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基于当代马来西亚人群临床MDCT扫描分析的耻骨联合变形量化研究

Quantification of Pubic Symphysis Metamorphosis Based on the Analysis of Clinical MDCT Scans in a Contemporary Malaysian Population.

作者信息

Hisham Salina, Abdullah Nurliza, Mohamad Noor Mohamad Helmee, Franklin Daniel

机构信息

Centre for Forensic Anthropology, M420, The University of Western Australia, 35 Stirling Highway, Crawley, Western Australia, 6009, Australia.

Department of Forensic Medicine, Hospital Sultanah Aminah, Ministry of Health Malaysia, Persiaran Abu Bakar Sultan, 80100 Johor Bahru, Johor, Malaysia.

出版信息

J Forensic Sci. 2019 Nov;64(6):1803-1811. doi: 10.1111/1556-4029.14125. Epub 2019 Jul 16.

DOI:10.1111/1556-4029.14125
PMID:31310668
Abstract

Forensic age estimation methods are biased to sex and population; in general, accuracy is reduced when applied to foreign populations. This study assessed the accuracy of the Suchey-Brooks method in contemporary Malaysian individuals and aimed to formulate population-specific standards. Multi-detector computed tomography scans of 355 individuals (165 male; 190 female) of 15-83 years of age were reconstructed using 3D-volumetric rendering in RadiAnt. Pubic symphyseal phase, bias, inaccuracy, and percentage correct age classifications are examined. Transition analysis was used to develop age estimation standards. High observer agreement (κ = 0.763-0.832) and a positive relationship between age and pubic symphyseal phase (r = 0.884-0.90) were demonstrated. Mean inaccuracies were 8.62 and 8.95 years for males and females, respectively; overall correct classification was 97.8%. Transition ages between phases in males were 18.79, 23.29, 28.85, 43.64, and 61.15 years; in females, the corresponding data were 19.77, 22.53, 32.62, 41.85, and 57.39 years.

摘要

法医年龄估计方法存在性别和人群偏差;一般来说,应用于外国人群时准确性会降低。本研究评估了苏切伊 - 布鲁克斯方法在当代马来西亚个体中的准确性,并旨在制定针对特定人群的标准。使用RadiAnt中的三维容积重建技术,对355名年龄在15至83岁之间的个体(165名男性;190名女性)进行了多探测器计算机断层扫描。检查了耻骨联合阶段、偏差、不准确程度以及年龄分类正确百分比。采用过渡分析来制定年龄估计标准。结果显示观察者之间具有高度一致性(κ = 0.763 - 0.832),且年龄与耻骨联合阶段之间存在正相关关系(r = 0.884 - 0.90)。男性和女性的平均不准确程度分别为8.62岁和8.95岁;总体正确分类率为97.8%。男性各阶段之间的过渡年龄分别为18.79岁、23.29岁、28.85岁、43.64岁和61.15岁;女性相应的数据分别为19.77岁、22.53岁、32.62岁、41.85岁和57.39岁。

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