Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?

Buken, Erhan; ŞAFAK, Alp Alper; YAZICI, Burhan; BÜKEN, Bora; ERKOL, ZEHRA ZERRIN; MAYDA, Atilla Semih

Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?

Bora BÜKEN, (Düzce Üniversitesi, Tıp Fakültesi, Adli Tıp Anabilim Dalı, Düzce, Türkiye)

Erhan BÜKEN, (Başkent Üniversitesi, Tıp Fakültesi, Adli Tıp Anabilim Dalı, Ankara, Türkiye)

Alp Alper ŞAFAK, (Abant İzzet Baysal Üniversitesi, Düzce Tıp Fakültesi, Radyoloji Anabilim Dalı, Bolu, Türkiye)

Burhan YAZICI, (Abant İzzet Baysal Üniversitesi, Düzce Tıp Fakültesi, Radyoloji Anabilim Dalı, Bolu, Türkiye)

Zerrin ERKOL, (Abant İzzet Baysal Üniversitesi, İzzet Baysal Tıp Fakültesi, Adli Tıp Anabilim Dalı, Bolu, Türkiye)

Atilla Semih MAYDA (Abant İzzet Baysal Üniversitesi, Düzce Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Bolu, Türkiye)

Turkish Journal of Medical Sciences

8 4

Yıl: 2008 Cilt: 38 Sayı: 4 Sayfa Aralığı: 319 - 327 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?

Öz:

Amaç: Bu çalışmada GÖK atlas metodunun adli tıbbi yaş tayininde, günümüz Türk çocukları için yeterli olup olmadığı araştırmaktadır. Yöntem ve Gereç: 11-22 yaş arasında 298 erkek 248 kız, sağlıklı çocuğun planlı radyografileri çekildi. Ortalama kronolojik yaş (CA) ve GÖK Atlas metoduna göre elde edilen ortalama iskelet yaşı (BA) arasında ki farkları saptamak ve ilişkiyi modellemek için paired sample t test, pearson korelasyon and regresyon analizi kullanıldı. Analizler SPSS 11.5 ortamında gerçekleştirildi. Bulgular: CA ve BA karşılaştırıldı. Çalışmaya katılan tüm olgular yaş gruplarına ayrılmaksızın ele alındığında her iki cinsiyette fark istatistiksel olarak anlamlı idi (P < 0.05). Yüksek korelasyon vardı. Determinasyon katsaysı (R²) erkeklerde 0.861, kızlarda 0.625’e eşitti. Regresyon modeli anlamlı bulundu (P < 0.01). Fakat yaş gruplarına göre, Tüm yaş gruplarında erkeklerde BA (0.09-3.10 yıl arasında) ileri ve 14 yaşın üstünde tüm çocuklarda fark istatistiksel olarak anlamlı, kızlarda BA (0.44 - 3.05 yıl) ileri ve 11-18 yaş arasında kız çocuklarda fark istatistiksel olarak anlamlı idi. Erkeklerde 11-18 , kızlarda 11-20 yaş arasında tüm yaş gruplarında farkların standart sapması 1 yıldan daha fazla idi. Sonuç: Biz CA ve GÖK atlasına göre saptanan BA arasında yaş gruplarına gore her iki cinsiyette büyük bir farklılık saptadık. Bu farklığın özellikle ceza sorumluluğuyla ilgili olarak yaş tayini yapılan olgularda önemli hak kayıplarına neden olabileceği düşünülmektedir.

Anahtar Kelime: İskeletten yaş tayini Ergen Radyografi İskelet Çocuk Türkiye Sonuçların tekrarlanabilirliği Genç erişkin Kemik gelişimi

Konular: Cerrahi

Günümüz Türk çocuklarında adli tibbi yaş tayini için “Gök Atlası”nın kullanımı yeterince güvenli mi?

Öz:

Aim: We investigated whether the contemporary use of the Gök Atlas method is sufficiently reliable for forensic age estimations of Turkish children. Materials and Methods: Plain radiographs of 248 females and 298 males between 11 and 22 years of age were taken. Paired sample t-tests, Pearson correlation coefficients, and linear regression were used to determine the differences and model the relationships between mean skeletal (bone) age (BA) and mean chronological age (CA), using SPSS 11.5 statistical software. Results: In all cases, the CA and BA scores were significantly different and showed high correlation (P < 0.05). The regression model was significant (P < 0.01). According to age groups, the BA was greater than the CA for all age groups by 0.09–3.10 years for boys and 0.44-3.05 years for girls, and this difference was significant for all age groups >14 years for boys and for those 11-18 years of age for girls. The standard deviation of the difference between BA and CA for boys between 11 and 18 years of age and for girls between 11 and 20 years of age was >1 year. Conclusions: We found a large discrepancy between CA and BA according to the Gök Atlas. This discrepancy may be significantly misleading, especially in criminal liability cases.

Anahtar Kelime: Skeleton Child Turkey Reproducibility of Results Young Adult Bone Development Age Determination by Skeleton Adolescent Radiography

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	BÜKEN B, Buken E, ŞAFAK A, YAZICI B, ERKOL Z, MAYDA A (2008). Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?. , 319 - 327.
Chicago	BÜKEN Bora,Buken Erhan,ŞAFAK Alp Alper,YAZICI Burhan,ERKOL ZEHRA ZERRIN,MAYDA Atilla Semih Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?. (2008): 319 - 327.
MLA	BÜKEN Bora,Buken Erhan,ŞAFAK Alp Alper,YAZICI Burhan,ERKOL ZEHRA ZERRIN,MAYDA Atilla Semih Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?. , 2008, ss.319 - 327.
AMA	BÜKEN B,Buken E,ŞAFAK A,YAZICI B,ERKOL Z,MAYDA A Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?. . 2008; 319 - 327.
Vancouver	BÜKEN B,Buken E,ŞAFAK A,YAZICI B,ERKOL Z,MAYDA A Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?. . 2008; 319 - 327.
IEEE	BÜKEN B,Buken E,ŞAFAK A,YAZICI B,ERKOL Z,MAYDA A "Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?." , ss.319 - 327, 2008.
ISNAD	BÜKEN, Bora vd. "Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?". (2008), 319-327.

APA	BÜKEN B, Buken E, ŞAFAK A, YAZICI B, ERKOL Z, MAYDA A (2008). Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?. Turkish Journal of Medical Sciences, 38(4), 319 - 327.
Chicago	BÜKEN Bora,Buken Erhan,ŞAFAK Alp Alper,YAZICI Burhan,ERKOL ZEHRA ZERRIN,MAYDA Atilla Semih Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?. Turkish Journal of Medical Sciences 38, no.4 (2008): 319 - 327.
MLA	BÜKEN Bora,Buken Erhan,ŞAFAK Alp Alper,YAZICI Burhan,ERKOL ZEHRA ZERRIN,MAYDA Atilla Semih Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?. Turkish Journal of Medical Sciences, vol.38, no.4, 2008, ss.319 - 327.
AMA	BÜKEN B,Buken E,ŞAFAK A,YAZICI B,ERKOL Z,MAYDA A Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?. Turkish Journal of Medical Sciences. 2008; 38(4): 319 - 327.
Vancouver	BÜKEN B,Buken E,ŞAFAK A,YAZICI B,ERKOL Z,MAYDA A Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?. Turkish Journal of Medical Sciences. 2008; 38(4): 319 - 327.
IEEE	BÜKEN B,Buken E,ŞAFAK A,YAZICI B,ERKOL Z,MAYDA A "Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?." Turkish Journal of Medical Sciences, 38, ss.319 - 327, 2008.
ISNAD	BÜKEN, Bora vd. "Is the “Gök Atlas” sufficiently reliable for forensic age determination of Turkish children?". Turkish Journal of Medical Sciences 38/4 (2008), 319-327.