Comparison of imaging planes during CT-based evaluation of clavicular ossification: a multi-center study
Determining the ossification stage of the medial clavicular epiphysis by computed tomography represents the currently recommended methodology for the question of whether a living individual has completed the 18th or 21st year of life. In the present study, thin-slice CT scans of 1078 sternoclavicula...
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| Veröffentlicht in: | International journal of legal medicine 2017-09, Vol.131 (5), p.1391-1397 |
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| container_title | International journal of legal medicine |
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| creator | Scharte, Philipp Vieth, Volker Schulz, Ronald Ramsthaler, Frank Püschel, Klaus Bajanowski, Thomas Pfeiffer, Heidi Schmeling, Andreas Schmidt, Sven Wittschieber, Daniel |
| description | Determining the ossification stage of the medial clavicular epiphysis by computed tomography represents the currently recommended methodology for the question of whether a living individual has completed the 18th or 21st year of life. In the present study, thin-slice CT scans of 1078 sternoclavicular joints were reconstructed in axial and coronal image series and evaluated according to the two classification systems established for age diagnostics using the clavicle. Both image series (axial and coronal) were analyzed separately. When comparing the results of axial and coronal view, a different ossification stage was found in 35.6% of the clavicles. The results suggest an influence of the imaging plane on the process of stage determination. In order to further approximate the three-dimensional and asymmetrical structure of the epiphyseal ossification center, the usage of at least two different reformation types may be recommended. In practice, only those reference studies should be applied which exactly employed the same number and orientations of the reformation types that are going to be used in the respective routine case. |
| doi_str_mv | 10.1007/s00414-017-1615-5 |
| format | Article |
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In the present study, thin-slice CT scans of 1078 sternoclavicular joints were reconstructed in axial and coronal image series and evaluated according to the two classification systems established for age diagnostics using the clavicle. Both image series (axial and coronal) were analyzed separately. When comparing the results of axial and coronal view, a different ossification stage was found in 35.6% of the clavicles. The results suggest an influence of the imaging plane on the process of stage determination. In order to further approximate the three-dimensional and asymmetrical structure of the epiphyseal ossification center, the usage of at least two different reformation types may be recommended. In practice, only those reference studies should be applied which exactly employed the same number and orientations of the reformation types that are going to be used in the respective routine case.</description><identifier>ISSN: 0937-9827</identifier><identifier>EISSN: 1437-1596</identifier><identifier>DOI: 10.1007/s00414-017-1615-5</identifier><identifier>PMID: 28608146</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Computed tomography ; Forensic Medicine ; Image classification ; Image reconstruction ; Medical diagnosis ; Medical imaging ; Medical Law ; Medicine ; Medicine & Public Health ; Original Article ; Planes</subject><ispartof>International journal of legal medicine, 2017-09, Vol.131 (5), p.1391-1397</ispartof><rights>Springer-Verlag Berlin Heidelberg 2017</rights><rights>International Journal of Legal Medicine is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-60988e403cbc914d7ba74389813a06b70773a651c1ce12b8fe298c23b2803bb73</citedby><cites>FETCH-LOGICAL-c372t-60988e403cbc914d7ba74389813a06b70773a651c1ce12b8fe298c23b2803bb73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00414-017-1615-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00414-017-1615-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28608146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scharte, Philipp</creatorcontrib><creatorcontrib>Vieth, Volker</creatorcontrib><creatorcontrib>Schulz, Ronald</creatorcontrib><creatorcontrib>Ramsthaler, Frank</creatorcontrib><creatorcontrib>Püschel, Klaus</creatorcontrib><creatorcontrib>Bajanowski, Thomas</creatorcontrib><creatorcontrib>Pfeiffer, Heidi</creatorcontrib><creatorcontrib>Schmeling, Andreas</creatorcontrib><creatorcontrib>Schmidt, Sven</creatorcontrib><creatorcontrib>Wittschieber, Daniel</creatorcontrib><title>Comparison of imaging planes during CT-based evaluation of clavicular ossification: a multi-center study</title><title>International journal of legal medicine</title><addtitle>Int J Legal Med</addtitle><addtitle>Int J Legal Med</addtitle><description>Determining the ossification stage of the medial clavicular epiphysis by computed tomography represents the currently recommended methodology for the question of whether a living individual has completed the 18th or 21st year of life. In the present study, thin-slice CT scans of 1078 sternoclavicular joints were reconstructed in axial and coronal image series and evaluated according to the two classification systems established for age diagnostics using the clavicle. Both image series (axial and coronal) were analyzed separately. When comparing the results of axial and coronal view, a different ossification stage was found in 35.6% of the clavicles. The results suggest an influence of the imaging plane on the process of stage determination. In order to further approximate the three-dimensional and asymmetrical structure of the epiphyseal ossification center, the usage of at least two different reformation types may be recommended. In practice, only those reference studies should be applied which exactly employed the same number and orientations of the reformation types that are going to be used in the respective routine case.</description><subject>Computed tomography</subject><subject>Forensic Medicine</subject><subject>Image classification</subject><subject>Image reconstruction</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Medical Law</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Planes</subject><issn>0937-9827</issn><issn>1437-1596</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp1kUtLHjEUhkNpqZ-XH-CmBLpxM-1JMpOLu_KhtiB0o-uQZDIamVuTieC_N-OolEJXySHPeU_O-yJ0SuAbARDfE0BN6gqIqAgnTdV8QDtSs1I1in9EO1DlriQVB-gwpQcoIBfNZ3RAJQdJar5D9_tpmE0MaRrx1OEwmLsw3uG5N6NPuM1xrfY3lTXJt9g_mj6bJWyw681jcLk3EU8phS64l6dzbPCQ-yVUzo-LjzgtuX06Rp860yd_8noeodvLi5v9z-r699Wv_Y_ryjFBl4qDktLXwJx1itStsEbUTCpJmAFuBQjBDG-II84TamXnqZKOMkslMGsFO0Jnm-4cpz_Zp0UPITnfrwtNOWmiQFFQnNcF_foP-jDlOJbfFapYRCQDViiyUS6WLaPv9ByLTfFJE9BrDHqLQRd39RqDbkrPl1flbAffvne8-V4AugFpXh328a_R_1V9Bvx8kfY</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Scharte, Philipp</creator><creator>Vieth, Volker</creator><creator>Schulz, Ronald</creator><creator>Ramsthaler, Frank</creator><creator>Püschel, Klaus</creator><creator>Bajanowski, Thomas</creator><creator>Pfeiffer, Heidi</creator><creator>Schmeling, Andreas</creator><creator>Schmidt, Sven</creator><creator>Wittschieber, Daniel</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AM</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BGRYB</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K7.</scope><scope>K9.</scope><scope>L6V</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20170901</creationdate><title>Comparison of imaging planes during CT-based evaluation of clavicular ossification: a multi-center study</title><author>Scharte, Philipp ; 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| subjects | Computed tomography Forensic Medicine Image classification Image reconstruction Medical diagnosis Medical imaging Medical Law Medicine Medicine & Public Health Original Article Planes |
| title | Comparison of imaging planes during CT-based evaluation of clavicular ossification: a multi-center study |
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