W. Reisinger

Criteria for age estimation in living individuals

This paper presents updated recommendations of the Study Group on Forensic Age Diagnostics for age estimations in living individuals in criminal proceedings. In order to increase the diagnostic accuracy and to improve the identification of age-relevant developmental disorders, a physical examination, an X-ray examination of the left hand, as well as a dental examination including the determination of the dental status and an X-ray of the dentition should be performed in each case. If the skeletal development of the hand is completed, an additional radiological examination of the clavicles should be carried out. Minimum requirements for reference studies are defined and recommendable studies are listed. Instructions for the examination and the preparation of expert reports are presented. The committee of the study group organizes annual proficiency tests for quality assurance.

Effects of ethnicity on skeletal maturation: Consequences for forensic age estimations

Abstract An X-ray of the hand is an important method in forensic science for estimation of the age of juvenile suspects with uncertain date of birth. Relevant X-ray standards for evaluation of skeletal maturity are available for white US Americans as well as for North and Central Europeans. The applicability of these standards to members of ethnic groups different from the reference population has been the subject of controversial discussion. More than 80 publications were analysed with the view to finding out whether skeletal maturation is affected by ethnic identity. It was concluded that skeletal maturation takes place in phases which are identically defined for all ethnic groups. Time-related differences in passing those stages of skeletal maturation within the relevant age group appear to be unaffected by ethnic identity. It is the socio-economic status of a given population which is of decisive importance to the rate of ossification. The application of X-ray standards to individuals of a socio-economic status lower than that of the reference population usually leads to underestimation of that person’s age. In terms of criminal responsibility, this is of no adverse effect on the person concerned.

Studies on the time frame for ossification of the medial epiphysis of the clavicle as revealed by CT scans.

The authors retrospectively analyzed 629 CT images of patients aged between 15 and 30 years produced during multiple trauma diagnostics at the Unfallkrankenhaus Berlin. For the purposes of this study, the authors reliably determined the ossification status of the medial epiphysis of the clavicle in 556 cases, using the classification of stages by Schmeling et al. In both sexes, stage 2 was first noted at age 15. In male patients, the earliest occurrence of stage 3 was noted at age 17, in female patients at age 16. Stage 4 was first achieved by both sexes at age 21. Stage 5 was first noted in female patients at age 21 and in male patients at age 22, which is 4 or 5 years earlier than was observed by a comparable study using conventional radiographs. The partial-volume effect in computed tomography using the thick slice scanning mode was discussed as a possible explanation for this early visualization. The question of how slice thickness affects the age intervals between ossification stages identified by CT examinations should be examined in additional studies.

Forensic age diagnostics of living individuals in criminal proceedings

Age estimations of living individuals are increasingly important in criminal matters. If doubts arise regarding the age of a person suspected of a criminal offense, forensic age estimation is prompted by the need to ascertain whether the person concerned has reached the age of criminal responsibility and whether general criminal law in force for older juveniles or adults is to be applied. According to the recommendations of the Arbeitsgemeinschaft für Forensische Altersdiagnostik (study group for forensic age diagnostics), age estimates in criminal proceedings should be based on the general physical examination, the X-ray examination of the hand and the odontological examination by a dentist, including dental status and orthopantomogram. In order to improve diagnostic reliability, these methods should always be used in combination, ensuring that each part is performed by forensically trained and experienced experts of the relevant disciplines. In order to demonstrate that the proband has reached the age of 21, an additional X-ray examination or CT scan of the clavicles is recommended. Future research projects should assess the variation for a combination of the above methods, quantify the impact of socio-economic status and ethnicity on the examined development systems and review the suitability of non-ionizing imaging methods of age estimation.

Reference data for the Thiemann–Nitz method of assessing skeletal age for the purpose of forensic age estimation

The aim of this study was to determine the statistical parameters of deviation in the Thiemann–Nitz method for use in forensic age diagnostics. To this effect, 402 hand radiograms, originally taken in two large German cities between 1983 and 2002 for the purpose of diagnosing trauma, were analyzed. At the time of examination, the patients were aged between 10 and 18 years. The study presents the mean, standard deviation, and median, with lower and upper quartiles, for the skeletal ages of 11.0 through 18.0 years. The simple standard deviations range between 0.2 and 1.2 years. To increase the accuracy of age estimates and improve the identification of age-relevant developmental disorders in forensic age estimation practice, the methods for determining skeletal age should always be combined with a physical and dental examination. In addition, the expert opinion should pay attention to the issue of different modernization levels in relevant populations.

Studies in use of the Greulich–Pyle skeletal age method to assess criminal liability

In recent years, skeletal age determination has become increasingly important for determining the age of live subjects as part of criminal investigation. The most widely used method worldwide to determine skeletal age is the Greulich-Pyle atlas method. The present study examines the suitability of the Greulich-Pyle method given the particular requirements of forensic age estimates. It is a retrospective analysis of 649 hand radiographs originally taken from persons aged between 1 and 18 years, separately for each sex. If the Greulich-Pyle method is used exclusively, it can be claimed with a probability of 95% that a young man has reached the age of 14 years and thus the age of criminal liability if his skeletal age is at least 15.5 years. In the case of female subjects, even if they are estimated as being 16.0 years old, it cannot be asserted with a probability of 95% that they have reached the age of 14. To reduce the margin of error of age estimates, determining the skeletal age should always go hand in hand with a physical examination to determine indications of sexual maturity and a dental examination to record dental status. The reference values given in the present study can be applied to members of all ethnic groups for age estimate purposes. If the person under examination has a different socio-economic status, the expert performing the age estimate should address this issue in his expert opinion and discuss the possible effects that might have on the age diagnosis.

Reference study on the time frame for ossification of the distal radius and ulnar epiphyses on the hand radiograph

Hand radiographs from 554 male and 288 female subjects aged 10-30 years, which had been taken due to traumatological indications, were evaluated. A classification into five ossification stages was applied to assess the epiphyseal development of distal radius and distal ulna (1: epiphysis not ossified; 2: epiphysis ossified, nonunion of the epiphysis and metaphysis; 3: partial union of the epiphysis and metaphysis; 4: complete union of the epiphysis and metaphysis, epiphyseal scar visible; 5: complete union of the epiphysis and metaphysis, epiphyseal scar nondiscernable). It was established that male subjects with an ossification stage 4 of the radius or ulna and female subjects with an ossification stage 5 of the radius were at least 14 years old. The occurrence of ossification stage 5 of the radius proves that a male individual has reached the age of 18 years.

Aktualisierte Empfehlungen der Arbeitsgemeinschaft für Forensische Altersdiagnostik für Altersschätzungen bei Lebenden im Strafverfahren

DOI 10.1007/s00194-008-0571-2 Online publiziert: 24. Oktober 2008

The current state of forensic age estimation of live subjects for the purpose of criminal prosecution

In recent years, many countries have experienced a sharp increase in the demand for forensic age estimates of live persons. From a legal perspective, such age estimates are carried out to determine whether a suspect without valid identity documents has reached the age of criminal responsibility and whether general criminal law in force for adults applies. In many countries, the age thresholds of relevance to criminal prosecution lie between 14 and 21 years.In line with recommendations issued by the Study Group on Forensic Age Diagnostics for determining the age of live subjects in criminal proceedings, a forensic age estimate should combine the results of a physical examination, an x-ray of the hand, and a dental examination that records dentition status and evaluates an orthopantomogram. In addition, a radiological or computed tomographic examination of the clavicles is recommended to establish whether a person has attained 21 years of age.This article addresses the influence of ethnicity on the examined developmental systems. In so doing, the authors conclude that forensic age estimates should pay due heed to the proband’s socioeconomic status and ethnic origin.