 July 2023
                2023
                : 137
                : 6
                : 1865-1873
                Affiliations
                [1 ]Section of Forensic Pathology, Department of Forensic Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, ( https://ror.org/035b05819) Copenhagen, Denmark
                [2 ]DEFACTUM, Public Health & Health Services Research, Central Denmark Region, ( https://ror.org/0247ay475) Aarhus, Denmark
                [3 ]Department of Forensic Medicine, Faculty of Health, Aarhus University, ( https://ror.org/01aj84f44) Aarhus, Denmark
                Author information
                http://orcid.org/0000-0002-4331-6094
                https://orcid.org/0000-0003-0565-0566
                https://orcid.org/0000-0003-1447-965X
                https://orcid.org/0000-0002-8669-8897
                https://orcid.org/0000-0001-7257-0772
                https://orcid.org/0000-0001-6177-5780
                https://orcid.org/0000-0002-9967-8131
                Article
                3054
                10.1007/s00414-023-03054-6
                10567900
                37391670
                5ae99545-5699-41cb-b7c9-3e4ef2afe362
                © The Author(s) 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 14 March 2023
                : 20 June 2023
                Funding
                Funded by: Royal Library, Copenhagen University Library
                Categories
                Original Article
                Custom metadata
                © Springer-Verlag GmbH Germany, part of Springer Nature 2023

                Law
                3d print,post-mortem computed tomography,interview study,skull,court of law
                Law
                3d print, post-mortem computed tomography, interview study, skull, court of law

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