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一种用于成年人死亡年龄估计的法医牙科学方法的可靠性：一项墨西哥案例研究。

Reliability of a forensic odontology method for age-at-death estimation in adults: A Mexican case study.

作者信息

Scendoni Roberto, Vázquez Israel Soriano, Arrais Ribeiro Isabella Lima, De Luca Stefano, Zolotenkova Galina V, Viva Serena, Kumagai Akiko, Cameriere Roberto

机构信息

Department of Law, Institute of Legal Medicine (AgEstimation Project), University of Macerata, Macerata, Italy.

Extraordinary Mechanism for Human Identification (MEIF) - United Nations Population Fund (UNFPA), Mexico.

出版信息

Forensic Sci Int Synerg. 2024 Jun 26;9:100484. doi: 10.1016/j.fsisyn.2024.100484. eCollection 2024.

DOI:10.1016/j.fsisyn.2024.100484
PMID:39041044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11260938/
Abstract

This study aimed to evaluate the reliability of an age estimation method based on the pulp⁄tooth area ratio by assessing intra- and inter-examiner agreement across five observers at different intervals. Using the same X-ray device and technical parameters, 96 digital periapical X-ray images of upper and lower canines were obtained from 28 deceased people in Central America, whose age at death ranged from 19 to 49 years. Excellent and good agreement of results were achieved, and there were no statistically significant differences. The R2 value for upper teeth (54.0%) was higher than the R2 value for lower teeth (45.7%). The highest intraclass correlation coefficient value was 0.995 (0.993-0.997) and the lowest 0.798 (0.545-0.895). Inter-examiner agreement was high with values of 0.975 (0.965-0.983) and 0.927 (0.879-0.955). This method is adequate for assessing age in missing and unidentified people, including victims of mass disasters.

摘要

本研究旨在通过评估五名观察者在不同时间间隔的检查者内和检查者间的一致性，来评价基于牙髓/牙齿面积比的年龄估计方法的可靠性。使用相同的X射线设备和技术参数，从28名中美洲死者身上获取了96张上下颌尖牙的数字化根尖X线影像，这些死者的死亡年龄在19至49岁之间。结果达成了优秀和良好的一致性，且无统计学显著差异。上颌牙齿的R2值（54.0%）高于下颌牙齿的R2值（45.7%）。最高组内相关系数值为0.995（0.993 - 0.997），最低为0.798（0.545 - 0.895）。检查者间一致性较高，值分别为0.975（0.965 - 0.983）和0.927（0.879 - 0.955）。该方法适用于评估失踪和身份不明人员的年龄，包括大规模灾难的受害者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/da21be87cd15/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/68857b116bd3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/586db7d38ffa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/0ca51318dec3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/144037176ede/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/da21be87cd15/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/68857b116bd3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/586db7d38ffa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/0ca51318dec3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/144037176ede/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754c/11260938/da21be87cd15/gr5.jpg

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本文引用的文献

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Int J Legal Med. 2024 Mar;138(2):451-465. doi: 10.1007/s00414-023-03110-1. Epub 2023 Oct 20.
2
Operational Health Pavilions in Mass Disasters: Lessons Learned from the 2023 Earthquake in Turkey and Syria.大规模灾难中的运营健康馆：从2023年土耳其和叙利亚地震中汲取的教训
Healthcare (Basel). 2023 Jul 17;11(14):2052. doi: 10.3390/healthcare11142052.
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Validity of age estimation methods and reproducibility of bone/dental maturity indices for chronological age estimation: a systematic review and meta-analysis of validation studies.
年龄评估方法的有效性和骨/牙成熟度指标对实际年龄评估的可重复性：验证研究的系统评价和荟萃分析。
Sci Rep. 2022 Sep 16;12(1):15607. doi: 10.1038/s41598-022-19944-5.
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The Application of the Cameriere's Methodologies for Dental Age Estimation in a Select KwaZulu-Natal Population of South Africa.卡梅里埃方法在南非夸祖鲁-纳塔尔特定人群中用于牙齿年龄估计的应用
Dent J (Basel). 2022 Jul 8;10(7):130. doi: 10.3390/dj10070130.
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