Estimation of Forensic Age from Bony Fusion of Distal Femoral and Proximal Tibial Epiphyses by MRI of the Knee

S. Chowdhuri, Saikat Das, R. Ghosh
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Abstract

To test the relevance of bony fusion of distal femoral and proximal tibial epiphysis by means of Magnetic Resonance Imaging (MRI), a cross-sectional study was performed to determine the reliability of 16 and 18 years of life. Methodology: We scanned 140 Indian (Bengali) subjects in the age bracket of 3 and 35 using 1.5 T MR-scanner utilising T1 turbo spin-echo sequence representing true bone anatomy, in the Indian Bengali population. Minimum, maximum, mean and standard deviation were defined. Bony fusion took place before the 18 year of life. Intraand interobserver agreements were determined by calculating the kappa coefficients. Bony fusion of distal femoral and proximal tibial epiphyses in 1.5 Tesla MRI is useful only to a certain extent in determining age 16 to 17 years of life in both sexes, but completion of 18 year of life cannot be solely determined by MRI from bony fusion of knee.
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用膝关节MRI估计股骨远端和胫骨近端骨骺骨融合的法医年龄
为了通过磁共振成像(MRI)测试股骨远端和胫骨近端骨骺骨融合的相关性,进行了一项横断面研究,以确定16年和18年寿命的可靠性。方法:我们使用1.5 T磁共振扫描仪扫描了140名年龄在3岁和35岁之间的印度(孟加拉)受试者,该磁共振扫描仪利用T1涡轮自旋回波序列代表了真实的骨骼解剖结构。定义最小值、最大值、平均值和标准差。骨融合发生在18岁之前。通过计算kappa系数来确定观察者内部和观察者之间的一致性。1.5特斯拉MRI股骨远端和胫骨近端骨骺骨融合仅在一定程度上有助于确定男女16至17岁的生活,但18岁的生活完成不能仅由膝关节骨融合的MRI来确定。
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