Department of Forensic Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, U.P. 202002, India.
Department of Forensic Medicine, Maulana Azad Medical College, New Delhi, India.
Leg Med (Tokyo). 2022 Jul;57:102061. doi: 10.1016/j.legalmed.2022.102061. Epub 2022 Apr 6.
Recently, Olze et al. came up with a staging system based on the radiological changes in the root pulp of the third molar.
AIMS & OBJECTIVES: The current study seeks to ascertain the utility of visibility of the root pulp of the third molar as a system of forensic age estimation in the Indian population, as suggested by Olze. et al. and to assess the accuracy of cut-off stages for 18, 21, and 25 years of age.
Radio-visiogram of 220 Patients (116 males and 104 females) of age 15 to 30 years were examined and staged as per Olze. et al. stage-based system. The statistical methods included descriptive analysis, chi-square test, and Rank-order correlation [rho] test of Spearman. EasyROC web tool was used for ROC analyses and calculating ROC curves (AUCs), likelihood ratio, predictive values, and screening tests for accuracy. Youden's index was used to decide the cut-off stage for the different age groups.
Specificity close to 100% was observed among both the Sex for cut-off levels 1, 2, and 3 among 18, 21, and 25 years of age correspondingly with minimal Type II error. Inter andIntraobservations with a kappa value of 0.66 and 0.65, respectively, indicate good agreement.
Olze's third molar root pulp 1, 2, and 3 stages can be used as an optimal cut-off for the 18, 21, and 25-year-old thresholds correspondingly with high specificity for both the sexes for age estimation among the Indian population.
最近,Olze 等人提出了一种基于第三磨牙牙髓在放射学上变化的分期系统。
本研究旨在确定 Olze 等人提出的第三磨牙牙髓可视性作为印度人群法医学年龄估计系统的效用,并评估用于 18、21 和 25 岁的截止阶段的准确性。
检查了 220 名年龄在 15 至 30 岁的患者(116 名男性和 104 名女性)的放射影像学,并按照 Olze 等人的基于分期的系统进行分期。统计方法包括描述性分析、卡方检验和 Spearman 秩相关 [rho]检验。EasyROC 网络工具用于 ROC 分析和计算 ROC 曲线(AUC)、似然比、预测值和用于准确性的筛查试验。Youden 指数用于确定不同年龄组的截止阶段。
在 18、21 和 25 岁时,男性和女性的截止水平 1、2 和 3 的特异性均接近 100%,相应的 II 型错误最小。分别具有 0.66 和 0.65 的κ值的组内和组间观察结果表明具有良好的一致性。
Olze 的第三磨牙牙髓 1、2 和 3 期可作为 18、21 和 25 岁年龄截止的最佳截止点,对于印度人群的年龄估计,两性的特异性均较高。