Comparison of imaging planes during CT-based evaluation of clavicular ossification
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Comparison of imaging planes during CT-based evaluation of clavicular ossification : a multi-center study. / Scharte, Philipp; Vieth, Volker; Schulz, Ronald; Ramsthaler, Frank; Püschel, Klaus; Bajanowski, Thomas; Pfeiffer, Heidi; Schmeling, Andreas; Schmidt, Sven; Wittschieber, Daniel.
In: INT J LEGAL MED, Vol. 131, No. 5, 09.2017, p. 1391-1397.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Comparison of imaging planes during CT-based evaluation of clavicular ossification
T2 - a multi-center study
AU - Scharte, Philipp
AU - Vieth, Volker
AU - Schulz, Ronald
AU - Ramsthaler, Frank
AU - Püschel, Klaus
AU - Bajanowski, Thomas
AU - Pfeiffer, Heidi
AU - Schmeling, Andreas
AU - Schmidt, Sven
AU - Wittschieber, Daniel
PY - 2017/9
Y1 - 2017/9
N2 - 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.
AB - 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.
KW - Journal Article
U2 - 10.1007/s00414-017-1615-5
DO - 10.1007/s00414-017-1615-5
M3 - SCORING: Journal article
C2 - 28608146
VL - 131
SP - 1391
EP - 1397
JO - INT J LEGAL MED
JF - INT J LEGAL MED
SN - 0937-9827
IS - 5
ER -