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Updated: Aug 6, 2026

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Decellularization-Based Quantification of Skeletal Muscle Fatty Infiltration
Published on: June 9, 2023
Association between age at death and modified intramuscular adipose tissue content derived from postmortem computed
Momone Kato1, Tomoko Nobuoka1, Reyhan Andika Firdausi2
1Division of Forensic Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.
Legal Medicine (Tokyo, Japan)
|July 20, 2026
Summary
Modified intramuscular adipose tissue content (mIMAC) shows a significant correlation with age at death in forensic settings. This novel soft tissue marker, assessed via postmortem CT scans, offers a new tool for age estimation in both sexes.
Area of Science:
- Forensic Anthropology
- Radiology
- Biomedical Engineering
Background:
- Age estimation is crucial for individual identification, yet soft tissue methods are limited.
- Modified intramuscular adipose tissue content (mIMAC) is a clinical marker for malnutrition in cancer patients.
- mIMAC is calculated from CT values of specific muscle and fat regions.
Purpose of the Study:
- To evaluate the applicability of mIMAC for age estimation in a forensic context.
- To investigate the correlation between mIMAC and age at death using postmortem CT (PMCT).
- To determine if mIMAC differs significantly between sexes.
Main Methods:
- Analysis of 229 postmortem CT (PMCT) images.
- Statistical correlation analysis between age at death and mIMAC values for each sex.
- Calculation of mIMAC using mean CT values from multifidus muscle and subcutaneous fat at L4.
Main Results:
- A statistically significant association was found between mIMAC and age at death in both males and females.
- mIMAC values derived from PMCT images showed significant sex-based differences.
- PMCT-mIMAC demonstrates potential as a reliable age estimation tool.
Conclusions:
- Modified intramuscular adipose tissue content (mIMAC) is a viable soft tissue marker for age estimation in forensic investigations.
- PMCT-mIMAC provides a novel approach for age assessment, complementing traditional hard tissue methods.
- Further research can refine mIMAC's utility in diverse forensic scenarios.
Keywords:
Age estimationForensic anthropologyForensic medicineModified intramuscular adipose tissue content (mIMAC)Postmortem computed tomography (PMCT)
