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用鲁米诺化学发光法测定骨骼遗骸年代。有效性、观察者内部及观察者间误差。

Dating skeletal remains with luminol-chemiluminescence. Validity, intra- and interobserver error.

作者信息

Ramsthaler F, Kreutz K, Zipp K, Verhoff M A

机构信息

Center of Legal Medicine, Institute of Forensic Medicine, Johann Wolfgang Goethe University Frankfurt, Kennedy Allee 104, 60596 Frankfurt Main, Germany.

出版信息

Forensic Sci Int. 2009 May 30;187(1-3):47-50. doi: 10.1016/j.forsciint.2009.02.015. Epub 2009 Mar 25.

Abstract

UNLABELLED

Amongst numerous other morphological, chemical, physical, and histological dating methods, the assessment of the chemiluminescence of weathered organic traces on bone finds by means of the luminol reaction is common practice. Opinion differs on the diagnostic value of this procedure for differentiating between historical and recent skeletonized human remains.

DESIGN

Chemiluminescence (CL) was tested in randomized, blind experiments on pulverized bone samples with known postmortem intervals from four different periods (1st-3rd century, 1878-1902, 1965-1972, 1995-2003). In addition to determining the sensitivity and specificity of the CL-analysis, likelihood ratios and predictive values were calculated. The degree of interobserver and intraobserver agreement was determined using Kappa statistics.

RESULTS

Based on our sample, we found false positive results in approximately 7.5% of all examined historical cases and false negative results in approximately 15% of the recent samples. Altogether, a correct classification of 88.75% (overall classification) was found (sensitivity=0.85, specificity=0.925; likelihood ratio=11.3; odds ratio=69.8). Taking a-priori probabilities into consideration (prevalence for recent=26%), a positive predictive value (PPV) of only 79.9% could be calculated, while the negative predictive value (NPV) lay at 94.6%. The results from subsequent Kappa statistics further illustrated that the quality of the results was, on the whole, observer independent (kappa=0.93; 95% CI=0.84-1.0). Intraobserver bias calculation yielded a value of kappa=0.975 (95% CI=0.92-1.0).

CONCLUSION

The analysis of CL on dry bones in determining the postmortem interval is not valid as an only method. In other respects, the luminol test is reproducible, repeatable and cost-effective and could help in assessing the postmortem interval (PMI). The results of this study document the potential danger of forensically relevant cases being erroneously sorted out if further examinations do not take place. We would like to emphasize that still only a combination of different methods including the analysis of environmental conditions and the interpretation of the anthropological profile can allow an acceptable estimate of the PMI from skeletonized remains, even if the methodological spectrum is being expanded by different absolute dating methods using radionuclide techniques.

摘要

未标注

在众多其他形态学、化学、物理和组织学断代方法中,通过鲁米诺反应评估骨化石上风化有机痕迹的化学发光是常用做法。对于该方法在区分历史时期和近期骨骼化人类遗骸方面的诊断价值,存在不同观点。

设计

在随机、盲法实验中,对来自四个不同时期(公元1 - 3世纪、1878 - 1902年、1965 - 1972年、1995 - 2003年)且已知死后间隔时间的粉碎骨样本进行化学发光(CL)测试。除了确定CL分析的敏感性和特异性外,还计算了似然比和预测值。使用卡方统计量确定观察者间和观察者内的一致性程度。

结果

基于我们的样本,我们发现在所有检测的历史案例中约7.5%出现假阳性结果,在近期样本中约15%出现假阴性结果。总体而言,正确分类率为88.75%(总体分类)(敏感性 = 0.85,特异性 = 0.925;似然比 = 11.3;优势比 = 69.8)。考虑先验概率(近期患病率 = 26%),计算出的阳性预测值(PPV)仅为79.9%,而阴性预测值(NPV)为94.6%。后续卡方统计结果进一步表明,总体而言结果质量与观察者无关(卡方 = 0.93;95%置信区间 = 0.84 - 1.0)。观察者内偏差计算得出卡方值为0.975(95%置信区间 = 0.92 - 1.0)。

结论

通过分析干骨上的化学发光来确定死后间隔时间,作为唯一方法是无效的。在其他方面,鲁米诺测试具有可重复性、可复验性且成本效益高,有助于评估死后间隔时间(PMI)。本研究结果表明,如果不进行进一步检查,法医相关案件可能会被错误分类。我们强调,即使使用放射性核素技术的不同绝对断代方法正在扩展方法范围,但目前仍然只有将包括环境条件分析和人类学特征解读在内的不同方法结合起来,才能对骨骼化遗骸的PMI进行可接受的估计。

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