法医学杂志 ›› 2016, Vol. 32 ›› Issue (4): 277-281.DOI: 10.3969/j.issn.1004-5619.2016.04.011

• 论著 • 上一篇    下一篇

锁骨胸骨端骨骺闭合规律的多元影像学技术研究进展

范  飞,涂  梦,骆莹贞,张  奎,陈晓刚,邓振华   

  1. (四川大学华西基础医学与法医学院,四川 成都 610041)
  • 发布日期:2016-08-25 出版日期:2016-08-28
  • 通讯作者: 邓振华,男,教授,主要从事法医影像学与法医临床学研究;E-mail:fydzh63@163.com
  • 作者简介:范飞(1991—),女,硕士研究生,主要从事法医临床学方面的研究;E-mail:1150173776@qq.com
  • 基金资助:

    国家自然科学基金面上项目(81373252);四川省应用基础研究计划项目(2013JY0148)

Progress on the Rule of Clavicle Epiphyseal Closure Using Multi-Imaging Technology

FAN FEI, TU MENG, LUO YING-ZHEN, ZHANG KUI, CHEN XIAO-GANG, DENG ZHEN-HUA   

  1. (West China School of Preclinical and Forensic Medicine, Sichuan University, Chengdu 610041, China)
  • Online:2016-08-25 Published:2016-08-28

摘要: 摘  要: 18周岁作为从轻或减轻刑事责任甚至免于死刑的年龄节点,在我国司法审判中具有重要意义。人体四肢长骨骨骺、第二性征等在18周岁时已基本发育完成,而锁骨胸骨端骨骺是人体各大关节干骺端骨骺闭合较晚的骨骼。近年应用多元影像技术探讨锁骨胸骨端骨骺闭合规律的研究显示,锁骨胸骨端骨骺发育在18周岁年龄推断中有一定价值。X线、超声存在一定弊端,并影响结果的准确性。CT特别是薄层CT目前应用较广,但薄层CT扫描辐射较大,非诊疗目的的影像辐射不符合当今医学伦理。MRI是无辐射的断层影像,易于评估,是锁骨胸骨端发育推断骨龄的研究方向之一。本文总结了锁骨胸骨端骨骺闭合规律在骨龄评估中的研究进展,分析并总结应用锁骨胸骨端骨骺闭合规律进行骨龄评估的可行性。

关键词: 法医人类学, 法医影像学, 锁骨胸骨端, 骨骺闭合, 骨龄评估

Abstract: Abstract: People aged 18 years could be punished lightly or diminished criminal responsibility, even be spared the death sentence, which has important meaning in Chinese judicatory adjudication. The epiphysis of long bones from human limbs and the secondary sexual characteristics almost have developed completely before 18 years old. Clavicle epiphysis is one of the articular metaphysis which has a late epiphyseal closure. The recent studies in exploring the rule of clavicle epiphyseal by multi-imaging technology shows that the development of clavicle epiphysis has some value in age estimation of 18 years old. CT, especially thin-section CT, is widely used at present. However, thin-section CT scanning has great net radiation, which is not ethically acceptable if it is not for diagnosis and treatment. MRI is nonradioactive tomographic imaging and easy to evaluate, which is one of the future research directions in forensic age estimation using the medial clavicle. This paper summarizes the progress on the rule of clavicle epiphyseal closure, and analyzes and summarizes the feasibility of rule of clavicle epiphyseal closure applies on age estimation.

Key words: forensic radiology, the clavicle, epiphyses, age estimation

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