在斋浦尔 S.M.S. 医学院评估 Gleurich 和 Pyle (GP) 法在确定 14-18 岁年龄组儿童年龄方面的适用性

Ashish Kumar, Sumanta Dutta, Manish Kumar Dewat, Narendra Sisodia
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引用次数: 0

摘要

背景、目的和目标:年龄估计也是确定个人身份的重要因素之一,放射学检查在结合临床检查估计年龄方面发挥着重要作用。本研究旨在评估 Greulich 和 Pyle(GP)法在斋浦尔地区 14-18 岁健康人群中测定年龄的适用性。研究方法:本研究共对 80 名 14 至 18 岁健康人群进行了测量:本研究在获得斋浦尔 SMS 医学院 RRB 和 IEC 的许可和批准后,于 2020 年 7 月 1 日至 2021 年 8 月 31 日期间在法医学系与放射学系联合对 80 名 14 至 18 岁的受试者进行了研究。所有受试者均来自各年龄分组,即 14-15 岁(A 组)、15-16 岁(B 组)、16-17 岁(C 组)和 17-18 岁(D 组),其中男女受试者人数相等(每个年龄分组各 10 名男性和 10 名女性)。在获得有效的年龄估计知情同意书后,进行所有详细的一般身体和牙齿检查,并记录在建议的表格中。骨骼年龄(骨龄)使用 Greulich 和 Pyle Atlas(1959 年第二版)15 确定。根据性别将计算机上的 X 光图像与 GP 图谱上的图像进行比较,以评估骨骼年龄。根据性别将图像分成两组,由两位观察者在不同场合进行检查,以确定受试者的骨骼年龄并得出结果:在所有受试者(人数=80)中,印度教徒占 81.2%(男性 34 人,女性 31 人),穆斯林教徒占 12.5%(男性 4 人,女性 6 人),耆那教徒占 6.25%(男性 2 人,女性 3 人)。用 GP 法估计的女性和男性骨骼年龄与纪年年龄的相关性显示出很强的正相关性。{r值=0.987(女性)和0.974(男性)},两者的p<0.001,表明估计骨骼年龄与年代年龄的相关性在统计学上有显著意义:研究显示,在所有年龄分组中,男孩和女孩的骨骼年龄都落后于计时年龄,但女孩的CA和SA与男孩相比差异较小。G-P 图集法虽然历史悠久,但在谨慎使用的情况下也能为印度男孩和女孩的骨龄评估提供良好的结果,对女孩的效果更好。男性和女性的骨骼成熟都有延迟,但样本中的女性比男性成熟得早。因此,G-P 图集法似乎适用于印度儿童。不过,考虑到其他因素,对更大样本量的研究可能会对其在法医方面的应用产生更好的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Applicability of Gleurich and Pyle (GP) Method for Determination of Age of Children in 14-18 Years Age-Group at S.M.S. Medical College, Jaipur
Background, Aim and Objective: Age estimation is also one of the important factors to establish individual’sidentity and radiological investigations play a phenomenal role in estimation of age in conjunction with clinical examination. The aim of this study to assess the applicability of Greulich and Pyle (GP) method for determination of age in 14-18 years of age group healthy population of Jaipur region. And objective is to assess the skeletal age determined by GP method using hand radiography of study population.Method: This study was carried out on total 80 subjects at the Department of Forensic Medicine in association with the Department of Radiology after obtaining due permission and approval from the RRB and IEC of SMS Medical College, Jaipur during the period from 1st July, 2020 to 31st August, 2021 of subjects between 14-18 years of age. All subjects recruited from each age sub-group category viz 14-15 years (Group A), 15-16 years (Group B), 16-17 years (Group C) and 17-18 years (Group D) including equal number of members from both sexes (10 males and 10 females of each age sub group category). After obtaining valid informed consent for age estimation all details,general physical & dental examination was done and recorded in proposed Pro forma. The skeletal age (bone age) was determined using Greulich and Pyle Atlas (2nd edition, 1959)15. X-ray image on computer was comparedwith images on GP Atlas according to sex and most matching image to assess the skeletal age. Images wereseparated in two groups according to their sex and examined by both observers at different occasions to determine skeletal age of subjects and result derived.Result: Among all (n=80), of 81.2% Hindus (34 males and 31 females), 12.5% Muslims (4 males and 6 females) and 6.25% Jains (2 males and 3 females). Correlation of estimated skeletal age by GP method to the chronological age in both females and males showed a strong positive correlation. {r value=0.987 (females) & 0.974 (males)} and for both p<0.001 which indicates that the correlation of estimated skeletal age and chronological age was statistically significant.Conclusion: Study reveals skeletal age lagged behind chronological age in all age subgroups in both boys and girls but the difference of CA and SA is less in girls as compared to boys. The G-P atlas method, although very old but used with caution can yield good results for assessment of bone age in Indian boys and girls, better for girls. Delay in skeletal maturation was observed in both males and females, but the females in the sample matured earlier then the males. Thus, G-P atlas method seems applicable on Indian children. However, studies on larger sample sizes considering other factors may yield better insight into its forensic application.
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