CT-assisted age estimation from the medial clavicular epiphysis in the Greek population according to Schmeling and Kellinghaus classification.

• The present study examined 196 CT images of alive Greek patients. • The ossification of medial clavicular epiphysis was classified according to the Schmeling et al. and the extended Kellinghaus et al classification. • When the medial clavicular epiphysis is scored in stages 4 and 5, in both Greek...

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Published in:Legal Medicine Vol. 73
Main Authors: Madentzoglou, M.S., Nathena, D., Sinatkas, V., Karantanas, A., Kontakis, G., Papadomanolakis, A., Kranioti, E.F.
Format: research Journal Article
Published: Elsevier B.V. Mar2025
Online Access:View this record in EBSCOhost
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      dt: Mar2025
      vid: 73
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.legalmed.2025.102589
        183052661
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        atl: CT-assisted age estimation from the medial clavicular epiphysis in the Greek population according to Schmeling and Kellinghaus classification.
      aug:
        au:
          Madentzoglou, M.S.
          Nathena, D.
          Sinatkas, V.
          Karantanas, A.
          Kontakis, G.
          Papadomanolakis, A.
          Kranioti, E.F.
        affil: Department of Forensic Sciences, Faculty of Medicine, University of Crete, Greece
      sug:
        subj:
          Clavicle Radiography
          Epiphyses Radiography
          Tomography, X-Ray Computed
          Age Determination by Skeleton Classification
          Greeks Psychosocial Factors
          Diagnostic Imaging
          Clinical Laboratories
          Academic Medical Centers Greece
          Human
          Adolescence
          Male
          Female
          Greece
          Models, Statistical
          Probability
          Cadaver
          Adolescent: 13-18 years
          Male
          Female
      ab: • The present study examined 196 CT images of alive Greek patients. • The ossification of medial clavicular epiphysis was classified according to the Schmeling et al. and the extended Kellinghaus et al classification. • When the medial clavicular epiphysis is scored in stages 4 and 5, in both Greek sexes, the cumulative probability of adulthood (≥18 years) is nearly or 1. • For Greek males in stage 3c, the cumulative probability of adulthood is 0.857, and for Greek females in stage 3c, it is 0.968. • Detailed tables and graphs for stage and substage relation with age are provided for the whole male and female Greek population. Examining the clavicle by macroscopic or radiologic techniques is a well-established method in forensic age estimation in living and dead individuals. The present study examined 196 CT (computed tomography scan) images of native patients from the archive of the medical imaging laboratory of the University Hospital in Heraklion, Crete, in Greece. The ossification of the medial clavicular epiphysis was classified according to Schmeling et al. and the extended amplified staging system of Kellinghaus et al. Next, a stage transition analysis was carried out according to the Bayesian model. Probability density functions were calculated using informative priors for age distribution in the total population, deceased and violently deceased individuals. Our study showed that when the medial clavicular epiphysis' ossification is sorted in stages 4 and 5 in Greek males and females, the cumulative probability of adulthood (≥18 years) is nearly 1. As far as Greek males are concerned, in stage 3c, the cumulative probability of adulthood (≥18 years) is 0.86, and in Greek females in stage 3c, the cumulative probability of adulthood (≥18 years) is 0.97. This is the first study of age estimation based on the ossification of the sternal clavicular end using CT in a Greek population.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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