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土耳其儿童Cameriere法、改良Cameriere法以及Willems和Blenkin-Evans法准确性的评估

Evaluation of the Accuracy of Cameriere, Modified Cameriere and Willems and Blenkin-Evans Methods for Turkish Children.

作者信息

Şahin Tuğçe Nur, Güleç Melike

机构信息

Ahmet Keleşoğlu Faculty of Dentistry, Department of Pediatric Dentistry, Karamanoğlu Mehmetbey University, Karaman, Turkiye.

Ahmet Keleşoğlu Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Karamanoğlu Mehmetbey University, Karaman, Turkiye.

出版信息

Int Dent J. 2025 Feb;75(1):295-304. doi: 10.1016/j.identj.2024.11.015. Epub 2024 Dec 31.

Abstract

OBJECTIVE

Age determination aims to determine an individual's physiological age without information about the individual's chronological age (CA) or in forensic situations in a way that does not cause loss of legal rights. The study aimed to evaluate the suitability of Cameriere (CM), Modified Cameriere (MCM) for Turkish children, Willems (WM), and Blenkin-Evans methods (BEM) for Turkish children.

DESIGN

A total of 616 Panoramic images of 321 female and 295 male healthy children from the Central Anatolia region aged between 6 and 14.99 years were used for the study. Individuals were grouped according to their age and gender (18 groups). Kruskal-Wallis test was used to evaluate the appropriateness of the methods, and intra- and interobserver agreement was statistically evaluated using the Intra-Interclass Correlation Coefficient (ICC) (p < .05).

RESULTS

The CA- estimated age (EA) difference was underestimated by 0.49, 0.45, and 0.20 years with MCM, WM, and BEM, respectively, and overestimated by 0.22 years with CM for girls; underestimated by 0.52, 0.43, and 0.12 years with MCM, WM, and BEM, respectively, and overestimated by 0.17 years with CM for boys (p < .005).

CONCLUSION

If groups are evaluated separately, the closest results to CA for both sexes were obtained with CM. However, when the mean age difference for all age groups is evaluated by gender, the closest results to all individuals' CA were obtained using the BEM. Accordingly, if it is desired to modify a valid age determination method for a population, children from different provinces should be included in the sample group, especially in countries like Turkiye, where many different ethnic origins live together.

摘要

目的

年龄判定旨在在不了解个体实际年龄(CA)的情况下确定其生理年龄,或在法医情境中以不导致法律权利丧失的方式进行判定。本研究旨在评估卡梅里埃方法(CM)、改良卡梅里埃方法(MCM)对土耳其儿童的适用性,以及威廉姆斯方法(WM)和布伦金 - 埃文斯方法(BEM)对土耳其儿童的适用性。

设计

本研究使用了来自安纳托利亚中部地区的321名女性和295名男性健康儿童的616张全景图像,这些儿童年龄在6至14.99岁之间。个体按年龄和性别分组(共18组)。采用克鲁斯卡尔 - 沃利斯检验评估这些方法的适用性,并使用组内 - 组间相关系数(ICC)对观察者内和观察者间的一致性进行统计学评估(p < 0.05)。

结果

对于女孩,MCM、WM和BEM估计年龄(EA)与CA的差异分别低估了0.49岁、0.45岁和0.20岁,CM高估了0.22岁;对于男孩,MCM、WM和BEM分别低估了0.52岁、0.43岁和0.12岁,CM高估了0.17岁(p < 0.005)。

结论

如果分别评估各个组,两性中与CA最接近的结果是通过CM获得的。然而,当按性别评估所有年龄组的平均年龄差异时,使用BEM获得的结果与所有个体的CA最接近。因此,如果希望针对特定人群修改有效的年龄判定方法,样本组应纳入来自不同省份的儿童,尤其是在像土耳其这样有许多不同种族共同生活的国家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5787/11806340/65ec487260d5/gr1.jpg

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