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Age estimation by evaluating median palatine suture closure using postmortem CT.
Susumu Kobayashi1, Yohsuke Makino2,3, Suguru Torimitsu2,3
1Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. grazie49@gmail.com.
International Journal of Legal Medicine
|April 19, 2023
Summary
Researchers developed an age-estimation formula using median palatine suture (MP) closure on postmortem CT scans. This method accurately estimates age for unidentified corpses, aiding forensic identification.
Area of Science:
- Forensic Anthropology
- Radiology
- Anatomical Imaging
Background:
- Accurate age estimation is crucial in forensic investigations.
- Assessing skeletal maturity and degenerative changes are common methods.
- Median palatine suture (MP) closure offers a potential indicator for age estimation.
Purpose of the Study:
- To develop and validate an age-estimation formula based on median palatine suture (MP) closure.
- To evaluate the utility of postmortem computed tomographic (PMCT) images for this purpose.
- To correlate MP suture closure with chronological age in a Japanese population.
Main Methods:
- Examined PMCT images of 634 Japanese subjects with known age and sex.
- Measured and scored the suture closure of the MP, anterior median palatine suture (AMP), and posterior median palatine suture (PMP).
- Performed linear regression analysis to develop an age-estimation formula using the suture closure score (SCS).
Main Results:
- SCS of MP, AMP, and PMP showed significant correlation with age (p < 0.001).
- MP exhibited the highest correlation coefficients (0.760 male, 0.803 female, 0.779 total).
- Developed regression formulas for age estimation based on MP closure, with SEE ranging from 14.12 to 14.87 years. Validation showed 72% of subjects within estimated age ± SEE.
Conclusions:
- An age-estimation formula using PMCT-based MP suture closure is a potentially useful tool.
- This method can aid in estimating the age of unidentified individuals.
- The findings support the use of MP closure in forensic age assessment.

