Abstract
To improve the accuracy of forensic age estimation where there is no legal basis for carrying out x-ray examinations, it would be useful to establish non-x-ray imaging techniques. The objective of this study was to provide reference data for the magnetic resonance imaging-based evaluation of the ossification stage of the distal radius. Furthermore, we tested a new criterion of the maturity of the distal radial epiphysis for determining whether an individual has completed the age of 18. We investigated 668 MRI scans of the distal radial epiphysis from 333 female and 335 male subjects ranging in age from 12 to 24. To determine the ossification stage, we used the clavicular ossification staging systems described by Schmeling et al. and Kellinghaus et al. Ossification stage IV as described by Schmeling et al. was divided into two sub-stages, IVa and IVb, depending on whether or not it was possible to identify a triple-banded meta-epiphyseal zone of calcification. All study subjects were able to be assigned to an ossification stage without ambiguity. We present statistics relating to the distribution of ossification stages divided by sex. The age of the youngest female subject assessed as ossification stage IVb was 16.8, the age of the youngest male subject 18.6. The youngest age at which female subjects were assessed as ossification stage V was 22.3; for male subjects it was 23.1. Further independent studies should be carried out to determine whether ossification stage IVb can indeed be used to reliably determine whether a male subject has completed the age of 18.
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References
Dünkel F, Grzywa J, Horsfield P, Pruin I (2010) Juvenile justice systems in Europe. Forum, Godesberg
Beh P, Payne-James J (2010) Clinical and legal requirements for age determination in the living. In: Black S, Aggrawal A, Payne-James J (eds) Age estimation in the living. The practitioner’s guide. Wiley-Blackwell, Chichester, pp. 30–42
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
Schulz R, Schmidt S, Pfeiffer H, Schmeling A (2014) Sonographische Untersuchungen verschiedener Skelettregionen. Forensische Altersdiagnostik bei lebenden Jugendlichen und jungen Erwachsenen. Rechtsmedizin 24:480–484
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
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
Jopp E, Schröder I, Maas R, Adam G, Püschel K (2010) Proximale Tibiaepiphyse im Magnetresonanztomogramm. Neue Möglichkeit zur Altersbestimmung bei Lebenden? Rechtsmedizin 20:464–468
Hillewig E, De Tobel J, Cuche O, Vandemaele P, Piette M, Verstraete K (2011) Magnetic resonance imaging of the medial extremity of the clavicle in forensic bone age determination: a new four-minute approach. Eur Radiol 21:757–767
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. For Sci Int 217:232.e1–232.e7
Krämer JA, Schmidt S, Jürgens KU, Lentschig M, Schmeling A, Vieth V (2014) Forensic age estimation in living individuals using 3.0 T MRI of the distal femur. Int J Legal Med 128:509–514
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
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
Baumann P, Widek T, Merkens H, Boldt J, Petrovic A, Urschler M, Kirnbauer B, Jakse N, Scheurer E (2015) Dental age estimation of living persons: comparison of MRI with OPG. Forensic Sci Int 253:76–80
Guo Y, Olze A, Ottow C, Schmidt S, Schulz R, Heindel W, Pfeiffer H, Vieth V, Schmeling A (2015) Dental age estimation in living individuals using 3.0 T MRI of lower third molars. Int J Legal Med 129:1265–1270
Schmeling A, Dettmeyer R, Rudolf E, Vieth V, Geserick G (2016) Forensic age estimation. Dtsch Arztebl Int 113:44–50
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
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
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
Schmeling A, Schulz R, Reisinger W, Mühler M, Wernecke KD, Geserick G (2004) Studies on the time frame for ossification of the medial clavicular epiphyseal cartilage in conventional radiography. Int J Legal Med 118:5–8
Kellinghaus M, Schulz R, Vieth V, Schmidt S, Pfeiffer H, Schmeling A (2010) Enhanced possibilities to make statements on the ossification status of the medial clavicular epiphysis using an amplified staging scheme in evaluating thin-slice CT scans. Int J Legal Med 124:321–325
Thiemann H-H, Nitz I, Schmeling A (2006) Röntgenatlas der normalen Hand im Kindesalter. Thieme, Stuttgart
Greulich WW, Pyle SI (1959) Radiographic atlas of skeletal development of the hand and wrist. Stanford University Press, Stanford
Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H (1983) Assessment of skeletal maturity and prediction of adult height (TW2 method), 2. Aufl. Academic Press, London
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
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
Serin J, Rérolle C, Pucheux J, Dedouit F, Telmon N, Savall F, Saint-Martin P (2016) Contribution of magnetic resonance imaging of the wrist and hand to forensic age assessment. Int J Legal Med 130:1121–1128
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
Schmeling A, Olze A, Reisinger W, Geserick G (2001) Der Einfluß der Ethnie auf die bei strafrechtlichen Altersschätzungen untersuchten Merkmale. Rechtsmedizin 11:78–81
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
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This study was supported by the European Refugee Fund, the German Federal Office for Migration and Refugees and the Westphalian Wilhelms University of Münster, Germany.
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Timme, M., Ottow, C., Schulz, R. et al. 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 (2017). https://doi.org/10.1007/s00414-016-1502-5
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DOI: https://doi.org/10.1007/s00414-016-1502-5