通过CT评估的头骨关节用于年龄估计 - - 一项系统性审查
Fernanda Macedo1, Maria Eduarda Stefanel1, Adriano Sakurada1
1Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Campinas, SP, Brazil.
Dento maxillo facial radiology
|February 10, 2025
概括
脊柱关节可靠地通过计算机断层扫描 (CT) 来估计青少年和年轻人的年龄. 由于准确性问题,不建议将头骨作为鞋底年龄标志物.
科学领域:
- 法医人类学 法医人类学
- 放射学 放射学是一门学科.
- 人类骨科人类骨科
背景情况:
- 准确的年龄估计在法医科学中至关重要.
- 头骨关节,特别是头骨和尾结合症,已被研究为潜在的年龄指标.
- 计算机断层扫描 (CT) 提供了这些解剖结构的详细可视化.
研究的目的:
- 系统地审查和评估头骨关节作为生物标记物的可靠性,以使用CT来估计年龄.
- 综合关于尾关节和骨 sutures 在年龄确定有效性的证据.
主要方法:
- 按照PRISMA指南,在五个数据库中进行了系统的文献搜索.
- 符合条件的研究是使用CT评估头骨关节以估计年龄的观察性,横截面研究.
- 使用Joanna Briggs Institute (JBI) 批判性评估工具进行了偏差风险评估.
主要成果:
- 十五项研究符合纳入标准,重点是尾关节 (53.33%) 和部 sutures (46.66%).
- 多切片CT用薄切片 (<1mm) 是主要的成像技术.
- 尾关节对年龄估计有希望,尽管注意到局限性. 部 sutures 显示不满意的准确性和高错误的风险,导致他们的唯一使用的劝阻.
结论:
- 尾关节是青少年和年轻成年人年龄估计的支持法医工具,承认融合年龄的变化.
- 由于准确性不佳和重大错误潜力,不建议将部作为独立的年龄估计标记物.
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