Concordancia interobservador en la interpretación de pruebas radiológicas para la estimación de la edad en menores migrantes sin referentes familiares

Q3 Medicine
Fernando Rodes Lloret , Gloria Isabel Pérez Campello , Pedro Galiana Vila , Andrea Alegre Requena , Mar Pastor Bravo , Elisa Gavilán Turiño
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引用次数: 0

Abstract

Introduction

This study aims to study the degree of interobserver agreement in the interpretation of radiological tests used for forensic age estimation in migrant minors without family references between the radiologist and the forensic doctor and between the two forensic doctors who evaluated each case.

Materials and methods

This is a prospective study of the 69 cases studied at the Institute of Legal Medicine and Forensic Sciences of Alicante during 2023 and 2024. Each observer assessed and assigned a stage, following the Greulich and Pyle atlas for hand and wrist radiographs, the Demirjian stages for panoramic radiographs, and the Schmeling and Kellinghaus classifications for computed tomography scans of the proximal clavicle.
The IBM SPSS Statistics 28.0 statistical package was used; obtaining both the percentage of observed agreement and the Kappa index, which corrects for chance.

Results

The degree of agreement between the two forensic physicians was very good for the hand and wrist radiograph (k = 0.931), very good for the panoramic radiograph (k = 0.828), and substantial for the computed tomography (k = 0.671). However, the degree of agreement between the radiologist and the forensic physician was lower for all three tests: substantial for the hand and wrist radiograph (k = 0.748), moderate for the panoramic radiograph (k = 0.434), and modest for the computed tomography (k = 0.285).

Conclusions

These results highlight the importance of training and instruction in the forensic medical evaluation of these radiological tests.
对没有亲属关系的移徙未成年人的年龄估计的放射检验的解释各观察员之间的一致意见
本研究旨在研究在没有家庭参考资料的移民未成年人的法医年龄估计中,放射科医生和法医之间以及评估每个病例的两名法医之间用于解释放射检查的观察者之间的一致程度。材料和方法本研究是对2023年至2024年期间在阿利坎特法医学和法医学研究所研究的69个案例进行的前瞻性研究。根据Greulich和Pyle图谱的手部和手腕x线片,Demirjian的全景x线片,Schmeling和Kellinghaus的锁骨近端计算机断层扫描分级,每个观察者评估并分配一个阶段。采用IBM SPSS Statistics 28.0统计软件包;得到观察到的一致性百分比和Kappa指数,Kappa指数修正了偶然性。结果两名法医在手、腕部x线片(k = 0.931)、全景x线片(k = 0.828)和计算机断层扫描(k = 0.671)上的一致性非常好。然而,放射科医生和法医之间的一致程度在所有三种测试中都较低:手部和手腕x线片的一致程度很高(k = 0.748),全景x线片的一致程度一般(k = 0.434),计算机断层扫描的一致程度一般(k = 0.285)。结论对这些放射检验进行法医学鉴定的培训和指导十分重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Revista Espanola de Medicina Legal
Revista Espanola de Medicina Legal Medicine-Pathology and Forensic Medicine
CiteScore
1.90
自引率
0.00%
发文量
27
审稿时长
41 days
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