Skip to main content
Erschienen in: Rechtsmedizin 1/2022

17.02.2021 | Original reports

Applicability of proximal humeral epiphysis ossification for forensic age estimation according to the Vieth method: a 3.0 T MRI study

verfasst von: Hasan Baki Altinsoy, Murat Serdar Gurses

Erschienen in: Rechtsmedizin | Ausgabe 1/2022

Einloggen, um Zugang zu erhalten

Abstract

A retrospective study was conducted to explore the possibility of determining the age of majority via examination of the proximal humeral epiphyseal-diaphyseal fusion by 3.0 T magnetic resonance imaging (MRI) using the Vieth classification. Proximal humeral epiphyses were retrospectively studied on 3.0 T MRI in 315 participants (122 females, 193 males) between 10 and 28 years of age, using T1-weighted turbo spin echo (T1W TSE) and proton density fat-saturated TSE sequence (PD FS TSE). A 5-stage scoring system was used following the method of Vieth et al. The relevant statistics were defined, the intraobserver and interobserver agreements were determined (Cohen’s kappa) and the differences between the sexes were analyzed (Mann-Whitney U‑test, p < 0.05, exact, two-sided). According to this study, stage 5 and stage 6 made it possible to correctly assess the majority in both sexes by examination of the epiphyses of the shoulder joint. The kappa statistics were a good level of agreement for the interobserver and intraobserver evaluations of the shoulder. There were no significant age differences between males and females in any of the stages (all p-values > 0.05). The Vieth classification provides important information in determining whether a person has reached the age of 18 years or not in both sexes through 3.0 T MRI of the shoulder joint.
Literatur
1.
Zurück zum Zitat Schmeling A, Dettmeyer R, Rudolf E, Vieth V, Geserick G (2016) Forensic age estimation. Dtsch Arztebl Int 113:44–50PubMedPubMedCentral Schmeling A, Dettmeyer R, Rudolf E, Vieth V, Geserick G (2016) Forensic age estimation. Dtsch Arztebl Int 113:44–50PubMedPubMedCentral
2.
Zurück zum Zitat Panchbhai AS (2011) Dental radiographic indicators, a key to age estimation. Dentomaxillofac Radiol 40:199–212CrossRef Panchbhai AS (2011) Dental radiographic indicators, a key to age estimation. Dentomaxillofac Radiol 40:199–212CrossRef
3.
Zurück zum Zitat Büken B, Erzengin OU, Büken E, Safak AA, Yazici B, Erkol Z (2009) Comparison of the three age estimation methods: which is more reliable for Turkish children? Forensic Sci Int 183(1–3):103.e1–103.e7 Büken B, Erzengin OU, Büken E, Safak AA, Yazici B, Erkol Z (2009) Comparison of the three age estimation methods: which is more reliable for Turkish children? Forensic Sci Int 183(1–3):103.e1–103.e7
6.
Zurück zum Zitat Vieira DN (2011) Forensic medicine—from old problems to New challenges. InTech, RijekaCrossRef Vieira DN (2011) Forensic medicine—from old problems to New challenges. InTech, RijekaCrossRef
7.
Zurück zum Zitat Black SM, Aggrawal A, Payne-James J (2010) Age estimation in the living: the practitioner’s guide. Wiley-Blackwell, ChichesterCrossRef Black SM, Aggrawal A, Payne-James J (2010) Age estimation in the living: the practitioner’s guide. Wiley-Blackwell, ChichesterCrossRef
8.
Zurück zum Zitat Turkish Penal Code, Law no. 5237. [cited 2004 Sep 26]. Official Gazette 2004 (25611) [in Turkish] Turkish Penal Code, Law no. 5237. [cited 2004 Sep 26]. Official Gazette 2004 (25611) [in Turkish]
9.
Zurück zum Zitat Schmeling A, Grundmann C, Fuhrmann A, Kaatsch H‑J, 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 122:457–460CrossRef Schmeling A, Grundmann C, Fuhrmann A, Kaatsch H‑J, 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 122:457–460CrossRef
10.
Zurück zum Zitat Vieth V, Schulz R, Heindel W et al (2018) Forensic age assessment by 3.0T MRI of the knee: proposal of a new MRI classification of ossification stages. Eur Radiol 28:3255–3262CrossRef Vieth V, Schulz R, Heindel W et al (2018) Forensic age assessment by 3.0T MRI of the knee: proposal of a new MRI classification of ossification stages. Eur Radiol 28:3255–3262CrossRef
12.
Zurück zum Zitat Kramer JA, Schmidt S, Jurgens KU, Lentschig M, Schmeling A, Vieth V (2014) The use of magnetic resonance imaging to examine ossification of the proximal tibial epiphysis for forensic age estimation in living individuals. Forensic Sci Med Pathol 10:306–313CrossRef Kramer JA, Schmidt S, Jurgens KU, Lentschig M, Schmeling A, Vieth V (2014) The use of magnetic resonance imaging to examine ossification of the proximal tibial epiphysis for forensic age estimation in living individuals. Forensic Sci Med Pathol 10:306–313CrossRef
13.
Zurück zum Zitat Kramer JA, Schmidt S, Jurgens 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 128:509–514CrossRef Kramer JA, Schmidt S, Jurgens 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 128:509–514CrossRef
14.
Zurück zum Zitat El-Din EAA, Mostafa HES, Tantawy EF, El-Shafei DA (2019) Magnetic resonance imaging of the proximal tibial epiphysis: could it be helpful in forensic age estimation? Forensic Sci Med Pathol 15(3):352–361CrossRef El-Din EAA, Mostafa HES, Tantawy EF, El-Shafei DA (2019) Magnetic resonance imaging of the proximal tibial epiphysis: could it be helpful in forensic age estimation? Forensic Sci Med Pathol 15(3):352–361CrossRef
15.
Zurück zum Zitat Saint-Martin P, Rérolle C, Pucheux J, Dedouit F, Telmon N (2015) Contribution of distal femur MRI to the determination of the 18-year limit in forensic age estimation. Int J Legal Med 129(3):619–620CrossRef Saint-Martin P, Rérolle C, Pucheux J, Dedouit F, Telmon N (2015) Contribution of distal femur MRI to the determination of the 18-year limit in forensic age estimation. Int J Legal Med 129(3):619–620CrossRef
16.
Zurück zum Zitat Schmidt S, Muhler M, Schmeling A, Reisinger W, Schulz R (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121:321–324CrossRef Schmidt S, Muhler M, Schmeling A, Reisinger W, Schulz R (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121:321–324CrossRef
17.
Zurück zum Zitat Hillewig E, Degroote J, Van der Paelt T et al (2013) Magnetic resonance imaging of the sternal extremity of the clavicle in forensic age estimation: towards more sound age estimates. Int J Legal Med 127:677–689CrossRef Hillewig E, Degroote J, Van der Paelt T et al (2013) Magnetic resonance imaging of the sternal extremity of the clavicle in forensic age estimation: towards more sound age estimates. Int J Legal Med 127:677–689CrossRef
18.
Zurück zum Zitat 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 21:757–767CrossRef 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 21:757–767CrossRef
19.
Zurück zum Zitat 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 241:118–122CrossRef 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 241:118–122CrossRef
20.
Zurück zum Zitat Dvorak J, George J, Junge A, Hodler J (2007) Age determination by magnetic resonance imaging of the wrist in adolescentmale football players. Br J Sports Med 41:45–52CrossRef Dvorak J, George J, Junge A, Hodler J (2007) Age determination by magnetic resonance imaging of the wrist in adolescentmale football players. Br J Sports Med 41:45–52CrossRef
21.
Zurück zum Zitat 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 10:198–202CrossRef 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 10:198–202CrossRef
22.
Zurück zum Zitat Ottow C, Schulz R, Pfeiffer H, Heindel W, Schmeling A, Vieth V (2017) Forensic age estimation by magnetic resonance imaging of the knee: the definite relevance in bony fusion of the distal femoraland the proximal tibial epiphyses using closest-to-bone T1 TSE sequence. Eur Radiol 27:5041–5048CrossRef Ottow C, Schulz R, Pfeiffer H, Heindel W, Schmeling A, Vieth V (2017) Forensic age estimation by magnetic resonance imaging of the knee: the definite relevance in bony fusion of the distal femoraland the proximal tibial epiphyses using closest-to-bone T1 TSE sequence. Eur Radiol 27:5041–5048CrossRef
23.
Zurück zum Zitat Terada Y, Kono S, Tamada D et al (2013) Skeletal age assessment in children using an open compactMRI system. Magn Reson Med 69:1697–1702CrossRef Terada Y, Kono S, Tamada D et al (2013) Skeletal age assessment in children using an open compactMRI system. Magn Reson Med 69:1697–1702CrossRef
24.
Zurück zum Zitat Ekizoglu O, Inci E, Ors S et al (2019) Forensic age diagnostics by magnetic resonance imaging of the proximal humeral epiphysis. Int J Legal Med 133(1):249–256CrossRef Ekizoglu O, Inci E, Ors S et al (2019) Forensic age diagnostics by magnetic resonance imaging of the proximal humeral epiphysis. Int J Legal Med 133(1):249–256CrossRef
25.
Zurück zum Zitat Ekizoglu O, Inci E, Ors S et al (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):241–248CrossRef Ekizoglu O, Inci E, Ors S et al (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):241–248CrossRef
27.
Zurück zum Zitat De Tobel J, Hillewig E, de Haas MB et al (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):2924–2935CrossRef De Tobel J, Hillewig E, de Haas MB et al (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):2924–2935CrossRef
28.
Zurück zum Zitat De Tobel J, Hillewig E, van Wijk M et al (2020) Staging clavicular development on MRI: pitfalls and suggestions for age estimation. J Magn Reson Imaging 51(2):377–388CrossRef De Tobel J, Hillewig E, van Wijk M et al (2020) Staging clavicular development on MRI: pitfalls and suggestions for age estimation. J Magn Reson Imaging 51(2):377–388CrossRef
29.
Zurück zum Zitat Dedouit F, Auriol J, Rousseau H, Rouge D, Crubezy E, Telmon N (2012) Age assessment bymagnetic resonance imaging of the knee: a preliminary study. Forensic Sci Int 217(232):e231–e237 Dedouit F, Auriol J, Rousseau H, Rouge D, Crubezy E, Telmon N (2012) Age assessment bymagnetic resonance imaging of the knee: a preliminary study. Forensic Sci Int 217(232):e231–e237
31.
Zurück zum Zitat Zember JS, Rosenberg ZS, Kwong S, Kothary SP, Bedoya MA (2015) Normal skeletal maturation and imaging pitfalls in the pediatric shoulder. Radiographics 35(4):1108–1122CrossRef Zember JS, Rosenberg ZS, Kwong S, Kothary SP, Bedoya MA (2015) Normal skeletal maturation and imaging pitfalls in the pediatric shoulder. Radiographics 35(4):1108–1122CrossRef
32.
Zurück zum Zitat Schmeling A, Schulz R, Reisinger W, Muhler 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 118:5–8CrossRef Schmeling A, Schulz R, Reisinger W, Muhler 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 118:5–8CrossRef
33.
Zurück zum Zitat 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 124:321–325CrossRef 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 124:321–325CrossRef
34.
Zurück zum Zitat Uysal Ramadan S, Gurses MS, Inanir NT, Hacifazlioglu C, Fedakar R, Hizli S (2017) Evaluation of the medial clavicular epiphysis according to the Schmeling and Kellinghaus method in living individuals: a retrospective CT study. Leg Med 25:16–22CrossRef Uysal Ramadan S, Gurses MS, Inanir NT, Hacifazlioglu C, Fedakar R, Hizli S (2017) Evaluation of the medial clavicular epiphysis according to the Schmeling and Kellinghaus method in living individuals: a retrospective CT study. Leg Med 25:16–22CrossRef
35.
Zurück zum Zitat Gurses MS, Inanir NT, Soylu E, Gokalp G, Kir E, Fedakar R (2017) Evaluation of the ossification of the medial clavicle according to the Kellinghaus substage system in identifying the 18-year-old age limit in the estimation of forensic age-is it necessary? Int J Legal Med 131(2):585–592CrossRef Gurses MS, Inanir NT, Soylu E, Gokalp G, Kir E, Fedakar R (2017) Evaluation of the ossification of the medial clavicle according to the Kellinghaus substage system in identifying the 18-year-old age limit in the estimation of forensic age-is it necessary? Int J Legal Med 131(2):585–592CrossRef
36.
Zurück zum Zitat Gurses MS, Inanir NT, Gokalp G, Fedakar R, Tobcu E, Ocakoglu G (2016) Evaluation of age estimation in forensic medicine by examination of medial clavicular ossification from thin-slice computed tomography images. Int J Legal Med 130(5):1343–1352CrossRef Gurses MS, Inanir NT, Gokalp G, Fedakar R, Tobcu E, Ocakoglu G (2016) Evaluation of age estimation in forensic medicine by examination of medial clavicular ossification from thin-slice computed tomography images. Int J Legal Med 130(5):1343–1352CrossRef
37.
Zurück zum Zitat Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174CrossRef Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174CrossRef
38.
Zurück zum Zitat 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 128:183–191CrossRef 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 128:183–191CrossRef
39.
Zurück zum Zitat 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(2):121–126CrossRef 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(2):121–126CrossRef
41.
Zurück zum Zitat Cunha E, Baccino E, Martrille L et al (2009) The problem of aging human remains and living individuals: a review. Forensic Sci Int 193(1–3):1–13CrossRef Cunha E, Baccino E, Martrille L et al (2009) The problem of aging human remains and living individuals: a review. Forensic Sci Int 193(1–3):1–13CrossRef
42.
Zurück zum Zitat 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 113:253–258CrossRef 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 113:253–258CrossRef
43.
Zurück zum Zitat Olze A, Schmeling A, Taniguchi M et al (2004) Forensic age estimation in living subjects: the ethnic factor in wisdom tooth mineralization. Int J Legal Med 118(3):170–173CrossRef Olze A, Schmeling A, Taniguchi M et al (2004) Forensic age estimation in living subjects: the ethnic factor in wisdom tooth mineralization. Int J Legal Med 118(3):170–173CrossRef
Metadaten
Titel
Applicability of proximal humeral epiphysis ossification for forensic age estimation according to the Vieth method: a 3.0 T MRI study
verfasst von
Hasan Baki Altinsoy
Murat Serdar Gurses
Publikationsdatum
17.02.2021
Verlag
Springer Medizin
Erschienen in
Rechtsmedizin / Ausgabe 1/2022
Print ISSN: 0937-9819
Elektronische ISSN: 1434-5196
DOI
https://doi.org/10.1007/s00194-021-00459-8

Weitere Artikel der Ausgabe 1/2022

Rechtsmedizin 1/2022 Zur Ausgabe

Rechtsprechung

Rechtsreport

Mitteilungen der Deutschen Gesellschaft für Rechtsmedizin

Mitteilungen der Deutschen Gesellschaft für Rechtsmedizin

Neu im Fachgebiet Rechtsmedizin