Forensic age estimation via 3-T magnetic resonance imaging of ossification of the proximal tibial and distal femoral epiphyses: Use of a T2-weighted fast spin-echo technique

Forensic Science International : Synergy
Oguzhan EkizogluCemal Kazimoglu

Abstract

Radiation exposure during forensic age estimation is associated with ethical implications. It is important to prevent repetitive radiation exposure when conducting advanced ultrasonography (USG) and magnetic resonance imaging (MRI). The purpose of this study was to investigate the utility of 3.0-T MRI in determining the degree of ossification of the distal femoral and proximal tibial epiphyses in a group of Turkish population. We retrospectively evaluated coronal T2-weighted and turbo spin-echo sequences taken upon MRI of 503 patients (305 males, 198 females; age 10-30 years) using a five-stage method. Intra- and interobserver variations were very low. (Intraobserver reliability was κ=0.919 for the distal femoral epiphysis and κ=0.961 for the proximal tibial epiphysis, and interobserver reliability was κ=0.836 for the distal femoral epiphysis and κ=0.885 for the proximal tibial epiphysis.) Spearman's rank correlation analysis indicated a significant positive relationship between age and the extent of ossification of the distal femoral and proximal tibial epiphyses (p<0.001). Comparison of male and female data revealed significant between-gender differences in the ages at first attainment of stages 2, 3, and 4 ossifications of t...Continue Reading

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Citations

Sep 17, 2018·International Journal of Legal Medicine·Petter Mostad, Fredrik Tamsen
Feb 3, 2018·Scientific Reports·Bernhard NeumayerMartin Urschler
Nov 6, 2018·International Journal of Legal Medicine·Paul-Louis PröveMarkus Auf der Mauer
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Jan 29, 2021·International Journal of Legal Medicine·Oguzhan EkizogluSilke Grabherr
Nov 6, 2020·The American Journal of Forensic Medicine and Pathology·Besim UygunAhmet Hilal

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