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Estimating forensic age via magnetic resonance imaging of the distal radial epiphysis

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Abstract

Magnetic resonance imaging is currently being studied extensively, but it is still far from being the frequently recommended radiological method for age estimation. In this study, we used magnetic resonance imaging (MRI) of distal radius ossification to obtain data for age estimation. Wrist MRI scans from 338 individuals, aged 10–29 years, were examined retrospectively using the staging system of Schmidt et al. and the extension of the stages as described by Timme et al. The results revealed that the minimum ages for stage 4a ossification were 16.0 years in women and 17.7 years in men, whereas those for stage 4b ossification were 16.6 and 18.2 years in women and men, respectively. Stage 5 was not detected in any patient. These results were comparable with those of a previous study using the same methodology with distal radial epiphysis ossification. Our finding regarding stage 4b ossification may provide valuable information on legally important age thresholds relevant to the use of MRI in evaluating the distal radial epiphysis in males. Further research needs to be conducted with large series in different populations to evaluate the triple banding at the distal radial epiphysis.

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References

  1. UNHCR Asylum Trends (2014) Levels and trends in industrialized countries. http://www.unhcr.org/551128679.html

  2. Separated Children in Europe Programme—Thematic Group on Age Assessment (2011) Review of current laws, policies and practices relating to age assessment in sixteen European Countries. http://www.separated-children-europe-programme.org/publications/reports/Age_Assessment_report_review_of_current_policies_and_ practice_in_Europe_2011_pdf.pdf. https://doi.org/10.1542/peds.2011-2381

    Article  Google Scholar 

  3. Dünkel F, Grzywa J, Horsfield P, Pruin I (2010) Juvenile justice systems in Europe. Forum, Godesberg

    Google Scholar 

  4. Schmeling A, Grundmann C, Fuhrmann A, Kaatsch HJ, Knell B, Ramsthaler F, Reisinger W, Riepert T, Ritz-Timme S, Rösing FW, Rötzscher K, Geserick G (2008) Criteria for age estimation in living individuals. Int J Legal Med 122:457–460

    Article  CAS  Google Scholar 

  5. Schmidt S, Schiborr M, Pfeiffer H, Schmeling A, Schulz R (2013) Age dependence of epiphyseal ossification of the distal radius in ultrasound diagnostics. Int J Legal Med 127:831–838. https://doi.org/10.1007/s00414-013-0871-2

    Article  CAS  PubMed  Google Scholar 

  6. Schmidt S, Schiborr M, Pfeiffer H, Schmeling A, Schulz R (2013) Sonographic examination of the apophysis of the iliac crest for forensic age estimation in living persons. Sci Justice 53:395–401. https://doi.org/10.1016/j.scijus.2013.05.004

    Article  CAS  PubMed  Google Scholar 

  7. Schulz R, Schiborr M, Pfeiffer H, Schmidt S, Schmeling A (2013) Sonographic assessment of the ossification of the medial clavicular epiphysis in 616 individuals. Forensic Sci Med Pathol 9:351–357. https://doi.org/10.1007/s12024-013-9440-8

    Article  PubMed  Google Scholar 

  8. Schmidt S, Mühler M, Schmeling A, Reisinger W, Schulz R (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121:321–324. https://doi.org/10.1007/s00414-007-0160-z

    Article  PubMed  Google Scholar 

  9. Vieth V, Schulz R, Brinkmeier P, Dvorak J, Schmeling A (2014) Age estimation in U-20 football players using 3.0 tesla MRI of the clavicle. Forensic Sci Int 241:118–122. https://doi.org/10.1016/j.forsciint.2014.05.008

    Article  PubMed  Google Scholar 

  10. Ekizoglu O, Hocaoglu E, Can IO, Inci E, Aksoy S, Bilgili MG (2015) Magnetic resonance imaging of distal tibia and calcaneus for forensic age estimation in living individuals. Int J Legal Med 129:825–831. https://doi.org/10.1007/s00414-015-1187-1

    Article  PubMed  Google Scholar 

  11. Wittschieber D, Vieth V, Timme M, Dvorak J, Schmeling A (2014) Magnetic resonance imaging of the iliac crest: age estimation in under-20 soccer players. Forensic Sci Med Pathol 10:198–202. https://doi.org/10.1007/s12024-014-9548-5

    Article  PubMed  Google Scholar 

  12. Ekizoglu O, Inci E, Ors S, Hocaoglu E, Can IO, Basa CD, Kacmaz IE, Kranioti EF (2019) Forensic age diagnostics by magnetic resonance imaging of the proximal humeral epiphysis. Int J Legal Med 133(1):249–256. https://doi.org/10.1007/s00414-018-1952-z

    Article  PubMed  Google Scholar 

  13. Ekizoglu O, Inci E, Ors S, Kacmaz IE, Basa CD, Can IO, Kranioti EF (2019) Applicability of T1-weighted MRI in the assessment of forensic age based on the epiphyseal closure of the humeral head. Int J Legal Med 133(1):241–248. https://doi.org/10.1007/s00414-018-1868-7

    Article  PubMed  Google Scholar 

  14. Hermetet C, Saint-Martin P, Gambier A, Ribier L, Sautenet B, Rérolle C (2018) Forensic age estimation using computed tomography of the medial clavicular epiphysis: a systematic review. Int J Legal Med 132(5):1415–1425. https://doi.org/10.1007/s00414-018-1847-z

    Article  Google Scholar 

  15. Bartolini V, Pinchi V, Gualco B, Vanin S, Chiaracane G, D’Elia G, Norelli GA, Focardi M (2018) The iliac crest in forensic age estimation: evaluation of three methods in pelvis X-rays. Int J Legal Med 132(1):279–288. https://doi.org/10.1007/s00414-017-1629-z

    Article  PubMed  Google Scholar 

  16. Dvorak J, George J, Junge A, Hodler J (2007) Age determination by magnetic resonance imaging of the wrist in adolescent male football players. Br J Sports Med 41:45–52

    Article  Google Scholar 

  17. Dvorak J, George J, Junge A, Hodler J (2007) Application of MRI of the wrist for age determination in international U-17 soccer competitions. Br J Sports Med 41:497–500

    Article  Google Scholar 

  18. George J, Nagendran J, Azmi K (2012) Comparison study of growth plate fusion using MRI versus plain radiographs as used in age determination for exclusion of overaged football players. Br J Sports Med 46:273–278

    Article  Google Scholar 

  19. Tomei E, Sartori A, Nissman D, Al Ansari N, Battisti S, Rubini A, Stagnitti A, Martino M, Marini M, Barbato E, Semelka RC (2014) Value of MRI of the hand and the wrist in evaluation of bone age: preliminary results. J Magn Reson Imaging 39:1198–1205

    Article  Google Scholar 

  20. Serinelli S, Panebianco V, Martino M, Battisti S, Rodacki K, Marinelli E, Zaccagna F, Semelka RC, Tomei E (2015) Accuracy of MRI skeletal age estimation for subjects 12–19. Potential use for subjects of unknown age. Int J Legal Med 129:609–617. https://doi.org/10.1007/s00414-015-1161-y

    Article  PubMed  Google Scholar 

  21. Schmidt S, Vieth V, Timme M, Dvorak J, Schmeling A (2015) Examination of ossification of the distal radial epiphysis using magnetic resonance imaging. New insights for age estimation in young footballers in FIFA tournaments. Sci Justice 55:139–144. https://doi.org/10.1016/j.scijus.2014.12.003

    Article  CAS  PubMed  Google Scholar 

  22. De Tobel J, Hillewig E, de Haas MB, Van Eeckhout B, Fieuws S, Thevissen PW, Verstraete KL (2019) Forensic age estimation based on T1 SE and VIBE wrist MRI: do a one-fits-all staging technique and age estimation model apply? Eur Radiol 29(6):2924–2935. https://doi.org/10.1007/s00330-018-5944-7

    Article  PubMed  Google Scholar 

  23. Dedouit F, Auriol J, Rousseau H, Rougé D, Crubézy E, Telmon N (2012) Age assessment by magnetic resonance imaging of the knee: a preliminary study. Forensic Sci Int 217:e1–e7. https://doi.org/10.1016/j.forsciint.2011.11.013

    Article  Google Scholar 

  24. Timme M, Ottow C, Schulz R, Pfeiffer H, Heindel W, Vieth V, Schmeling A, Schmidt S (2017) Magnetic resonance imaging of the distal radial epiphysis: a new criterion of maturity for determining whether the age of 18 has been completed? Int J Legal Med 131:579–584. https://doi.org/10.1007/s00414-016-1502-5

    Article  CAS  PubMed  Google Scholar 

  25. Altman DG (1991) Practical statistics for medical research. Chapman & Hall, New York 624 pp

    Google Scholar 

  26. Wittschieber D, Schulz R, Vieth V, Küppers M, Bajanowski T, Ramsthaler F, Püschel K, Pfeiffer H, Schmidt S, Schmeling A (2014) Influence of the examiner’s qualification and sources of error during stage determination of the medial clavicular epiphysis by means of computed tomography. Int J Legal Med 128:183–191. https://doi.org/10.1007/s00414-013-0932-6

    Article  PubMed  Google Scholar 

  27. Schmeling A, Reisinger W, Loreck D, Vendura K, Markus W, Geserick G (2000) Effects of ethnicity on skeletal maturation: consequences for forensic age estimations. Int J Legal Med 113:253–258

    Article  CAS  Google Scholar 

  28. Schmeling A, Schulz R, Danner B, Rösing FW (2006) The impact of economic progress and modernization in medicine on the ossification of hand and wrist. Int J Legal Med 120:121–126

    Article  Google Scholar 

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Correspondence to Oguzhan Ekizoglu.

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Er, A., Bozdag, M., Basa, C.D. et al. Estimating forensic age via magnetic resonance imaging of the distal radial epiphysis. Int J Legal Med 134, 375–380 (2020). https://doi.org/10.1007/s00414-019-02189-9

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