Institute of Legal Medicine, University Hospital Münster, Röntgenstraße 23, 48149, Münster, Germany.
Department of Clinical Radiology, Translational Research Imaging Center (TRIC), University Hospital Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
Int J Legal Med. 2020 Nov;134(6):2283-2288. doi: 10.1007/s00414-020-02425-7. Epub 2020 Sep 17.
Dental methods are an important element of forensic age assessment of living persons. After the development of all the teeth, including third molars, is completed, degenerative characteristics can be used to assess age. The radiologically detectable reduction of the dental pulp cavity has been described as such a feature. We investigated the suitability of ultrahigh field 9.4 T ultrashort time echo (UTE) magnetic resonance imaging (MRI) for the evaluation of pulp cavity volume in relation to the total tooth volume in 4 extracted human teeth. The volume calculations were performed after semi-automatic segmentation by software AMIRA using the different intensities of the structures in the MRI dataset. The automatically selected intensity range was adjusted manually to the structures. The visual distinction of pulp and tooth structure was possible in all cases with in-plane resolution < 70 μm. Ratios of tooth/pulp volume were calculated, which could be suitable for age estimation procedures. Intensity shifts within the pulp were not always correctly assigned by the software in the course of segmentation. 9.4 T UTE-MRI technology is a forward-looking, radiation-free procedure that allows the volume of the dental pulp to be determined at high spatial resolution and is thus potentially a valuable instrument for the age assessment of living persons.
牙科方法是法医学活体年龄评估的重要因素。在所有牙齿(包括第三磨牙)发育完成后,可以使用退行性特征来评估年龄。已经描述了牙髓腔的放射可检测到的减少是这种特征。我们研究了超高场 9.4 T 超短回波(UTE)磁共振成像(MRI)在评估与总牙体积相关的牙髓腔体积方面的适用性,使用不同的结构强度在 MRI 数据集上进行半自动分割。自动选择的强度范围手动调整到结构上。在所有情况下,平面分辨率 < 70 μm 都可以实现牙髓和牙齿结构的视觉区分。计算了牙/牙髓体积比,这些比可适用于年龄估计程序。在分割过程中,软件并不总是能正确分配牙髓内的强度变化。9.4 T UTE-MRI 技术是一种有前途的、无辐射的方法,可在高空间分辨率下确定牙髓体积,因此有可能成为活体年龄评估的有价值工具。