ACCURACY OF AGE ESTIMATION USING MAGNETIC RESONANCE IMAGING(MRI) AMONG 12-19 YEARS OLD ADOLESCENTS AT SAINT PAUL’S HOSPITAL MELLINIUM MEDICAL COLLEGE.

etenesh tewolde tesfahunegn | Bio
Saint Paul's Hospital Mellinium Medical College
Share:
  • Articles
  • Submited: May 10, 2018
  • Published: October 1, 2019

Abstract

ABSTRACT

          Background

                In forensic practice as well as in football players, there is a growing need for accurate methods of age estimation.

 Age can be estimated through somatic features that are universally considered associated with chronological age. Unfortunately these features do not always coincide with the real chronological age for these reasons that age determination is often very difficult.

Our aim is to evaluate accuracy of skeletal age estimation using Tomei’s MRI method in subjects 12-19 yrs old.

Method

       MRI images of the left wrist of 90 females and 86 males, without chronic disease or developmental disorders, among adolescents aged  12 to 19years were analyzed.

      A 1.5Tesla MRI scanner was used for the study. 

      Skeletal maturation was determined by the principal Investigator in blinded fashion to the chronological age using Tomei’s MRI atlas.

 Bland-Altman plots were used to determine mean differences between skeletal and chronological age.

Results

     Bland –Altman analysis demonstrated that the differences between chronological and skeletal age are not significant.

Spearman’s correlation coefficient showed good correlation between skeletal and chronological age both in females(spearman’s rho=0.952) and in males(spearman’s rho=0.955)

Pearson’s coefficient also showed a good linear correlation for (females=0.955 and for males=0.951).

Conclusions

Our result showed that MRI skeletal age has good correlation with chronological age and the Tomei’s MRI atlas method may assume an important role in forensic age estimation, as MRI does not use ionizing radiation and is fundamentally more accurate than x-ray due to its high contrast resolution.

Keywords:- Age estimation, MRI, forensic.

Downloads

Download data is not yet available.

References

  1. 0 References
  2. Text-Atlas of skeletal age Determination, Ernesto Tomei, Sofia Battisti, Mivia Martino, Daniel B. Nissman, Richard C.Semelka.
  3. UNICEF (2007) Progress for children—a world fit for children statistical review. United Nations Children’s Fund, New York
  4. Schmeling A, Grundmann C, Fuhrmann A, Kaatsch HJ, Knell B, Ramsthaler F et al (2008) Criteria for age estimation in living individuals. Int J Legal Med 122(6):457–460. doi:10.1007/s00414-008-0254-2
  5. Separated Children in Europe Programme—Thematic Group on Age Assessment (2011) Review of current laws, policies and practices relating to age assessment in sixteen European Countries. http://www.separated-children-europe-pogramme.org/publications/reports/Age_Assessment_report_review_of_current_policies_and_practice_in_Europe_2011_pdf.pdf. doi:10.1542/peds.2011-2381
  6. Schmeling A, Olze A, Reisinger W, Geserick G (2001) Age estimation of living people undergoing criminal proceedings. Lancet 358(9276):89–90
  7. Schmeling A, Olze A, ReisingerW, Geserick G (2004) Forensic age diagnostics of living people undergoing criminal proceedings. Forensic Sci Int 144(2–3):243–245
  8. Malina RM, Bouchard C, Bar-Or O, McGraw KA, McGraw C (2004) Growth, maturation, and physical activity. Human Kinetics, Champaign
  9. Loder RT, Estle DT, Morrison K, Eggleston D, Fish DN, Greenfield ML et al (1993) Applicability of the Greulich and Pyle skeletal age standards to black and white children of today. Am J Dis Child 147(12):1329–1333
  10. Ontell FK, Ivanovic M, Ablin DS, Barlow TW (1996) Bone age in children of diverse ethnicity.AJR. Am J Roentgenol 167(6):1395–1398
  11. Zhang A, Sayre JW, Vachon L, Liu BJ, Huang HK (2009) Racial differences in growth patterns of children assessed on the basis of bone age. Radiology 250(1):228–235. doi:10.1148/radiol.
  12. Bogin B, Loucky J (1997) Plasticity, political economy, and physical growth status of GuatemalaMaya children living in the United States. Am J Phys Anthropol 102(1):17–32
  13. 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
  14. Schmeling A, Reisinger W, Geserick G, Olze A (2006) Age estimation of unaccompanied minors. Part I. General considerations. Forensic Sci Int 159(Suppl 1):S61–S64
  15. Cameriere R, De Luca S, Biagi R, Cingolani M, Farronato G, Ferrante L (2012) Accuracy of three age estimation methods in children bymeasurements of developing teeth and carpals and epiphyses of the ulna and radius. J Forensic Sci 57(5):1263–1270. doi:10.
  16. /j.1556-4029.2012.02120.x
  17. Accuracy of MRI in skeletal age determination Article in Deutsche Zeitschrift für die Gesamte Gerichtliche Medizin • February 2015 Impact Factor: 2.71 • DOI: 10.1007/s00414-015-1161-y • Source: PubMed, Valeria panebianlo, Fulvio Zaccagna, Sofia Battisti, Ernesto Tomei.
  18. Daniel Z., Yeweynhareg F., Daniel a., Tezera C. practical guideline for age determination Nov, 2007(unpublished)
  19. Aschutoshsrivastav, p.k. araswat, s.k. Agrawal. P.Gupta, Astudy of wrist ossification for age estimation.
  20. National law and policies on minimum ages-Ethiopia, http://right-to-education.org
  21. The criminal code of the federal democratic republic of Ethiopia, proclamation No. 414/2004.
  22. Cross TM Smart RC, Thomson JEM(2003) Exposure to diagnostic ionizing radiation in sports medicine: assessing and monitoring the risk, Clin J Sport med 13(3); 164-70
  23. Eik vil L, K vaal SI, Grogaard J(2012) Age estimation in youths and young adults, A summary of the needs for methodological research and development. Publication number Samba/52/12. A viable http//publications. Nr.no/1355995517/Age-estimation-method-Eik vil.pdf
  24. IAEA(2011) Radiation protection and safety of radiation Sources: International basic safety standards- Interim Edition veinna, http://WWW.ilo.org/wcmpsp5/groups/public@ed protect/@protrav/@safework/documents/publication/wcms 171036.pdf
  25. EURATOM(2010) Draft Euratom basic safety standard directive.http://ec.europa.eu/energy/nuclear/radiation-protection/doc/art 31/2010_02_24_draft_euratom¬¬_basic safety_standards_directive.pdf
  26. Schmidts, Nitz I, Schulz R, Schmeling A(2008) studies in use of the Greulich-pyle skeletal age method to assess criminal liability. Legal med(Tokyo)1014):190-195
  27. Schmidt S, Nitz I, Schulz R, Schmeling A(2008) Applicability of the skeletal age determination method of Tanner and Whitehouse for forensic age diagnostics. Int J. Legal med 122(4): 309-314
  28. Dvorak J, George J, Junge A, Holder J(2007) Age determination by magnetic resonance imaging of the wrist in adolescent male footblall players, Br J Sports med 4(1): 45-52
  29. Dvorak J, George J, Junge A, Holder J(2007) Application of MRI of the wrist for age determination in international u-17 soccer competitions Br J sports med 41(8):497-500
  30. Tereda Y, Kono S, Tamada D, Uchiumi T, Kose K, Miyagi R, Yamabe E, Yoshioka H(2013) skeletal age estimation in children using an open compact MRI system.Magn Reson Med 69(6):1697-1702
How to Cite
tesfahunegn, etenesh tewolde. (2019). ACCURACY OF AGE ESTIMATION USING MAGNETIC RESONANCE IMAGING(MRI) AMONG 12-19 YEARS OLD ADOLESCENTS AT SAINT PAUL’S HOSPITAL MELLINIUM MEDICAL COLLEGE. Ethiopian Medical Journal, 57(4). Retrieved from https://mail.emjema.org/index.php/EMJ/article/view/985

Send mail to Author


Send Cancel