Abstract：
Medicolegal physicians are increasingly called upon to aid in determining the administrative age group affiliation of refugees with questionable unaccompanied minor claims. According to guidelines for forensic age assessment, age differentiation along the 18-year-old cut-off relies on clavicular ossification. The thin-slice computed tomography scan (TSCTs) of the medial clavicular epiphysis (MCE) is one of the methods contributing to this assessment, though it is not yet universally accepted. The aim of this systematic review was to identify scientific papers where age was assessed using TSCTs of the MCE and to observe whether this examination was reproducible and reliable in estimating a person\'s age relative to the 18-year-old threshold. A search algorithm was applied to several databases to identify articles in accordance with the PRISMA (Preferred Reporting Items for Systematic-Reviews and Meta-Analyses) statement. One boxplot per article was constructed, separating by stage of maturation and sex. The 13 articles selected represented a sample of 5605 individuals (3396 males, 2209 females) aged 10 to 35 years. All individuals classified as stages 4 and 5 were aged 18 years or older. The same result was obtained concerning stage 3c, except in one article. The results thus appear reliable and reproducible, in particular, with respect to the 18-year-old threshold; medicolegal physicians should be able to estimate that all individuals in stages 4 and 5 are at least 18 years old. Additional studies applied to several other populations in the world should complement the selected studies.
摘要：
越来越多的医生被要求帮助确定具有可疑的无人陪伴次要索赔的难民的行政年龄组隶属关系。根据法医年龄评估指南，沿18岁截止的年龄分化依赖于锁骨骨化。锁骨内侧骨phy（MCE）的薄层计算机断层扫描（TSCT）是有助于此评估的方法之一，虽然它还没有被普遍接受。本系统评价的目的是确定使用MCE的TSCT评估年龄的科学论文，并观察该检查在估计一个人的年龄相对于18岁阈值是否具有可重复性和可靠性。将搜索算法应用于多个数据库，以根据PRISMA（系统审查和荟萃分析的首选报告项目）声明来识别文章。每篇文章都构造了一个箱图，按成熟阶段和性别分开。选择的13篇文章代表了5605个人的样本(3396名男性，2209名女性），年龄在10至35岁之间。被分类为第4和第5阶段的所有个体均为18岁或以上。关于阶段3c获得了相同的结果，除了一篇文章。因此，结果显得可靠和可重复，特别是,关于18岁的阈值;法医医生应该能够估计所有在第4和第5阶段的个体至少18岁.适用于世界上其他几个人群的其他研究应补充选定的研究。
