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Age Estimation Based on Computed Tomography Analysis of the Scapula.
Karaman, Gokçe; Can, Ismail Ozgur; Cekdemir, Yasin Ertug; Ekizoglu, Oguzhan; Guleryuz, Handan.
Afiliación
  • Karaman G; Turgutlu Forensic Medicine Department, Council of Forensic Medicine, 45400 Manisa, Turkey.
  • Can IO; Forensic Medicine Department, Faculty of Medicine, Dokuz Eylül University, 35220 Izmir, Turkey.
  • Cekdemir YE; Radiology Department, Faculty of Medicine, Dokuz Eylül University, 35220 Izmir, Turkey.
  • Ekizoglu O; Unit of Forensic Imaging and Anthropology, University Centre of Legal Medicine Lausanne-Geneva, Geneva University Hospital and University of Geneva, 1015 Lausanne, Switzerland.
  • Guleryuz H; Department of Forensic Medicine, Tepecik Training and Research Hospital, 35180 Izmir, Turkey.
Medicina (Kaunas) ; 60(4)2024 Mar 31.
Article en En | MEDLINE | ID: mdl-38674226
ABSTRACT
Background and

Objectives:

Age estimation from skeletal remains and in living individuals is an important issue for human identification, and also plays a critical role in judicial proceedings for migrants. Forensic analysis of ossification centers is the main evaluation method for age estimation, and ossification degree can be determined using computed tomography analysis. The purpose of this study is to investigate the applicability of CT (computed tomography) in the analysis of left scapula ossification centers, for forensic age estimation in Turkish society. Materials and

Methods:

We analyzed six ossification centers of the left scapula and these ossification centers are the coracoid, subcoracoid, coracoid apex, acromial, glenoid, and inferior angle ossification centers. A pediatric radiologist analyzed these six ossification centers of the scapula by using a staging method defined by Schmeling et al. in 2004. Two months after the first assessment, 20 randomly selected cases was reanalyzed by the first observer and by another pediatric radiologist. Correlation between the age and ossification stage was assessed using Spearman's nonparametric correlation test. Linear regression analysis was performed using a backwards model. Cohen's kappa coefficient was used for evaluating interobserver and intraobserver variability.

Results:

In this retrospective study, 397 (248 male and 149 female) cases were evaluated. Ages ranged between 7.1 and 30.9. The mean age was 19.83 ± 6.49. We determined a positive significant correlation between the age and the ossification stages of ossification centers analyzed in both sexes. In each ossification center, except inferior angle, all of the stage 1 and 2 cases in both sexes were under 18 years old. Intraobserver and interobserver evaluations showed that reproducibility and consistency of the method was relatively good.

Conclusions:

The present study indicated that CT analysis of scapula ossification centers might be helpful in forensic age assessment of living individuals and dry bones.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escápula / Determinación de la Edad por el Esqueleto / Tomografía Computarizada por Rayos X Límite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escápula / Determinación de la Edad por el Esqueleto / Tomografía Computarizada por Rayos X Límite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Suiza