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Skeletal Radiology

, Volume 45, Issue 3, pp 323–331 | Cite as

New paleoradiological investigations of ancient human remains from North West Lombardy archaeological excavations

  • Marta LicataEmail author
  • Melania Borgo
  • Giuseppe Armocida
  • Luca Nicosia
  • Elena Ferioli
Scientific Article

Abstract

Objective

Since its birth in 1895, radiology has been used to study ancient mummies. The purpose of this article is to present paleoradiological investigations conducted on several medieval human remains in Varese province. Anthropological (generic identification) and paleopathological analyses were carried out with the support of diagnostic imaging (X-ray and CT scans).

Materials and methods

Human remains were discovered during excavations of medieval archaeological sites in northwest Lombardy. Classical physical anthropological methods were used for the macroscopic identification of the human remains. X-ray and CT scans were performed on the same scanner (16-layer Hitachi Eclos 16 X-ray equipment).

Results

Radiological analysis permitted investigating (1) the sex, (2) age of death, (3) type of trauma, (4) therapeutic interventions and (5) osteomas in ancient human remains. In particular, X-ray and CT examinations showed dimorphic facial traits on the mummified skull, and the same radiological approaches allowed determining the age at death from a mummified lower limb. CT analyses allow investigating different types of traumatic lesions in skulls and postcranial skeleton portions and reconstructing the gait and functional outcomes of a fractured femur. Moreover, one case of possible Gardner’s syndrome (GS) was postulated from observing multiple osteomas in an ancient skull.

Conclusion

Among the medical tests available to the clinician, radiology is the most appropriate first-line procedure for a diagnostic approach to ancient human remains because it can be performed without causing any significant damage to the specimen.

Keywords

Paleoradiology X-ray CT Ancient human remains Archaeological excavations Northwest Lombardy 

Notes

Acknowledgments

The authors wish to thank the Lombardy Archaeological Heritage Department for consigning the skeletons studied herein to our laboratory. Thanks also go to Dr. Ugo Maspero and Luca Romano, radiologists at the Fondazione Borghi in Brebbia (VA), who performed the X-ray and CT analyses.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

This articles does not contain patient data.

References

  1. 1.
    Chhem RK. Paleoradiology: imagining disease in mummies and ancient skeletons. Skelet Radiol. 2006;35(11):803–4.CrossRefGoogle Scholar
  2. 2.
    Cosmacini P, Piacentini P. Notes on the history of the radiological study of Egyptian mummies: from X-rays to new imaging techniques. Radiol Med. 2008;133(5):615–26.CrossRefGoogle Scholar
  3. 3.
    Lynnerup N. Methods in mummy research. Anthropol Anz. 2009;67(4):357–84.PubMedCrossRefGoogle Scholar
  4. 4.
    Cesarani F, Martina MC, Ferraris A, Grilletto R, Boano R, Fiore Marochetti E, et al. Whole-body three-dimensional multidetector CT of 13 Egyptian human mummies. Am J Roentgenol. 2003;180(3):597–606.CrossRefGoogle Scholar
  5. 5.
    Cockburn A, Cockburn E, Reyman TA. Mummies, disease and ancient cultures. Cambridge: Cambridge University Press; 1998.CrossRefGoogle Scholar
  6. 6.
    Cesarani F, Martina MC, Boano R, Grilletto R, D’Amicone E, Venturi C, et al. Scenes from the past: multidetector CT study of gallbladder stones in a wrapped Egyptian mummy. Radiographics. 2009;29(4):1191–4.PubMedCrossRefGoogle Scholar
  7. 7.
    Hsieh J. Computed tomography. Principles, design, artifact, and recent advantages. Bellingham: SPIE Press; 2009.Google Scholar
  8. 8.
    Jackowski C, Bolliger S, Thali MJ. Common and unexpected finding in mummies from ancient Egypt and South America as revealed by CT. Radiographics. 2008;28:1477–92.PubMedCrossRefGoogle Scholar
  9. 9.
    Lazzati AMB, Levrini L, Rampazzi L, Dossi C, Castelletti L, Licata M, et al. The diet of three medieval individuals from Caravate (Varese, Italy). Combined results of ICP-MS analysis of trace elements and phytolith analysis conducted on their dental calculus. Int J Osteoarchaeol. 2015. doi: 10.1002/oa.2458
  10. 10.
    Giles E, Elliot O. Sex determination by discriminant function analysis of crania. Am J Phys Anthropol. 1963;21:53.PubMedCrossRefGoogle Scholar
  11. 11.
    Birkby WH. An evaluation of race and sex identification from cranial measurements. Am J Phys Anthropol. 1966;24:21.PubMedCrossRefGoogle Scholar
  12. 12.
    Galera E, Ubelaker DH, Hayek LA. Comparison of macroscopic cranial methods of age estimation applied to skeletons from Terry Collection. J Forensic Sci. 1990;36:898.Google Scholar
  13. 13.
    Buikstra J, Ubelaker D. Standards for data collection from human skeletal remains. Fayetteville. Arkansas Archaeological Survey Research Series No. 44; 1994.Google Scholar
  14. 14.
    Krogman WM, Iscan MY. The human skeleton in forensic medicine. Springfield: Charles C. Thomas; 1986.Google Scholar
  15. 15.
    Trotter M, Gleser GC. Corrigenda to the estimation of stature from long bones of American whites and Negroes. Am J Phys Anthropol. 1952;19:213.CrossRefGoogle Scholar
  16. 16.
    Brooks ST, Suchey JM. Skeletal age determination based on the os pubic: a comparison of the Acsádi -Nemeskéri and Suchey-Brooks methods. Hum Evol. 1990;5:227–38.CrossRefGoogle Scholar
  17. 17.
    Lovejoy CO, Meindl RS, Pryzbeck TR, Mensforth RP. Chronological metamorphosis of the auricular surfaced of the ilium- anew method for the determination of the adult skeletal age at death. Am J Phys Anthropol. 1985;68:139–70.CrossRefGoogle Scholar
  18. 18.
    Meindl RS, Lovejoy CO. Ectocranial suture closure: a revised method for the determination of skeletal age at death based on lateral –anterior suture. Am J Phys Anthropol. 1985;68:57–66.PubMedCrossRefGoogle Scholar
  19. 19.
    Iscan MY, Loth SR, Wright RK. Metamorphosis at the sternal rib end: a new method to estimate age at death in white males. Am J Phys Anthropol. 1984;65(2):147–56.PubMedCrossRefGoogle Scholar
  20. 20.
    Mall G, Graw M, Gehring KD, Hubig M. Determination of sex from femora. Forensic Sci Int. 2000;113:315–21.PubMedCrossRefGoogle Scholar
  21. 21.
    Licata M, Ronga M, Cherubino P, Armocida G. Different types of traumatic lesions on mediaeval skeletons from archaeological sites in Varese (North Italy): diagnosis on ante mortal fractures using macroscopic, radiological and CT analysis. Injury. 2014;45:457–9.PubMedCrossRefGoogle Scholar
  22. 22.
    Licata M, Vecchio I, Armocida G. Analysis of ante-mortem injuries in medieval skeletons from the necropolis of Caravate (Varese) Italy. Act Med Mediter. 2014;30:555–9.Google Scholar
  23. 23.
    Eshed V, Latimer B, Greenwald CM, Jellema LM, Rothschild BM, Wish-Baratz S, et al. Button osteoma: its etiology and pathophysiology. Am J Phys Anthropol. 2002;118:217–30.PubMedCrossRefGoogle Scholar
  24. 24.
    Capasso L. Osteoma: paleopathology and phylogeny. Int J Osteoarchaeol. 1997;7:615–20.CrossRefGoogle Scholar
  25. 25.
    Moretti A, Croce A, Leone O, D’Agostine L. Osteoma of maxillary sinus: case report. Acta Otorhinolaryngol Ital. 2004;24:219–22.PubMedGoogle Scholar
  26. 26.
    Al-Qurain D, Mahmut S. Oral and maxillofacial considerations in Gardner’s syndrome. Int J Med Sci. 2012;9(2):137–41.CrossRefGoogle Scholar
  27. 27.
    Dolan KD, Seibert J, Seibert RW. Gardner’s syndrome. A model for correlative radiology. Am J Roentgenol Radium Ther Nucl Med. 1973;119(2):359–64.PubMedCrossRefGoogle Scholar
  28. 28.
    Benaglia PG, Ruspi V, Licata M. Ricostruzione dei meccanismi di lesione, delle cure e degli esiti funzionali nel cammino attraverso l’analisi chinesiologica. Riv Stor Med. 2014;2:261–80.Google Scholar
  29. 29.
    Boyer RS, Rodin EA, Grey TC, Connolly RC. The skull and cervical spine radiographs of Tutankhamen: a critical appraissal. Am J Neuroradiol. 2003;24:1142–7.PubMedGoogle Scholar
  30. 30.
    Schulze D, Heiland M, Thurmann H, Adam G. Radiation exposure during midfacial imaging using 4-and 16 –slice computer tomography, cone bean computed tomography systems and conventional radiography. Dentomaxillofac Radiol. 2004;33:83–6.PubMedCrossRefGoogle Scholar
  31. 31.
    Öhrström LM, Seiler R, Böni T, Aali A, Stöllner T, Rühli FJ. Radiological findings in an ancient Iranian salt mummy (Chehrābād ca. 410–350 BC). Skelet Radiol. 2015;44:811–21.CrossRefGoogle Scholar
  32. 32.
    Cesarani F, Martina MC, Grilletto R, Boano R, Roveri AM, Capussoto V, et al. Facial reconstruction of a wrapped Egyptian mummy using MDCT. AJR Am J Roentgenol. 2004;183(3):755–8.PubMedCrossRefGoogle Scholar
  33. 33.
    Lynnerup N. Medical imaging of mummies and Bog bodies- a mini review. Gereontology. 2010;56:441–8.CrossRefGoogle Scholar
  34. 34.
    Aufderheide AC. Progress in soft tissue paleopathology. J Am Med Assoc. 2000;284(20):2571–3.CrossRefGoogle Scholar
  35. 35.
    Pickering RB, Conces JF, Braunstein EM, Yurco F. Three-dimensional computed tomography of the mummy Wenuhotep. Am J Phys Anthropol. 1990;83:49–55.PubMedCrossRefGoogle Scholar
  36. 36.
    Ciranni R, Garbini F, Neri E, Melai L, Giusti L, Fornaciari G. The “Braid s Lady” of Arezzo: a case of rheumatoid arthritis in a 16th century mummy. Clin Exp Rheumatol. 2002;20:745–52.PubMedGoogle Scholar
  37. 37.
    Gostner P, Egarter VE. Report of radiological finding on the iceman. J Archaeol Sci. 2002;29:323–6.CrossRefGoogle Scholar
  38. 38.
    Piepenbrink H, Frahm J, Haase A, Matthaei D. Nuclear magnetic resonance imaging of mummified corpses. Am J Phys Anthropol. 1986;70(1):27–8.PubMedCrossRefGoogle Scholar
  39. 39.
    Rühli FJ, von Waldburg H, Nielles-Vallespin S, Böni T, Speier P. Clinical magnetic resonance imaging of ancient dry human mummies without rehydration. JAMA. 2007;298(22):2618–20.PubMedCrossRefGoogle Scholar

Copyright information

© ISS 2015

Authors and Affiliations

  • Marta Licata
    • 1
    Email author
  • Melania Borgo
    • 1
  • Giuseppe Armocida
    • 1
  • Luca Nicosia
    • 1
  • Elena Ferioli
    • 1
  1. 1.Department of Biotechnology and Life SciencesUniversity of Insubria (Varese)VareseItaly

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