Cameriere Roberto, Scendoni Roberto, Ferrante Luigi, Mirtella Dora, Oncini Luigi, Cingolani Mariano
Department of Medicine and Health Sciences, agEstimation Project, University of Molise, via Cesare Gazzani, 86100 Campobasso, Italy.
Department of Law, Institute of Legal Medicine, agEstimation Project, University of Macerata, via Don Minzoni 9, 62100 Macerata, Italy.
Healthcare (Basel). 2023 Jan 11;11(2):224. doi: 10.3390/healthcare11020224.
This article presents an effective model for estimating the age of subjects without identification documents, in accordance with Italian legislation covering unaccompanied minors, using instrumental methods recognized by the scientific community for age estimation. A decision-making tree has been developed, in which the first step is a physical examination. If secondary sexual characteristics are fully developed and there are no obvious signs of abnormal growth, dental X-rays are the next step. If the roots of the seven left mandibular teeth between the central incisor and the second molar are completely developed, the focus then moves to the third molar. If the index of the third molar (I) value is less than 0.08, or if third molars are not assessable, the following step is to study the clavicle which, if fully formed, indicates that the subject is an adult with 99.9% probability; otherwise, the probability is 96%. In all other cases (where the I is over 0.08), the probability that the subject has reached 18 years is less than 60%. The research, carried out initially on x-rays of the wrist, teeth and clavicle, highlighted the uselessness of the x-ray of the wrist for determining the age of majority, because in our sample, all subjects with incomplete maturity of hand/wrist bones were under 16 years of age; thus, OPT was necessary anyway. What we propose is a practical, easily feasible, fast, economical, and extremely reliable method, which can be used on Caucasian populations and beyond for multiple forensic purposes.
本文提出了一种有效的模型,用于根据意大利关于无人陪伴未成年人的立法,使用科学界认可的年龄估计工具方法,对没有身份证件的受试者进行年龄估计。已开发出一种决策树,第一步是体格检查。如果第二性征完全发育且没有明显的异常生长迹象,下一步是进行牙科X光检查。如果左下颌中切牙和第二磨牙之间的七颗牙齿的牙根完全发育,则重点转向第三磨牙。如果第三磨牙的指数(I)值小于0.08,或者第三磨牙无法评估,则下一步是研究锁骨,如果锁骨完全形成,则表明受试者有99.9%的概率为成年人;否则,概率为96%。在所有其他情况下(I大于0.08),受试者年满18岁的概率小于60%。最初对手腕、牙齿和锁骨的X光片进行的研究表明,手腕X光片对于确定成年年龄毫无用处,因为在我们的样本中,所有手/腕骨未完全成熟的受试者都未满16岁;因此无论如何都需要进行OPT。我们提出的是一种实用、易于实施、快速、经济且极其可靠的方法,可用于白种人群及其他人群,以实现多种法医目的。