PDF(Pubmed)
Abstract：
The AGFAD (Arbeitsgemeinschaft für Forensische Alterdiagnostik, Study Group on Forensic Age Diagnostics) has published several recommendations regarding both technical aspects of computed tomography (CT) of the medial clavicular epiphysis (MCE) and the process of reading and interpreting the CT images for forensic age estimations (FAE). There are, however, no published recommendations regarding CT scan protocols and no dose reference values for CT of the MCE. The objective of this analysis was to assess adherence to AGFAD recommendations among practitioners of FAE and analyse reported dose-relevant CT scan parameters with the objective of helping to establish evidence-based dose reference values for FAE. A systematic literature search was conducted in PubMed and in Google Scholar with specific MeSH terms to identify original research articles on FAE with CT of the MCE from 1997 to 2022. A total of 48 studies were included. Adherence to AGFAD recommendations among practitioners of FAE is high regarding the use of Schmeling main stages (93%), bone window (79%), ≤ 1 mm CT slices (67%), axial/coronal CT images (65%), and Kellinghaus sub-stages (59%). The reporting of CT technique and CT dose-relevant scan parameters is heterogeneous and often incomplete in the current literature. Considering the success achieved by the AGFAD in creating standards of practice of FAE in living subjects, there is potential for the AGFAD to establish standards for radiation protection in FAE as well.
摘要：
AGFAD(ArbeitsgemeinschaftfürForensischeAlterdiagnostik,法医年龄诊断研究小组）发表了有关锁骨内侧骨phy（MCE）的计算机断层扫描（CT）的技术方面以及读取和解释法医年龄估计（FAE）的CT图像的过程的一些建议。有,然而,没有关于CT扫描方案的公开推荐,也没有MCECT的剂量参考值.此分析的目的是评估FAE从业人员对AGFAD建议的依从性，并分析报告的剂量相关CT扫描参数，以帮助建立基于证据的FAE剂量参考值。在PubMed和GoogleScholar中使用特定的MeSH术语进行了系统的文献检索，以识别1997年至2022年有关MCECT的FAE的原始研究文章。共纳入48项研究。在使用Schmeling主要阶段方面，FAE从业者对AGFAD建议的依从性很高（93％），骨窗（79%），≤1mmCT切片（67%），轴向/冠状CT图像（65％），和Kellinghaus子阶段（59％）。CT技术和CT剂量相关扫描参数的报告是不均匀的，并且在当前文献中通常是不完整的。考虑到AGFAD在建立生活受试者的FAE实践标准方面取得的成功，AGFAD也有可能在FAE中建立辐射防护标准。
