SONOGRAPHY TOUCHSTONE TESTING GOLD STANDARD RADIOGRAPHY FOR MEDICO-LEGAL AGE ESTIMATION IN LIVING: A PROSPECTIVE TRIPLE BLIND STUDY
Keywords:
Age estimation, Magnetic Resonance, Ultrasound, Iliac Crest, Epiphyseal OssificationAbstract
Medico-legal age estimation involves varied professional of society. Researchers have been trying newer over existing methods to validate best which is scientifically substantial and adhering best ethics. Ultrasound being radiation free out of all modalities has been tried but for pediatric ages and at sites unsuitable for age estimation in adults which are of greater medico legal importance and occurrence. This prospective study compared ultrasound with radiographs at iliac crest which has appearance and fusion of epiphyses during 14th-22nd years making it anatomically relevant site to study by a radiation free method for age estimation. Results showed ultrasound was found to be more sensitive detecting smaller ossification centers at an advanced stage of appearance.
References
1. Belozerova, L.M. Biological Age Estimation Using Echo. Adv Gerontol. (2006) 19:90-2.
2. Ritz-Timme S et al. Age estimation: the state of the art in relation to the specific demands of forensic practice. Int. J. Legal Med. 2000;129-36.
3. Brenner DJ et al. Estimated risks of radiation-induced fatal cancer from pediatric CT. Am J Roentgenol. (2001) 176:289–96.
4. Sven Schmidt et al. Sonographic evaluation of epiphyseal ossification of the iliac crest in Forensic age diagnostics in living individuals. Int J Legal Med. (2011) 125:271-6.
5. Risser JC, Ferguson AB. Scoliosis: its prognosis. J Bone Joint Surg (1936) 18:667-70.
6. Bitan FD et al. Difference between US and French Risser Grading System. Clin Orthop Relat Des. (2005) 436:190-5.
7. Kotwicki T. Improved Accuracy in Risser Sign Grading with Lateral Spinal Radiography. Eur Spine J (2008) 17:1676–85.
8. Greulich W, Pyle SI. Radiographic atlas of skeletal development of hand and wrist. Stanford: Stanford University Press. 1959.
9. Dunkel F et al,. Juvenile Justice system in Europe. Forum, Godesburg. 2010.
10. Poland J (1898). Skiagrapic atlas showing the development of bones of the wrist and hand. Smith Elder, London.
11. Exner U et al., Relationship between development of the epiphysis of iliac crest (Risser’s Sign) and development of hand skeleton in girls with scoliosis. J. Othop.1985;123:910-4.
12. Ramsthaler F et al. How reliable are the risk estimates for X-ray examinations in forensic age estimations? A safety update. Int J Leg Med. 2009;123:199–204.
13. Tanner JM et al. Reliability and validity of computer assisted estimates of skeletal maturity: Comparison with manual method. Hormone Res.1994;42:288-94.
14. Wittschieber D et al. The Risser Sign for Forensic Age Estimation in Living Individuals: A Study of 643 Pelvic Radiographs. Forensic Sci Med Pathol. 2013;9(1):36-43.
15. Rösing FW et al. German society for forensic age diagnostics for forensic individuals. Recommendations for forensic sex and Age diagnosis on the skeleton. (2005) 15:32–8.
16. Mu¨hler M et al. The influence of slice thickness on assessment of clavicle ossification in forensic age diagnostics, Int. J. Legal Med. 2006;120:15–7.
17. Schmidt S et al. Magnetic resonance imaging of the clavicular ossification. Int J Leg Med. 2007;121:321– 4.
18. Hillewig E et al. Magnetic resonance imaging of medial extremity of clavicle in forensic bone age determination: a new four-minute approach. Eur Radiol (2011) 21:757-67.
19. Wagner UA, Diedrich V, Schmitt O. Determination of skeletal maturity by ultrasound: a preliminary report. Skeletal Radiol. (1995) 24:417-20.
20. Nessi R et al. Ultrasonographic assessment of ossification foci of wrist and pubertal growth spurt. Radiol Med. 1997;94:43-6.
21. Castriota-Scanderberg A, De Micheli V. Ultrasound of femoral head cartilage: a new method of assessing bone age. Skeletal Radiol.1995;24:197-200.
22. Hanan Sherif et al. Sonographic measurements of calcaneal volume for determination of skeletal age in children.Wiley Periodicals. 2003;9:31.
23. Hans-J. Mentzel et al. Assesement of skeletal age at wrist in children with a new ultrasound device. Pediatr Radiol. 2005;35:429–33.
24. Quirmbach F et al. Evaluation of ossification of medial clavicular epiphysis with a digital ultrasonic system to determine age threshold of 21 years. Int J Leg Med. 2009;123:241–5.
25. Torlak G et al. Ultrasonographic Evaluation of Risser’s Sign; Is it Reliable and Reproducible Method? Spine (Phila Pa 1976):2012;37(4):316-20.
26. Louise Corron Ph.D. et al. New Approach of Juvenile Age Estimation using Measurements of Ilium and Multivariate Adaptive Regression Splines Models for Better Age Prediction. Journal of Forensic Sciences. 2017;62 (1):18-29.
27. Jekel JF, Elmone JG, Katz DL. Epidemiology, Biostatistics and Preventive Medicine: Philadelphia;WB Saunders Company 1996.
28. Vignolo M et al. The Open Bone Journal. 2010;2:38- 42.
