Determination of stature from skeletal and skull measurements by CT scan evaluation

The aim of this article is to find a correlation between height and femur/skull measurements through Computed Tomography (CT) scans and derive regression equations for total skeletal height estimation in the Caucasian population. We selected 200 Caucasian patients from March 2010 to July 2011 who had to perform a CT scan for cancer restaging. The mean age is 64.5 years. Both sexes are represented by the same number of persons. Patients have executed a total body CT scan with contrast; once scan accomplished, we measured height through a digital scales. We analyzed CT scans of each patient, obtaining multiplanar reconstruction in sagittal and coronal planes with 1mm of thickness, and we measured 10 diameters of skull and femur. Then we performed a single and a multiple regression analysis considering the three diameters that better correlated with height. The skeletal diameters with the highest correlation coefficients with stature were femur lengths, length of cranial base (Ba-N), and distance from the posterior extremity of the cranial base to the inferior point of the nasal bone (Ba-NB). Although both femur and skull are skeletal segments used for stature estimation, in our sample femur gave stronger correlation with height than skull. h=35.7+1.48·BaN+2.32·BaNB+2.53·FEM and h=3.06·FEM+72.6 are the formulae that provided the most accurate stature assessment using multiple and single regression analysis respectively.     

A comprehensive regression tree to estimate body weight from the skeleton

The purpose of this research is to estimate actual body weight (in particular obesity) from the human skeleton. Known individuals (total n=187) were studied from the Bass Collection from the University of Tennessee, Knoxville. This research combines bone density, cross-sectional geometry of the femur and skeletal pathologies. Bone mineral density was calculated for the proximal femur. Three-dimensional bone surface models were created from computed tomographic scans. Cross-sectional geometry of the femur was calculated at five locations along the diaphysis. The pathologies analyzed were heel spurs, diffuse idiopathic skeletal hyperostosis (DISH), and tibial osteoarthritis. The best regression tree model included only four variables. The first split to estimate body weight was the minimum moment of inertia (I(y) ) at the distal femur, the second was midshaft width, then anteroposterior thickness at the proximal slice and the final split was the degree of DISH (SD 17.1-31.0 kg). The ability to estimate body weight from the skeleton is one more useful tool for the osteologist.     

Stature reconstruction using fragmentary femora in South Africans of European descent

It is well documented that the intact femur has the highest correlation with stature and as such has been widely used in the derivation of regression equations for stature estimation. As intact femur is not always present for analyses in forensic cases, it has become necessary to derive regression equations for the estimation of stature from fragments of this bone. Few studies have presented regression equations for stature estimation from fragments of the femur. Because these equations are population specific, it was the aim of this study to derive similar equations for estimation of stature and maximum length of femur from measurements of the femur of South Africans of European descent. A sample of 50 male and 50 female complete skeletons were obtained from the Raymond A. Dart Collection of Human Skeletons. Total skeletal height for each of the skeletons was calculated using the Fully's method. Six variables were measured on each femur which included the vertical neck diameter, upper breadth of femur, epicondylar breadth, bicondylar breadth, lateral condyle length, and medial condyle length. Regression equations for the estimation of stature are presented. The range of standard error of estimate for these equations (3.71-5.31) was slightly higher than those obtained for intact long bones (2.13-3.79). It is therefore suggested that in the absence of intact femur, regression equations derived from the present study can provide a reliable estimate of adult stature.     

计算机X线摄片测量四川地区活体男性颈椎推算身高

目的 以计算机放射学(computer radiography,CR)X线摄影方法,摄颈椎侧位CR片,测量颈椎高度,建立推算身高的回归方程.并评估放射学方法测量颈椎高度推算身高的可行性.方法 在150例四川汉族成年活体男性颈椎CR片上测量C3～C7前、后缘高度,同时测量其身高.通过各项颈椎测量指标与身高的线性回归分析,建立颈椎推算身高的回归方程;并对方程进行身高预测值与实际值的配对t检验、残差分析、等方差性检验以及共线性检验等方程的预测与诊断.结果 共建立有统计学意义的一元回归方程31个,多元回归方程20个.所建立回归方程的复相关系数在0.656～0.259范围内,身高估计值标准误在4.30-5.79cm范围.结论 所建立的回归方程适用于四川汉族成年男性颈椎身高推算.应用CR放射学方法测量颈椎高度推算身高,可以为法医学个人识别身高推算提供帮助.     

Sexing and stature estimation criteria for Balkan populations

Abstract:  Two standard measurements, maximum femur length and head diameter, were collected by International Criminal Tribunal (ICTY) anthropologists. Only Kosovans had both femur dimensions for both sexes. Antemortem stature data were available only for Kosovan and Croatian males. Despite these limitations, the data offer the opportunity to examine ethnic variation and to present sex and stature estimation criteria for these groups. Additional data from Croatians and from American Whites were used for comparison in certain parts of the analysis. Femur variation was considerable. Kosovans can be characterized as short and robust, Bosnians as tall and less robust, and Croatians are tall and gracile, resembling American Whites more than the other groups. Some limited antemortem data on stature was also available, allowing stature estimation equations to be estimated for Croatians and Kosovans. Antemortem stature estimates were obtained from interviews with relatives and are shown to overestimate actual stature. We argue that equations predicting height obtained from relatives is the most realistic in this case because that is the height to which an estimate obtained from bone lengths will be compared. Kosovans were also shown to have experienced slight secular increase in femur length over the past 70 years.     

Sacralization of a sixth lumbar vertebra and its effect upon the estimation of living stature

Stature is estimated in a case presenting a sacralized sixth lumbar vertebra using both Fully's anatomical method and Trotter and Gleser's stature estimation formulas. In this case, where antemortem stature is known, the accuracy of the anatomical method is enhanced by including the height of the actual S1 segment in the calculation, while the accuracy of the Trotter and Gleser estimate is enhanced by adding the height of the extra vertebra to the stature estimate.     

The estimation of stature on the basis of measurements of the femur

The study aims to establish the relationship between body height and the greatest length of the femur. The motive for undertaking these examinations was the lack in the literature of studies that allow -- with reference to the current population of Central Europe -- the reconstruction of height while alive based on measurements of a skeleton. It was decided to examine isolated bones from human remains undergoing forensic autopsy, and belonging to individuals of both sexes whose growth processes had stopped. Examinations were conducted on 91 human bodies from the contemporary Polish population. The research points to a very close relationship between the length of a dead body and the measured greatest length of the femur. This relationship was expressed in nine coefficients of correlation calculated for both sexes.     

Long Bone (Humerus,Femur, Tibia) Measuring Procedure in Cadavers

In this work, we present a measuring methodology for long bones of the limbs (humerus, femur, and tibia) of human corpses. Measurements of cadaveric height and long bone lengths were conducted on 72 corpses (20 females and 52 males) from the School of Medicine at the National Autonomous University of Mexico. Additionally, these measurements were compared with those taken from dry bones of a subsample of individuals. Our results show marginal differences (TEM% = 0.59) between cadaveric and dry bone measurements, resulting from different osteometric technical procedures. This note outlines the measuring methodology, which will be subsequently used to create regression formulas for stature estimation.     

X线摄影测量活体胫腓骨长度推算身高

目的应用计算机X线摄影（computer radiography,CR）测量活体胫腓骨长度,建立适合当代中国北方汉族人群胫腓骨长度推算身高的数学模型。方法在422例（男性207例．女性215例）活体山东汉族成年人的胫腓骨正位CR片上测量5项长度指标,同时测量其身高。通过各项测量指标与身高的线性回归分析、线性回归模型假设检验的方差分析以及偏回归系数的t检验．建立运用胫腓骨长度推算身高的回归方程;并对所建立的方程进行身高预测值与真实值的配对t检验、残差分析等方程的预测与诊断。结果共建立有统计学意义的一元回归方程35个一所建立的回归方程的相关系数在0．909～0．823范围内．回归方程的估计值标准误在2．48～3．87cm范围结论应用CR放射学方法测量胫腓骨长度推算身高．可以为法医学个人识别身高推算提供帮助,建立的回归方程适用于中国北方汉族人群胫腓骨的身高推算。     

Age estimation by measuring the racemization of aspartic acid from total amino acid content of several types of bone and rib cartilage: a preliminary account

Age estimation has been often performed based on the rate of aspartic acid racemization using bones. In this study, we investigated various kinds of bone and a cartilage for suitability to estimate age by racemization. Ten male cadavers aged 22 to 77 years at death were selected, and bone specimens and cartilage were taken from seven sites in each individual. The rate of racemization of aspartic acid among total amino acid contained in each specimen was analyzed by gas chromatography. The correlation coefficient between the rate of racemization and chronological age was relatively high in the sternum, skull, and femur. The rates of aspartic acid racemization were high in the costal cartilage, femur, and skull. In addition, we found that the rate of racemization was only slightly lower after the second irrigation than after the first irrigation in femur and skull bone specimens, but those of others were significantly lower. These findings showed that among the six different bones and rib cartilage, the skull and femur might be used most effectively for age estimation using total amino acid fraction.     

Racial variation in the proximal and distal femur: heritability and forensic utility.

The femur has been studied successfully by physical anthropologists for many years. Such traits as femoral head diameter and bicondylar width have been examined extensively and are of great value to forensic anthropologists and other skeletal biologists in sex identification. A number of studies over the past decade by the author and his former students have shown marked racial differences in the shape of the proximal femur and in at least one trait of the distal femur--intercondylar notch height. Anterior-posterior (AP) diameter of the proximal femur is much greater among Whites and Blacks than among East Asians and American Indians. Blacks have slightly greater intercondylar notch height than Whites. Other features, such as torsion, also differ between the major geographic racial populations. Current analysis suggests that the East Polynesians fall close to the American Indians and East Asians in the degree of flatness of the proximal femur. One study has tracked the degree of change in flatness during individual development, and finds little change within major populations from the youngest to the oldest individuals. Temporal changes within populations are likewise minimal. Two studies have examined sex differences within populations, which are also found to be very slight. Racial differences, on the other hand, are quite significant, and individuals of admixed ancestry fall intermediate between the two parental populations. Such suggestions of high heritability in the shape of the proximal and distal femur make these traits very useful in assessing ancestry in forensic contexts.     

Stature estimation based on dimensions of the bony pelvis and proximal femur

Pelin et al. recently showed that sacral height measured on lateral magnetic resonance images can be used with moderate accuracy to reconstruct stature in males. In most forensic anthropological cases, however, sacral dimensions must be obtained from dry bones. In this study, the relationship between stature and sacral height, hip height, and femur head diameter measured on dry bone was evaluated for American Blacks and Whites of both sexes (n = 247). There are significant correlation between stature and these three dimensions, but the results suggest that none of the dimensions predict stature with the accuracy needed to be useful in forensic anthropological investigations.     

Estimating height and weight from size of footprints

In the mid 1800s, Topinard proposed a simple formula for estimating a person's height: maximum foot length divided by 0.15 reveals the stature of most individuals. In addition to corroborating Topinard's findings, the author has developed formulas to serve as predictive models for estimating both height and weight when only a subject's footprint dimensions are known. The formulas are presented with a discussion of the data from which they are derived.     

Stature estimation from long bone lengths in a Thai population

The estimation of stature is a very important step in developing a biological profile for forensic identification. However, little previous work has been done on stature estimation among modern Thai people, despite a growing number of forensic cases in Thailand in recent years. The current study was carried out on a sample of 200 skeletons from a northern Thai population (132 males and 68 females), ranging in age from 19 to 94 years. The maximum lengths of six long bones (humerus, radius, ulna, femur, tibia and fibula) were measured and stature reconstruction formulae generated using linear regression. These equations were then tested on a holdout sample of 15 females and 15 males. Results reveal that the three lower limb bones are the most accurate estimators of stature among the males, with the fibula equation producing the lowest standard error of the estimate (SE=4.89cm), followed by the femur (SE=5.06cm). Results for females were mixed. The femur produced the lowest standard error among the females (SE=5.21cm), followed by the radius (SE=5.63cm). However, when tested against the holdout sample (n=30), the femur equations were considerably more accurate, with a mean absolute error of 3.5cm and a median absolute error of 2.4cm. Females exhibited a higher standard error of the estimate than reported in many previous studies. This higher error may be the result of a recent secular trend in stature affecting the females of our sample somewhat more than the males.     

应用膝关节MRI T_2加权脂肪抑制像推断活体年龄

目的探索膝关节MRI T2加权脂肪抑制像(T2-FS)在法医年龄推断中的应用价值,建立安全可靠的四川汉族年龄推断方法。方法收集膝关节MRI 324例(男性170例,女性154例),年龄范围为10~30岁。采用西门子1.5T磁共振仪摄片,MRI参数:T2-FS TSE序列,矢状位。将股骨远端、胫骨近端骨骺发育分为6个等级并赋分,分析各指标性别差异及年龄相关性,建立年龄推断回归模型。结果男女性股骨远端、胫骨近端MRI等级与年龄呈正相关性,股骨远端与年龄的相关性男性0.687,女性0.661;胫骨近端与年龄的相关性男性0.684,女性0.488。股骨远端骨骺完全闭合,骺线消失的最小年龄男性18.42岁,女性19.36岁;胫骨近端男性骺线消失的最小年龄为16.93岁,女性为14.68岁。股骨远端等级1~3、5、6和胫骨近端等级1~3、5年龄分布性别差异不显著。分别建立男女年龄推断模型,男性年龄推断平均绝对误差(MAD)=2.90岁;女性年龄推断MAD=3.30岁。结论膝关节MRI T2-FS影像可作为活体年龄推断的指标之一,股骨远端等级6可作为判断18岁的指标之一。     

Biomechanical conditions of developing injuries sustained from falling from a height

Evaluation of the height from which human fell from his/her tissue and organ injuries is discussed. The authors of available publications paid the principal attention to estimation of the height from which the victim fell without consideration for the kinetic energy of the body, which depends not only on the height from which the victim fell, but on his/her body weight as well. Primary external and primary internal injuries are distinguished, which are determined by the area of contusion during landing; secondary contact injuries which form during inertial movement of the body after the first contusion, and injuries due to negative acceleration during contusion when landing (so-called signs of total body concussion) are also distinguished. The totality of all listed injuries helps estimate the total kinetic energy at the moment of contusion and determine the height of falling, with due consideration for anthropometric characteristics of the victim.     

Estimation of stature from body parts

Anthropometric technique commonly used by anthropologists and adopted by medical scientists has been employed to estimate body size for over a hundred years. With the increasing frequency of mass disasters, the identification of an isolated lower extremity and the stature of the person it belonged to has created problems for the investigation of the identity of some of the victims. In spite of a need for such a study, there is a lack of systematic studies to identify fragmented and dismembered human remains. The purpose of the paper is to analyze anthropometric relationships between dimensions of the lower extremity and body height. Analysis is based on a sample of middle class male (N=203) and female (N=108) adult Turks residing in Istanbul. The participants are mostly students and staff members of a medical school, and military personnel. Measurements taken are stature, trochanteric height, thigh length, lower leg length, leg length, and foot height, breadth, and length. Of the five variables entered into the regression analysis, all but foot breadth participate in the analysis with leg length as the first and followed by thigh and foot lengths, and finally foot height in males (R(2)). There were also individually calculated formulae for some of these measurements which provided smaller R(2)-values. Student's t-test to assess if there was any intraobserver error in measurements take by individual anthropometrist did not show such any statistically significant difference. In conclusion, the study suggested that estimation of a living height can be made possible using various dimensions of the lower extremity. One must consider differences between populations in order to apply functions as such to others.     

应用锁骨薄层CT容积重建影像推算四川汉族身高

目的探讨锁骨薄层CT三维容积重建影像(CT-VRT)在身高推算中的应用价值,以期更新我国西南地区身高推算数据,为鉴定实践提供技术支撑。方法应用300例锁骨薄层CT-VRT影像,测量并计算左侧锁骨长(LCL)、右侧锁骨长(RCL)、双侧锁骨均长(ACL),分析身高与LCL、RCL、ACL相关性及性别差异,建立身高推算线性回归方程,并对所建模型进行回代检验。结果男性、女性ACL和身高的相关系数分别为0.534、0.707;LCL和身高的相关系数分别为0.484、0.680;RCL和身高的相关系数分别为0.523、0.695。分别建立ACL、LCL、RCL男女性身高推算线性回归模型。回代检验示ACL方程男性身高推算平均绝对误差(MAD)为4.48cm,女性MAD为3.51cm;LCL方程男性身高推算MAD为4.60cm,女性MAD为3.64cm;RCL方程男性身高推算MAD为4.49cm,女性MAD为3.59cm。结论建立的推算身高的回归方程具有统计学意义,模型预测精度较高,表明利用薄层CT-VRT影像测量的锁骨可运用于四川汉族人群身高推算研究。但模型R2较小,因此在应用ACL进行身高推算时最好结合其他指标。     

An evaluation of sex and body weight determination from the proximal femur using DXA technology and its potential for forensic anthropology

Dual energy X-ray absorptiometry (DXA) is a rarely used technology in forensic anthropology. These densitometers quantify bone mineral density (BMD) and bone mineral content (BMC) and thus introduce new variables which are important for the application of forensic anthropology. This study investigates the importance of these variables and of this technology using bone scans of the proximal femur in sex and body weight determination. Two data sets from studies conducted at the University of Alabama at Birmingham were examined. The first study had 41 White patients, of which there were 17 males and 24 females, ranging in age from 61 to 79 years and in weight from 99 to 242 lb. The following variables were utilized from the DXA scans: BMD in the femoral neck, greater trochanter and in Ward's triangle. A manual ruler in the software facilitated measurements on the minimum neck diameter and shaft diameter just below the lesser trochanter from each scan. The second study had 128 female patients, 71 of which were Black and 57 were White. They ranged in age from 23 to 47 1/2 years and they weighed between 31 1/2 and 98 1/4 kg. The same variables were examined on these DXA scans as in the first study, with the addition of BMC of the femoral neck and the deletion of the minimum shaft diameter below the lesser trochanter. The first study showed statistically significant sex determination relationships (p < 0.02, t-tests for equality of means) at the supero-inferior femoral neck and lesser trochanter diameters, and from BMD at the femoral neck, trochanter, and Ward's triangle. Discriminant function analysis correctly classified sex over 92% of the original grouped cases using these variables. Multiple regression analysis using body weight as the dependent variable and various measures of the proximal femur as independent variables shows that while they are statistically significant and they have reasonably high R2 values up to 0.49; nevertheless, their standard errors of the estimates are too wide to be of much forensic use. The second study examined ethnic differences, Blacks and Whites, and body weight relationships in a larger, all female data set. Statistically significant differences between Blacks and Whites of BMD were found at Ward's triangle. Multiple regression analyses were again run on body weight and various measures of the proximal femur. The results were also broken down by ethnicity. Some body weight relationships were again statistically significant such as between the BMC of the femoral neck and the BMD of the greater trochanter and the BMC of the neck and the minimum neck diameter, but again, the standard error of the estimate is too wide to be of much use. In addition, the square of the correlation coefficient (R2) is very low, for example, below 0.1 in all cases. Thus, there is very little variability in weight that can be accounted for with these variables. DXA technology offers the potential of a living skeletal data bank and of variables that are useful in cause-effect relationships between bone mineralization and skeletal loads.     

Modification of the Trotter and Gleser female stature estimation formulae.

Stature-estimation formulae in common use are those of Trotter and Gleser. Their formulae for females are based on Terry collection skeletons. These skeletons are from people who died in the early 1990s. Because there has been considerable change in body size since then, it is possible that the Trotter and Gleser formulae are inappropriate for modern forensic-science application. The Trotter and Gleser female formulae are tested using data from the Forensic Data Bank at the University of Tennessee. For whites, the femur and tibia yield stature estimates differing from one another by about 3 cm. Using femur and tibia lengths from modern forensic cases and modern height data from anthropometric surveys, new regression intercepts are calculated for Trotter and Gleser's female formulae. The new intercepts improve the performance of the formulae on modern individuals. The Trotter and Gleser formulae for black females require no adjustment. Both blacks and whites have experienced a secular increase in bone length, but whites have experienced a change in proportions as well.