Forensic age assessment by 3.0 T MRI of the wrist: adaption of the Vieth classification.

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Title: Forensic age assessment by 3.0 T MRI of the wrist: adaption of the Vieth classification.
Authors: Ottow, C.1 christian.ottow@ukmuenster.de, Schmidt, S.2, Heindel, W.1, Pfeiffer, H.2, Buerke, B.1, Schmeling, A.2, Vieth, V.1,3
Source: European Radiology. Nov2022, Vol. 32 Issue 11, p7956-7964. 9p. 2 Black and White Photographs, 6 Charts.
Subjects: Magnetic resonance imaging, Mann Whitney U Test, Epiphysis, Distal radius fractures, Ulna
Abstract: Objectives: In order to find a reliable method to correctly assess majority in both sexes by MRI, a study was conducted to evaluate the applicability of the recently presented Vieth classification in wrist MRI, after it had originally been proposed for knee MRI. Methods: After receiving a positive vote by the ethics committee, the left-hand wrists of 347 male and 348 female volunteers of German nationality in the age bracket 12–24 years were scanned. Before conducting the prospective, cross-sectional examinations, an informed consent was obtained from each volunteer. A 3.0 T MRI scanner was used, acquiring a T1 turbo spin-echo sequence (TSE) and a T2 TSE sequence with fat suppression by spectral presaturation with inversion recovery (SPIR). The images were assessed by applying the Vieth classification. Minimum, maximum, mean ± standard deviation, and median with lower and upper quartiles were defined. Intra- and interobserver agreements were determined by calculating the kappa coefficients. Differences between the sexes were analyzed using the Mann-Whitney U test. Results: By applying the unmodified Vieth classification with corresponding schematics, it was possible to assess majority in both sexes via the epiphyseal-diaphyseal fusion of the distal radius and in males also via the epiphyseal-diaphyseal fusion of the distal ulna. The Mann-Whitney U test implied significant sex-related differences for all stages. For both epiphyses, the intra- and interobserver agreement levels were very good (κ > 0.8). Conclusion: If confirmed by further studies, it would be possible to determine the completion of the 18th year of life in both sexes by 3.0 T MRI of the wrist and using the Vieth classification. Key Points: • The Vieth classification allows determining majority in males and females alike based on the distal radius' epiphysis by 3.0 T MRI of the wrist. • The Vieth classification also allows determining majority in males based on the distal ulna's epiphysis by 3.0 T MRI of the wrist, but not in females. • The presented data can be deemed referential within certain discussed boundaries. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Forensic age assessment by 3.0 T MRI of the wrist: adaption of the Vieth classification.
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  Data: <searchLink fieldCode="AR" term="%22Ottow%2C+C%2E%22">Ottow, C.</searchLink><relatesTo>1</relatesTo><i> christian.ottow@ukmuenster.de</i><br /><searchLink fieldCode="AR" term="%22Schmidt%2C+S%2E%22">Schmidt, S.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Heindel%2C+W%2E%22">Heindel, W.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Pfeiffer%2C+H%2E%22">Pfeiffer, H.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Buerke%2C+B%2E%22">Buerke, B.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Schmeling%2C+A%2E%22">Schmeling, A.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Vieth%2C+V%2E%22">Vieth, V.</searchLink><relatesTo>1,3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Nov2022, Vol. 32 Issue 11, p7956-7964. 9p. 2 Black and White Photographs, 6 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Epiphysis%22">Epiphysis</searchLink><br /><searchLink fieldCode="DE" term="%22Distal+radius+fractures%22">Distal radius fractures</searchLink><br /><searchLink fieldCode="DE" term="%22Ulna%22">Ulna</searchLink>
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  Data: Objectives: In order to find a reliable method to correctly assess majority in both sexes by MRI, a study was conducted to evaluate the applicability of the recently presented Vieth classification in wrist MRI, after it had originally been proposed for knee MRI. Methods: After receiving a positive vote by the ethics committee, the left-hand wrists of 347 male and 348 female volunteers of German nationality in the age bracket 12–24 years were scanned. Before conducting the prospective, cross-sectional examinations, an informed consent was obtained from each volunteer. A 3.0 T MRI scanner was used, acquiring a T1 turbo spin-echo sequence (TSE) and a T2 TSE sequence with fat suppression by spectral presaturation with inversion recovery (SPIR). The images were assessed by applying the Vieth classification. Minimum, maximum, mean ± standard deviation, and median with lower and upper quartiles were defined. Intra- and interobserver agreements were determined by calculating the kappa coefficients. Differences between the sexes were analyzed using the Mann-Whitney U test. Results: By applying the unmodified Vieth classification with corresponding schematics, it was possible to assess majority in both sexes via the epiphyseal-diaphyseal fusion of the distal radius and in males also via the epiphyseal-diaphyseal fusion of the distal ulna. The Mann-Whitney U test implied significant sex-related differences for all stages. For both epiphyses, the intra- and interobserver agreement levels were very good (κ > 0.8). Conclusion: If confirmed by further studies, it would be possible to determine the completion of the 18th year of life in both sexes by 3.0 T MRI of the wrist and using the Vieth classification. Key Points: • The Vieth classification allows determining majority in males and females alike based on the distal radius' epiphysis by 3.0 T MRI of the wrist. • The Vieth classification also allows determining majority in males based on the distal ulna's epiphysis by 3.0 T MRI of the wrist, but not in females. • The presented data can be deemed referential within certain discussed boundaries. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Type: general
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      – SubjectFull: Distal radius fractures
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      – SubjectFull: Ulna
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              Text: Nov2022
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