ArticleForensic science, medicine, and pathology2014
The value of sub-stages and thin slices for the assessment of the medial clavicular epiphysis: a prospective multi-center CT study.
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56 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- I.O.F.O.S. Recommendations for quality assurance: Bone age assessment in living individuals.The Journal of forensic odonto-stomatology · 2026Guideline
- I.O.F.O.S. Recommendations for Quality Assurance: Dental Age Assessment in Living Individuals.The Journal of forensic odonto-stomatology · 2026Guideline
- Combining medial clavicular epiphysis ossification and clavicle length on conventional radiography for forensic age estimation: A multivariable regression approach.Journal of forensic sciences · 2026Article
- The role of forensic imaging in the allegations of torture in asylum seekers.International journal of legal medicine · 2026Review
- Development of an open-source 3D imaging method for forensic age estimation based on medial clavicular ossification: assessing area and volume ratios of epiphyses and metaphyses.International journal of legal medicine · 2026Article
- The current state of forensic imaging - post mortem imaging.International journal of legal medicine · 2025Review
- Forensic age estimation of adolescents using computed tomography of the clavicles.International journal of legal medicine · 2024Article
- Forensic age estimation at the University Center of Legal Medicine Lausanne-Geneva: a retrospective study over 12 years.International journal of legal medicine · 2024Article
- Radiological age assessment based on clavicle ossification in CT: enhanced accuracy through deep learning.International journal of legal medicine · 2024Article
- Age assessment in unaccompanied minors: assessing uniformity of protocols across Europe.International journal of legal medicine · 2024Article
- Machine learning and deep learning enabled age estimation on medial clavicle CT images.International journal of legal medicine · 2024Article
- Comparing a common clavicle maturation-based age estimation method to ordinary regression analyses with quadratic and sex-specific interaction terms in adolescents.Scientific reports · 2024Article
- Classifying age from medial clavicle using a 30-year threshold: An image analysis based approach.PloS one · 2024Article
- Forensic Age Estimation: A Multifactorial Approach in a Retrospective Population Study.Diagnostics (Basel, Switzerland) · 2023Article
- Automated localization of the medial clavicular epiphyseal cartilages using an object detection network: a step towards deep learning-based forensic age assessment.International journal of legal medicine · 2023Article
- Root canal width as a mandibular maturity marker at the 18-year threshold in the Maltese population.International journal of legal medicine · 2022Article
- Contribution of the use of clavicle bone density in age estimation.International journal of legal medicine · 2022Article
- Forensic age assessments of alleged unaccompanied minors at the Medicolegal Institute of Montpellier: a 4-year retrospective study.International journal of legal medicine · 2022Article
- CT of the medial clavicular epiphysis for forensic age estimation: hands up?International journal of legal medicine · 2021Article
- The influence of motion artefacts on magnetic resonance imaging of the clavicles for age estimation.International journal of legal medicine · 2020Article
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10 authors.
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Abstract
The clavicle plays an important role for forensic age estimation in living individuals, particularly with regard to the age of majority. The present prospective study aims to evaluate the age-dependent ossification process of the medial clavicular epiphysis in order to establish the clavicular sub-stages introduced in 2010 as well as the advantages and possibilities of thin-slice computed tomography (CT). For this purpose, 0.6 mm thin-slice CT scans of sternoclavicular joints of 572 bodies aged between 10 and 40 years were evaluated by means of two complementary classification systems: a five-stage system and a sub-staging system for the main stages 2 and 3. Assessment was possible in 493 cases. The results for stages 4 and 5 are in line with previous studies that found the ages of 21 years and 26 years, respectively, as minimum ages for these stages. Sub-stage 3c was first found at the age of 19 years in both sexes, thereby corroborating the value of this sub-stage as to statements about the age of majority. In comparison to other CT studies, stage 3a was first observed ~1 year earlier (16.4 years in males and 15.5 years in females). Stage 2c only occurred in 3 cases. In conclusion, the data corroborate the significance of diagnosing sub-stages as well as the value of thin-slice CT. For forensic practice, the concomitant and complementary use of both classification systems applied in this study can be recommended.
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