The role of multidetector computed tomography of the iliac crest in forensic age estimation
The aim of the present study is to evaluate the iliac bone for skeletal age assessment and to determine whether Schmeling methods are applicable to the evaluation of iliac crest maturation by multidetector computed tomography (MDCT). We evaluated retrospectively iliac apophysis 551 individuals. Criteria for stage 4 are the apophyseal scar is seen as a unsharp image, or appears as an indistinct, shallow, thin notch and for stage 5 is apophyseal cartilage fully ossified, apophyseal scar no longer visible. Based on the 5-stage method by Schmeling, we found the earliest age to observe stage 5 was 18 years in both sexes, whereas previous studies using the 4-stage method reported that stage 4 could be observed at 17. These results indicate that the 5-stage method may be superior to the 4-stage method for determining whether a subject is under the age of 18 years in forensic age assessment using the iliac crest.
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