ArticleForensic science, medicine, and pathology2019
Magnetic resonance imaging of the proximal tibial epiphysis: could it be helpful in forensic age estimation?
Article in Forensic science, medicine, and pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Magnetic resonance imaging of the knee for chronological age estimation-a systematic review.European radiology · 2023Pooled it
- Accuracy and challenges in age estimation in adults: a scoping review of anthropological, dental, biochemical, and molecular methods.Forensic science, medicine, and pathology · 2025Article
- Forensic age estimation using Vieth classification in adolescents of northern China based on the knee MRI.International journal of legal medicine · 2025Article
- Computed tomography study of cranial vault thickness in Malaysian subadult population.International journal of legal medicine · 2024Article
- Bone age assessment based on different MRI modalities of the proximal humerus epiphysis: the comparisons of TInternational journal of legal medicine · 2024Article
- Forensic age prediction and age classification for critical age thresholds via 3.0T magnetic resonance imaging of the knee in the Chinese Han population.International journal of legal medicine · 2022Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is an increasing demand for age estimations of living persons who are involved in civil and criminal procedures but lack a valid birth certificate indicating their date of birth. Several studies have recommended the application of magnetic resonance imaging (MRI) and assessment of the stage of epiphyseal fusion in age estimation. This study involved retrospective MRI analysis of 335 cases (217 males and 118 females) whose ages ranged from 8 to 28 years (yrs). We assessed the degree of ossification of the proximal tibial epiphysis depending on the classifications of Schmeling and Kellinghaus used for the main stages (I, II, III, IV & V) and substages (IIa, b, c & IIIa, b, c). Significant differences between males and females at stages IIIc, IV and V (p < 0.001) were observed. Additionally, the ossification of the proximal tibial epiphyses occurred earlier in females than in males (2-4 yrs). The mean of ages in stage IV was approximately 18.6 yrs. in females and 22.5 yrs. in males, meaning that stage IV can be used as a valuable forensic marker to determine whether the person in question has reached the age of 18 yrs. We concluded that the application of MRI in the assessment of the ossification status of the proximal tibial epiphysis could be helpful in age estimation for various forensic purposes.
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