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The Supreme Court of Canada interprets the fitness to stand trial test in R v. Bharwani 加拿大最高法院在R v. Bharwani案中解释了是否适合接受审判。
IF 1.8 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2026-03-08 Epub Date: 2025-11-18 DOI: 10.1111/1556-4029.70228
Dennis Curry MD, Jason Quinn MD

At the core of the common law, rooted in fairness, is the principle that an accused must be “fit” or “competent” to answer charges pursued by the state. Fitness rules vary considerably across jurisdictions but generally share the requirement that the accused be able to actively participate in the conduct of their defense. In the Canadian tradition, the common law on fitness is codified in Section 2 of the Criminal Code. For over 30 years, statutory interpretation of the law has been limited to provincial courts of appeal in Canada. Now, for the first time, the Supreme Court of Canada has rendered an opinion on the fitness test, thus creating new binding case law across the country on the question. Largely endorsing decisions rendered in the Ontario Court of Appeal in Taylor, and then Bharwani, the Supreme Court has endorsed a broadened test and fuller interpretation of the statute, highlighting that defense decisions must be reality-based and communicated intelligibly. Fluctuations in fitness are acknowledged, and while symptoms may be present, they must not be overwhelming in nature. Here, we review the legislative and judicial history leading to the decision in R v. Bharwani before providing a psycholegal analysis of the decision and a review of its implications for forensic mental health professionals. Beyond utility to those practicing in Canada, this historic and landmark ruling is thought to be instructive to those in America and other Commonwealth nations around the world grappling with the nuances of competency capacity thresholds.

植根于公平的普通法的核心原则是,被告必须“适合”或“有能力”回答国家提出的指控。不同司法管辖区的适宜性规则差异很大,但通常都要求被告能够积极参与辩护。在加拿大的传统中,关于健身的普通法被编纂在《刑法》第2节中。30多年来,法律的法定解释仅限于加拿大的省级上诉法院。现在,加拿大最高法院第一次就健康测试发表了意见,从而在全国范围内就这个问题建立了新的具有约束力的判例法。最高法院在很大程度上支持安大略省上诉法院在泰勒案和巴尔瓦尼案中做出的裁决,并支持对法规进行更广泛的测试和更全面的解释,强调辩护决定必须以现实为基础,并可理解地传达。健康的波动是公认的,虽然症状可能存在,但它们在本质上不应该是压倒性的。在此,我们回顾导致R v. Bharwani案判决的立法和司法历史,然后对该判决进行心理法律分析,并审查其对法医精神卫生专业人员的影响。除了对在加拿大执业的人有用之外,这一具有历史意义和里程碑意义的裁决被认为对美国和世界上其他英联邦国家的人有指导意义,这些国家正在努力解决能力门槛的细微差别。
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引用次数: 0
Elevated beta-hydroxybutyrate within a pediatric population and its associated pathology: A retrospective case series 儿科人群中β -羟基丁酸盐升高及其相关病理:回顾性病例系列。
IF 1.8 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2026-03-08 Epub Date: 2025-11-17 DOI: 10.1111/1556-4029.70227
Nasim Haghandish MDCM, PhD, Anthea Girdwood MD, FRCPC, Christopher Milroy MD, FRCPath, FRCPC, Jacqueline Parai MD, MSc, FRCPC

Elevated beta-hydroxybutyrate (BHB) is a marker for ketoacidosis. Post-mortem values for the diagnosis of fatal ketoacidosis and the associated clinical and histologic findings are limited in the pediatric population. A retrospective case series of pediatric autopsy records and histology slides was conducted. Deaths occurring between 2010 and 2022 of children (ages<18 years) with an elevated BHB level (vitreous BHB >2 mmol/L or blood >200 mg/L) were analyzed. Histology of the heart, lung, liver, and kidneys was reviewed and scored. Five hundred twelve pediatric autopsies were conducted during the study period, of which 20 cases (3.9%) met the inclusion criteria. The age ranged from stillborn to 17 years, with a mean age of 6.3 years and a median age of 3.5 years. The mean concentration of vitreous BHB was 3.9 mmol/L (median 2.69; range 2.0–11.86 mmol/L; n = 17 cases) and the blood BHB had a mean of 416 mg/L (median 291; range from <50 mg/L to 1188 mg/L; n = 9 cases). Death was attributed to diabetic ketoacidosis, infection, malignancy, trauma, congenital heart disease, and drug toxicity. Histological changes were seen in all tissues examined in this pediatric population including hepatic steatosis (n = 17), glycogenated hepatocyte nuclei (n = 5), renal tubular vacuoles (n = 7) and heart vacuoles (n = 9). The only statistically significant correlation was found between vitreous BHB and renal tubular vacuoles (p = 0.014). Overall, elevated BHB levels were identified in blood and/or vitreous in fatal diabetic and non-diabetic cases, including infection. Diabetic ketoacidosis had the highest level of BHB at 11.86 mmol/L.

β -羟基丁酸酯(BHB)升高是酮症酸中毒的标志。死后诊断致死性酮症酸中毒的价值以及相关的临床和组织学发现在儿科人群中是有限的。回顾性的病例系列的儿童尸检记录和组织学切片进行。分析了2010年至2022年间儿童(年龄为2 mmol/L或血血浓度为200 mg/L)的死亡情况。复查心、肺、肝、肾的组织学并评分。研究期间共进行了512例儿童尸检,其中20例(3.9%)符合纳入标准。年龄范围从死产到17岁,平均年龄6.3岁,中位年龄3.5岁。玻璃体BHB平均浓度为3.9 mmol/L(中位数为2.69,范围为2.0 ~ 11.86 mmol/L, 17例),血液BHB平均浓度为416 mg/L(中位数为291,范围为
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引用次数: 0
Incidents of sudden death during restraint of agitated individuals in Sweden between 1992 and 2024 1992年至2024年期间,瑞典对激动的个人进行约束期间的猝死事件。
IF 1.8 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2026-03-08 Epub Date: 2025-11-25 DOI: 10.1111/1556-4029.70237
Alexander Tyr PhD, Erik Lindeman MD, Fredrik Tamsen MD, PhD, Ingemar Thiblin MD, PhD, Brita Zilg MD, PhD

Restraint-related sudden deaths in agitated individuals raise complex questions at the intersection of medicine and law. Hyperactive delirium with extreme agitation as well as positional asphyxia due to restraint have been proposed to account for these deaths. However, the exact physiological mechanisms responsible and to what extent restraint contributes to the lethal outcome remain debated. In this nationwide, 32-year retrospective study between 1992 and 2024, we examined circumstances surrounding sudden deaths during restraint of agitated individuals in Sweden. A total of 52 cases were identified, with an average of 0.17 deaths per million inhabitants annually. Ninety percent of cases involved prone restraint and 69% showed evidence of stimulant use. In 15 cases from 2005 onward, peri-arrest arterial blood gas data revealed profound metabolic and respiratory acidosis, with a mean blood pH of 6.52 (range: 6.30–6.95; median: 6.50), mean lactate concentration of 26.3 mmol/L (range: 8.6–41.0; median: 30), and mean pCO2 of 14.8 kPa (range: 6.4–22.3; median: 15.3). Based on these findings, we propose a two-phase pathophysiological model of restraint-related cardiac arrest. The initial “priming phase” involves extreme physical exertion, creating a critically acidotic state that requires full respiratory and cardiovascular function to maintain homeostasis. If the “priming phase” is followed by restraint that restricts ventilatory function and hampers venous return, e.g., restraint in the prone position, an unstable “tipping phase” is initiated, that may culminate in cardiac arrest. This model builds on previous hypotheses and emphasizes the potentially lethal consequences of inhibiting ventilatory function in acutely agitated individuals.

在激动的个体中与约束相关的突然死亡在医学和法律的交叉点提出了复杂的问题。伴有极度躁动的过度活跃谵妄以及由于约束造成的体位性窒息被认为是导致这些死亡的原因。然而,确切的生理机制负责和在多大程度上限制有助于致命的结果仍然存在争议。在这项1992年至2024年的全国性32年回顾性研究中,我们研究了瑞典在控制激动个体时突然死亡的情况。总共确定了52个病例,平均每年每百万居民死亡0.17人。90%的病例涉及俯卧约束,69%的病例有使用兴奋剂的证据。自2005年以来,15例患者的停搏期动脉血气数据显示严重的代谢性和呼吸性酸中毒,平均血液pH值为6.52(范围:6.30-6.95;中位数:6.50),平均乳酸浓度为26.3 mmol/L(范围:8.6-41.0;中位数:30),平均二氧化碳分压为14.8 kPa(范围:6.4-22.3;中位数:15.3)。基于这些发现,我们提出了一个抑制相关性心脏骤停的两阶段病理生理模型。最初的“启动阶段”包括极端的体力消耗,造成严重的酸中毒状态,需要充分的呼吸和心血管功能来维持体内平衡。如果“启动阶段”之后是限制通气功能和阻碍静脉回流的束缚,例如俯卧位的束缚,则开始一个不稳定的“引爆阶段”,最终可能导致心脏骤停。该模型建立在先前的假设上,并强调急性激动个体抑制通气功能的潜在致命后果。
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引用次数: 0
Forensic interpretation of zolpidem in South Korea (2022–2024): Postmortem specimen analysis and drug-facilitated crimes 韩国唑吡坦的法医解释(2022-2024):死后标本分析和毒品犯罪。
IF 1.8 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2026-03-08 Epub Date: 2025-12-23 DOI: 10.1111/1556-4029.70251
Meejung Park PhD, Sungmin Moon PhD, Dongeun Park MSc, Bohye Kim PhD, Heejung Kim MSc, Hyunmin Ahn BPharm, Jaesin Lee PhD

Zolpidem, a non-benzodiazepine hypnotic, is one of the most widely prescribed sleep aids in South Korea and is frequently implicated in forensic toxicology. A retrospective analysis was conducted on zolpidem-positive autopsy cases (N = 1583) investigated by the National Forensic Service between 2022 and 2024. The manner and cause of death were classified, and zolpidem concentrations were measured in three biological matrices: peripheral blood (PB), cardiac blood (HB), and liver. Zolpidem analysis was performed using gas chromatography–mass spectrometry (GC/MS) and liquid chromatography–tandem mass spectrometry (LC–MS/MS) following solid-phase extraction (SPE). Among zolpidem-positive autopsies, suicide accounted for 43.1% (n = 676), with drug poisoning representing the dominant method (72.8% of suicides). In drug-related suicide cases (n = 251), zolpidem was the sole detected agent in 15.1%, while the majority (84.9%) involved poly-drug exposure. A wide range of non-pharmaceutical toxicants—including carbon monoxide, agrochemicals, chemical substances such as gases, nitrite, ethylene glycol, cyanide, and other miscellaneous agents—were also co-detected. Zolpidem was also the most frequently detected drug in driving under the influence of drugs (DUID) cases (30.0%) and drug-facilitated sexual assault (DFSA) submissions (5.1%) during the study period, highlighting its role in both fatal and nonfatal forensic toxicology. These findings emphasize the importance of appropriate clinical use, matrix- and context-specific toxicological assessment, and strengthened public health strategies to address the potential risks associated with zolpidem use.

唑吡坦是一种非苯二氮卓类催眠药物,是韩国最广泛使用的助眠药物之一,经常在法医毒理学中出现。回顾性分析了2022 ~ 2024年间国立法医学院调查的唑吡坦阳性尸检病例(1583例)。对死亡方式和死因进行分类,并在三种生物基质中测定唑吡坦浓度:外周血(PB)、心肌血(HB)和肝脏。固相萃取(SPE)后,采用气相色谱-质谱(GC/MS)和液相色谱-串联质谱(LC-MS/MS)对唑吡坦进行分析。在唑吡坦阳性尸检中,自杀占43.1% (n = 676),以药物中毒为主要自杀方式(72.8%)。在251例与药物有关的自杀病例中,唑吡坦是15.1%的唯一检测到的药物,而大多数(84.9%)涉及多种药物暴露。广泛的非药物毒物——包括一氧化碳、农用化学品、化学物质如气体、亚硝酸盐、乙二醇、氰化物和其他杂项试剂——也被共同检测到。在研究期间,唑吡坦也是在药物影响下驾驶(DUID)案件(30.0%)和毒品促成性侵犯(DFSA)案件(5.1%)中最常被发现的药物,突出了其在致命和非致命法医毒理学中的作用。这些发现强调了适当的临床使用、基质和环境特异性毒理学评估以及加强公共卫生战略以解决与使用唑吡坦相关的潜在风险的重要性。
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引用次数: 0
An experimental study of bullet mass and velocity and their relation to fracture patterns in flat bones 子弹质量、速度及其与平骨骨折模式关系的实验研究。
IF 1.8 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2026-03-08 Epub Date: 2026-01-04 DOI: 10.1111/1556-4029.70258
Delaney Edwards MA, Mariyam Isa PhD

This study investigated relationships between bullet mass, velocity, kinetic energy (KE), and fracture propagation in flat bones. Sixty full metal jacketed 9-mm bullets of different masses were fired at pig (Sus scrofa) scapulae. A chronograph measured bullet velocity prior to impact. Fracture characteristics were documented using standard terminology, counted, and measured at the entrance aspect, exit aspect, and overall per specimen. Few significant relationships between ballistic and fracture variables were found across the ranges tested, suggesting possible threshold effects. Bullet mass influenced velocity, suggesting that KE is the most practical variable for interpreting trauma in forensic contexts. Side-specific analyses showed entrance fracture length was primarily driven by long individual radial cracks, while exit fracture length reflected more cracks, more diverse crack types, and longer individual cracks. These findings provide a baseline for future research and underscore the utility of a standardized, quantitative, and surface-specific framework for documenting fracture characteristics.

本研究探讨了子弹质量、速度、动能(KE)和平骨骨折扩展之间的关系。60发不同质量的全金属护套9毫米子弹射击猪(Sus scrofa)肩胛骨。一个计时码表测量了子弹撞击前的速度。使用标准术语记录断裂特征,并在入口、出口和每个试件的整体上进行计数和测量。在测试范围内,弹道和断裂变量之间几乎没有明显的关系,这表明可能存在阈值效应。子弹质量影响速度,这表明KE是在法医环境中解释创伤最实用的变量。侧面分析表明,入口断裂长度主要受长单个径向裂纹的影响,而出口断裂长度则反映了更多的裂纹、更多样的裂纹类型和更长的单个裂纹。这些发现为未来的研究奠定了基础,并强调了记录裂缝特征的标准化、定量和表面特异性框架的实用性。
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引用次数: 0
Combining morphological traits and measurements of the skull for osteological sex estimation using random forest modeling 结合形态学特征和测量颅骨骨性别估计使用随机森林模型。
IF 1.8 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2026-03-08 Epub Date: 2025-11-30 DOI: 10.1111/1556-4029.70241
Morgan J. Ferrell PhD, John J. Schultz PhD, Donovan M. Adams PhD

Forensic anthropologists commonly estimate osteological sex using separate morphological and metric analyses, without integrating both data types into a single classification model. Combining data types into one model has the potential to increase sex classification accuracies for the skull. Therefore, the present study seeks to improve classification accuracies for the skull by combining morphological and metric variables using random forest (RF) modeling. The main objectives are (1) generate multiple RF models that incorporate various combinations of morphological and metric variables for estimating osteological sex from an unknown individual, (2) compare the performance of morphological, metric, and combined data RF models, and (3) compare the results of the RF models to current methods for osteological sex estimation of the skull. The sample included 212 European Americans (males = 106, females = 106) and 191 African Americans (males = 114, females = 77). The models were trained on 80% of the sample and tested using a 20% holdout sample. Multiple models were generated using morphological, metric, and combined variables. Across all model types, the skull and cranium models achieved higher accuracies compared to the mandible models. The morphological and combined models attained higher accuracies compared to the metric models. Additionally, the morphological and combined RF models attained comparable classification accuracies to current standard osteological sex estimation methods, as well as compared to previous studies that integrated skull measurements and traits. Future research should continue exploring RF modeling for osteological sex estimation, including models combining metric and morphological variables from multiple skeletal regions.

法医人类学家通常使用单独的形态学和计量学分析来估计骨骼性别,而不会将这两种数据类型整合到单一的分类模型中。将数据类型合并到一个模型中有可能提高颅骨性别分类的准确性。因此,本研究旨在通过使用随机森林(RF)模型结合形态学和度量变量来提高颅骨分类的准确性。主要目标是:(1)生成多个RF模型,其中包含形态学和度量变量的各种组合,用于估计未知个体的骨性别;(2)比较形态学、度量和组合数据RF模型的性能;(3)将RF模型的结果与目前用于颅骨骨性别估计的方法进行比较。样本包括212名欧洲裔美国人(男性= 106,女性= 106)和191名非洲裔美国人(男性= 114,女性= 77)。这些模型在80%的样本上进行了训练,并使用20%的保留样本进行了测试。使用形态、度量和组合变量生成多个模型。在所有模型类型中,与下颌骨模型相比,颅骨和头盖骨模型获得了更高的准确性。与度量模型相比,形态模型和组合模型获得了更高的精度。此外,形态学和联合RF模型获得了与当前标准骨性别估计方法相当的分类准确性,以及与先前整合头骨测量和特征的研究相比。未来的研究应继续探索骨学性别估计的RF模型,包括结合来自多个骨骼区域的度量和形态学变量的模型。
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引用次数: 0
Non-destructive identification of correction pens and tapes in document fraud using ATR-FTIR and chemometrics 利用ATR-FTIR和化学计量学对文件欺诈中的校正笔和胶带进行无损识别。
IF 1.8 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2026-03-08 Epub Date: 2025-12-07 DOI: 10.1111/1556-4029.70243
Bhumika Goyal MS, Akanksha Sharma MS, Vishal Sharma PhD

A significant portion of document fraud cases, often associated with organized crime, involves the manipulation of physical records using correction materials such as pen or fluids and tapes. Although these materials are visually similar, they differ in chemical composition. Fluids typically contain volatile organic solvents and pigments, while tapes consist of pigment-coated adhesive films. In this study, the ATR-FTIR spectroscopy as a non-destructive analytical technique was explored to obtain spectral data from 205 prepared samples of correction materials and visually similar substances. PCA was used for exploratory data reduction, followed by PLS-DA for supervised classification based on spectral patterns. Further, feature importance was interpreted using VIP and coefficient plots, highlighting key wavenumbers contributing to class separation. The developed models exhibited excellent performance, achieving 100% accuracy in external validation for differentiating correction materials from similar-looking substances, as well as discriminating between correction pen and correction tape samples. The findings demonstrate that ATR-FTIR spectroscopy coupled with chemometrics provides a fast, accurate, and non-destructive method for the forensic classification of correction materials, offering substantial utility in real-world document examination scenarios. Further, the spectral repository developed in this study offers a valuable reference resource for forensic document examiners, aiding in the identification of questioned materials and supporting the investigation of document forgery cases.

文件欺诈案件的很大一部分往往与有组织犯罪有关,涉及使用钢笔或液体和磁带等纠正材料篡改实物记录。虽然这些材料在外观上很相似,但它们的化学成分不同。流体通常含有挥发性有机溶剂和颜料,而胶带由涂有颜料的胶膜组成。本研究探索了ATR-FTIR光谱作为一种无损分析技术,从205个制备的校正材料和视觉相似物质样品中获得光谱数据。PCA用于探索性数据约简,PLS-DA用于基于光谱模式的监督分类。此外,使用VIP和系数图解释特征重要性,突出显示有助于分类的关键波数。所开发的模型表现出优异的性能,在区分校正材料和相似物质以及区分校正笔和校正带样品的外部验证中达到100%的准确性。研究结果表明,ATR-FTIR光谱与化学计量学相结合,为校正材料的法医分类提供了一种快速、准确、无损的方法,在现实世界的文件检查场景中具有重要的实用性。此外,本研究开发的光谱库为法医文件审查员提供了宝贵的参考资源,有助于鉴定可疑材料并支持文件伪造案件的调查。
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引用次数: 0
Assessment of risk factors and preventive measures for inorganic and organic GSR secondary transfer in arrest scenarios 逮捕情景中无机和有机GSR二次转移的风险因素评估和预防措施。
IF 1.8 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2026-03-08 Epub Date: 2025-12-29 DOI: 10.1111/1556-4029.70252
Kourtney A. Dalzell MSc, Thomas Ledergerber PhD, Madelyn Tymitz, Tatiana Trejos PhD, Luis E. Arroyo PhD

This study monitored the transfer of inorganic and organic gunshot residues (IGSR and OGSR) in cases where indirect exposure might be questioned, such as during arrests. Mock arrest scenarios (n = 180) were created to assess the effect of two variables on the secondary transfer. First, the level of contact between the detained and the officer (low, medium, and high) during the arrest protocols. Second, the activities preceding the arrest include situations where the officer or person of interest (POI) discharges a firearm or handles a gun without firing. Additionally, measures to mitigate the risk of GSR transfer from the arresting officer and surfaces were evaluated. This included variables like hand washing, wearing various types of gloves, and bagging the POI's hands during transport in a police vehicle (n = 70). All samples underwent screening (ECD and LIBS) and confirmatory analysis (SEM–EDS and LC–MS/MS). The results indicated that IGSR and OGSR behave differently, with their transfer and persistence varying according to the level of contact, activities, and exposure prior to arrest. Secondary transfer was observed in 69% of the experiments but was less likely to occur for OGSR than for IGSR. The OGSR was more prone to loss, as it was not detected in 93% of the medium- and high-contact scenarios. Preventive measures such as hand washing, wearing nitrile gloves, or bagging hands helped decrease the characteristic IGSR particle counts from 5–80 to none-11. These findings enhance the current knowledge of IGS/OGSR transfer and persistence while providing recommendations for arrest protocols and evidence collection.

本研究监测了在可能质疑间接暴露的情况下,例如在逮捕期间,无机和有机枪击残留物(IGSR和OGSR)的转移。模拟逮捕场景(n = 180)被创建来评估两个变量对二次转移的影响。首先,在逮捕协议期间,被拘留者与警官之间的接触程度(低、中、高)。第二,逮捕前的活动包括警官或利害关系人(POI)使用火器或在不开火的情况下操作枪支的情况。此外,还评估了减轻逮捕人员和表面GSR转移风险的措施。这包括洗手、戴各种类型的手套以及在警车运输过程中给POI的手套上袋子等变量(n = 70)。所有样品都进行了筛选(ECD和LIBS)和验证分析(SEM-EDS和LC-MS/MS)。结果表明,IGSR和OGSR表现不同,其转移和持久性根据接触水平、活动和被捕前的暴露程度而变化。在69%的实验中观察到二次转移,但OGSR比IGSR发生的可能性要小。OGSR更容易丢失,因为它在93%的中、高接触情景中未被检测到。洗手、戴丁腈手套或袋装手等预防措施有助于将典型的IGSR颗粒计数从5-80减少到0 -11。这些发现增强了目前对IGS/OGSR转移和持久性的认识,同时为逮捕协议和证据收集提供了建议。
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引用次数: 0
Minimal age principle versus Bayesian approach to combine age indicators from magnetic resonance imaging for multifactorial forensic age estimation 最小年龄原则与贝叶斯方法结合磁共振成像年龄指标进行多因素法医年龄估计。
IF 1.8 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2026-03-08 Epub Date: 2026-02-09 DOI: 10.1111/1556-4029.70270
Heleen Coreelman MSc, Jannick De Tobel PhD, MD, DDS, MSc, Thomas Widek PhD, MSc, Martin Urschler PhD, MSc, Steffen Fieuws PhD, MSc, Patrick W. Thevissen PhD, DDS, MSc, Koenraad L. Verstraete PhD, MD

Multifactorial age estimation is preferred over methods based on a single anatomical site. The main challenge of the multifactorial methods lies in calculating the overall prediction interval. This study compared the performance of two approaches to achieve this: the minimal age principle versus a Bayesian approach. MRI of the third molars, left hand/wrist, and sternal extremity of both clavicles were prospectively conducted in 335 healthy Austrian Caucasian males aged 13–24 years. Development was staged according to De Tobel et al. Multi-factorial age estimation: A Bayesian approach combining dental and skeletal magnetic resonance imaging. Forensic Sci Int. 2020;306:110054. Applying the minimal age principle rendered a mean absolute error of 1.47 years, root mean square error of 1.81 years, mean width of the 95% prediction interval (PI) of 4.44 ± 2.49 years, and coverage of 68.7%. For the Bayesian approach, the results were 1.41, 1.80, 5.15 ± 1.94 years, and 81.5%, respectively. Higher inconsistency between the different age indicators was linked to a lower coverage probability in the minimal age principle, but not in the Bayesian approach. Moreover, higher inconsistency between age indicators was also linked to a higher probability of obtaining an impossible PI with the minimal age principle. Furthermore, applying the minimal age principle rendered 97.9%/81.0% correctly categorized adults (based on the point prediction of age/based on the PI) and 69.2%/85.6% correctly categorized minors. For the Bayesian approach, the results were 95.2%/76.2% and 81.5%/95.9%, respectively. In conclusion, the Bayesian approach outperformed the minimal age principle for multifactorial forensic age estimation, allowing the construction of more appropriate PIs and more correctly categorized minors.

多因素年龄估计优于基于单一解剖部位的方法。多因子方法的主要挑战在于计算总体预测区间。本研究比较了实现这一目标的两种方法的性能:最小年龄原则与贝叶斯方法。对335名年龄13-24岁的健康奥地利高加索男性进行了第三磨牙、左手/手腕和双锁骨胸骨的MRI检查。根据De Tobel等人的说法,发展是分阶段进行的。多因素年龄估计:结合牙齿和骨骼磁共振成像的贝叶斯方法。司法科学,2020;306:110054。应用最小年龄原理的平均绝对误差为1.47岁,均方根误差为1.81岁,95%预测区间(PI)的平均宽度为4.44±2.49岁,覆盖率为68.7%。贝叶斯方法的结果分别为1.41、1.80、5.15±1.94年和81.5%。不同年龄指标之间较高的不一致性与最小年龄原则中较低的覆盖概率有关,但与贝叶斯方法无关。此外,年龄指标之间较高的不一致性也与以最小年龄原则获得不可能的PI的可能性较高有关。此外,应用最小年龄原则对成人(基于年龄点预测/基于PI)和未成年人的分类正确率分别为97.9%/81.0%和69.2%/85.6%。贝叶斯方法的结果分别为95.2%/76.2%和81.5%/95.9%。总之,贝叶斯方法在多因素法医年龄估计中优于最小年龄原则,可以构建更合适的pi和更正确地分类未成年人。
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引用次数: 0
Examining the influence of lifestyle variables on the accuracy of skeletal age estimation via the pubic symphysis 通过耻骨联合检查生活方式变量对骨骼年龄估计准确性的影响。
IF 1.8 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2026-03-08 Epub Date: 2025-11-28 DOI: 10.1111/1556-4029.70240
Natalie Moss MSc, Elizabeth Craig-Atkins PhD

This study investigated links between skeletal age estimation error and lifestyle variables to better elucidate sources of interpersonal variability in the rates of skeletal aging. Skeletal age for 180 individuals from the New Mexico Decedent Image Database was estimated by applying the Suchey–Brooks method and transition analysis to 3D models of the pubic symphysis, and age estimates were compared to known age-at-death. Age estimation bias and accuracy for both methods were evaluated first with respect to single lifestyle variables, then random forest modeling was used to test variability with respect to all lifestyle variables. Age estimation bias was shown to be significantly different with respect to sex when applying transition analysis, but not when applying Suchey–Brooks, and males tended to be underaged relative to females of the same age. While no statistically significant differences in bias existed for either method between BMI categories, random forest modeling indicated that body size exerts a limited but variable influence on skeletal aging. Additional variables were highlighted as potentially influential to skeletal aging by random forests, such as socioeconomic status, but ultimately, model performance and variable importance plots demonstrated that these influences were slight and nonuniform. These data suggest that including considerations of lifestyle variables in skeletal aging methods would not improve aging estimates.

本研究调查了骨骼年龄估计误差和生活方式变量之间的联系,以更好地阐明骨骼衰老率的人际变异性的来源。利用Suchey-Brooks方法和对耻骨联合三维模型的过渡分析,对来自新墨西哥死者图像数据库的180个人的骨骼年龄进行了估计,并将估计的年龄与已知的死亡年龄进行了比较。首先针对单一生活方式变量评估两种方法的年龄估计偏差和准确性,然后使用随机森林模型来测试所有生活方式变量的变异性。年龄估计偏倚在性别上存在显著差异,但在Suchey-Brooks分析中无显著差异,且男性相对于相同年龄的女性倾向于年龄偏小。虽然两种方法在BMI类别之间的偏倚没有统计学上的显著差异,但随机森林模型表明,体型对骨骼衰老的影响有限但可变。随机森林强调了其他变量对骨骼老化的潜在影响,如社会经济地位,但最终,模型性能和变量重要性图表明,这些影响是轻微的和不均匀的。这些数据表明,在骨骼老化方法中考虑生活方式变量并不能改善对衰老的估计。
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引用次数: 0
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Journal of forensic sciences
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