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坦纳和怀特豪斯骨骼年龄测定方法在法医年龄诊断中的适用性。

Applicability of the skeletal age determination method of Tanner and Whitehouse for forensic age diagnostics.

作者信息

Schmidt Sven, Nitz Inna, Schulz Ronald, Schmeling Andreas

机构信息

Institut für Rechtsmedizin, Charité-Universitätsmedizin Berlin, Turmstrasse 21, 10559 Berlin, Germany.

出版信息

Int J Legal Med. 2008 Jul;122(4):309-14. doi: 10.1007/s00414-008-0237-3. Epub 2008 May 6.

Abstract

The present paper analyses the applicability of the clinically prevalent skeletal age determination method of Tanner and Whitehouse for forensic age estimation in living individuals. For this purpose, the hand X-rays from 48 boys and 44 girls aged 12-16 years were evaluated retrospectively. The minima and maxima, the mean values with their standard deviations as well as the medians with upper and lower quartiles, are presented for the skeletal ages 12-16 years estimated by the TW2 and TW3 methods. In the legally relevant skeletal age group 14-16 years, the differences between the skeletal age and the mean value of the chronological age were between -0.1 and +1.4 years for the TW2 method. For the TW3 method, the differences between the skeletal age and the mean value of the chronological age were between -0.4 and +0.2 years in the relevant age group. Due to the risk of serious overestimations, the TW2 method seems to be unsuitable for forensic age diagnostics. The application of the TW3 method for forensic age estimations can be recommended.

摘要

本文分析了临床上普遍使用的坦纳(Tanner)和怀特豪斯(Whitehouse)骨骼年龄测定方法在活体个体法医年龄估计中的适用性。为此,对48名年龄在12至16岁的男孩和44名年龄在12至16岁的女孩的手部X光片进行了回顾性评估。给出了通过TW2和TW3方法估计的12至16岁骨骼年龄的最小值和最大值、均值及其标准差,以及中位数和上下四分位数。在法律相关的骨骼年龄组14至16岁中,TW2方法的骨骼年龄与实际年龄均值之间的差异在-0.1至+1.4岁之间。对于TW3方法,在相关年龄组中,骨骼年龄与实际年龄均值之间的差异在-0.4至+0.2岁之间。由于存在严重高估的风险,TW2方法似乎不适用于法医年龄诊断。可以推荐将TW3方法用于法医年龄估计。

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