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12.06.2017 | Original Article

Comparison of imaging planes during CT-based evaluation of clavicular ossification: a multi-center study

verfasst von: Philipp Scharte, Volker Vieth, Ronald Schulz, Frank Ramsthaler, Klaus Püschel, Thomas Bajanowski, Heidi Pfeiffer, Andreas Schmeling, Sven Schmidt, Daniel Wittschieber

Erschienen in: International Journal of Legal Medicine | Ausgabe 5/2017

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Abstract

Determining the ossification stage of the medial clavicular epiphysis by computed tomography represents the currently recommended methodology for the question of whether a living individual has completed the 18th or 21st year of life. In the present study, thin-slice CT scans of 1078 sternoclavicular joints were reconstructed in axial and coronal image series and evaluated according to the two classification systems established for age diagnostics using the clavicle. Both image series (axial and coronal) were analyzed separately. When comparing the results of axial and coronal view, a different ossification stage was found in 35.6% of the clavicles. The results suggest an influence of the imaging plane on the process of stage determination. In order to further approximate the three-dimensional and asymmetrical structure of the epiphyseal ossification center, the usage of at least two different reformation types may be recommended. In practice, only those reference studies should be applied which exactly employed the same number and orientations of the reformation types that are going to be used in the respective routine case.

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Titel: Comparison of imaging planes during CT-based evaluation of clavicular ossification: a multi-center study
verfasst von: Philipp Scharte
Volker Vieth
Ronald Schulz
Frank Ramsthaler
Klaus Püschel
Thomas Bajanowski
Heidi Pfeiffer
Andreas Schmeling
Sven Schmidt
Daniel Wittschieber
Publikationsdatum: 12.06.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: International Journal of Legal Medicine / Ausgabe 5/2017
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI: https://doi.org/10.1007/s00414-017-1615-5

Springer Medizin

Comparison of imaging planes during CT-based evaluation of clavicular ossification: a multi-center study

Abstract

Neu im Fachgebiet Rechtsmedizin

Molekularpathologische Untersuchungen im Wandel der Zeit

Vergleichende Pathologie in der onkologischen Forschung

Gastrointestinale Stromatumoren

Personalisierte Medizin in der Onkologie

Springer Medizin

Abstract

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