Ruder, Thomas D; Kuhnen, Saskia C; Zech, Wolf-Dieter; Klaus, Jeremias B; Lombardo, Paolo; Ith, Michael (2023). Standards of practice in forensic age estimation with CT of the medial clavicular epiphysis-a systematic review. International journal of legal medicine, 137(6), pp. 1757-1766. Springer 10.1007/s00414-023-03061-7
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The AGFAD (Arbeitsgemeinschaft für Forensische Alterdiagnostik, Study Group on Forensic Age Diagnostics) has published several recommendations regarding both technical aspects of computed tomography (CT) of the medial clavicular epiphysis (MCE) and the process of reading and interpreting the CT images for forensic age estimations (FAE). There are, however, no published recommendations regarding CT scan protocols and no dose reference values for CT of the MCE. The objective of this analysis was to assess adherence to AGFAD recommendations among practitioners of FAE and analyse reported dose-relevant CT scan parameters with the objective of helping to establish evidence-based dose reference values for FAE. A systematic literature search was conducted in PubMed and in Google Scholar with specific MeSH terms to identify original research articles on FAE with CT of the MCE from 1997 to 2022. A total of 48 studies were included. Adherence to AGFAD recommendations among practitioners of FAE is high regarding the use of Schmeling main stages (93%), bone window (79%), ≤ 1 mm CT slices (67%), axial/coronal CT images (65%), and Kellinghaus sub-stages (59%). The reporting of CT technique and CT dose-relevant scan parameters is heterogeneous and often incomplete in the current literature. Considering the success achieved by the AGFAD in creating standards of practice of FAE in living subjects, there is potential for the AGFAD to establish standards for radiation protection in FAE as well.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology 04 Faculty of Medicine > Service Sector > Institute of Legal Medicine > Forensic Medicine |
UniBE Contributor: |
Ruder, Thomas, Zech, Wolf-Dieter, Klaus, Jeremias Bendicht, Lombardo, Paolo, Ith, Michael |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
1437-1596 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
12 Sep 2023 10:25 |
Last Modified: |
12 Oct 2023 00:15 |
Publisher DOI: |
10.1007/s00414-023-03061-7 |
PubMed ID: |
37691040 |
Uncontrolled Keywords: |
CT parameters Computed tomography Forensic age estimation Medial clavicular epiphysis Systematic review |
BORIS DOI: |
10.48350/186217 |
URI: |
https://boris.unibe.ch/id/eprint/186217 |
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