Evidence map›Paper›PMID 41483098›Full record

ArticleInternational journal of legal medicine2026

Forensic age estimation in the living by 0.31 Tesla low-field MRI of the distal radius.

Christian Ottow, S Schmidt, R Schulz, L Sottmann, W Heindel, A Helfen, T Krähling, H Pfeiffer, A Schmeling, V Vieth

Abstract read
In one paragraph

Article in International journal of legal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Christian OttowClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, Münster, 48149, Germany. christian.ottow@ukmuenster.de.ORCID http://orcid.org/0000-0002-0512-741X
S SchmidtInstitute of Legal Medicine, University of Münster and University Hospital Münster, Röntgenstraße 23, Münster, 48149, Germany.
R SchulzInstitute of Legal Medicine, University of Münster and University Hospital Münster, Röntgenstraße 23, Münster, 48149, Germany.
L SottmannInstitute of Legal Medicine, University of Münster and University Hospital Münster, Röntgenstraße 23, Münster, 48149, Germany.
W HeindelClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, Münster, 48149, Germany.
A HelfenClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, Münster, 48149, Germany.
T KrählingClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, Münster, 48149, Germany.
H PfeifferInstitute of Legal Medicine, University of Münster and University Hospital Münster, Röntgenstraße 23, Münster, 48149, Germany.
A SchmelingInstitute of Legal Medicine, University of Münster and University Hospital Münster, Röntgenstraße 23, Münster, 48149, Germany.
V ViethClinic for Radiology, University of Münster and University Hospital Münster, Albert-Schweitzer-Campus 1, Münster, 48149, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesExamination of the radius' distal epiphysis by means of low-field MRI in order to find a reliable method to correctly assess majority in both sexes. MATERIALS &

methods650 volunteers of German nationality, evenly distributed to groups of 25 per sex and years of proven age in the age bracket of 12-24 years, were examined between 2021 and 2023 in a single center, prospective, cross-sectional setting. A 0.31 T dedicated joint scanner was used, acquiring a proton density-weighted (PDw) sequence in Dixon technique (Dixon) in coronal slice orientation yielding a fat-sensitive water-suppressed (fat-only) and a water-sensitive fat-suppressed (water-only) series. A classification was formulated for assessment and tested against the proven age. The relevant statistics were defined, the intra- and interobserver-agreements were determined, and the differences between the sexes were analyzed.

resultsThe minimum age for stage 6 of the classification was found to be 18.42 years in male individuals and 17.25 years in female individuals. A Mann-Whitney-U Test implies significant sex-related differences for stage 3 (p < 0.01) and stage 4 (p < 0.01), but not for stage 2 (p < 0.162), stage 5 (p < 0.193) and stage 6 (p < 0.146). The intra- and interobserver-agreement levels were substantial.

conclusionWhen using the presented setting of a low-field 0.31 T dedicated joint scanner, acquiring PDw Dixon fat-only and water-only series of the radius' distal epiphysis and using the presented classification, majority can be determined in male but not in female individuals of our cohort. Therefore, 0.31 T low-field MRI yields similar opportunities as examinations by means of high-field MRI scanners.

Indexed as

Age Determination by SkeletonEpiphysesMagnetic Resonance ImagingRadiusAdolescentAdultChildCross-Sectional StudiesFemaleHumansMaleProspective StudiesYoung AdultAge determination by skeletonBone developmentForensic medicineMagnetic resonance imagingWrist

Identifiers

PMID41483098
PMCPMC13161002

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.