Skip to main content
Top
Published in: International Journal of Legal Medicine 3/2011

01-05-2011 | Original Article

Age and gender-dependent bone density changes of the human skull disclosed by high-resolution flat-panel computed tomography

Authors: Christina Schulte-Geers, Martin Obert, René L. Schilling, Sebastian Harth, Horst Traupe, Elke R. Gizewski, Marcel A. Verhoff

Published in: International Journal of Legal Medicine | Issue 3/2011

Login to get access

Abstract

Introduction

The objective of this article was to estimate the age at death in forensic or anthropologic applications based on human skull investigation. Sex-dependent differences were analyzed.

Methods

Digital, high-resolution, flat-panel-based volumetric computed tomography (eXplore Locus Ultra scanner) images (165,920) of 244 European human skulls–163 males, 81 females–were analyzed according to their radiological bone density, based on Hounsfield units (H) that are directly related to the x-ray attenuation of the scanned material. Data were collected by the Department of Forensic Medicine at the University Hospital Giessen and Marburg during 2007 and 2008. Correlation analysis was used for data description.

Results

Human skull density estimates are widely scattered as a function of age for both sexes. Male skull bone density remains constant during lifetime, whereas female skull bone density decays slowly from approximately 20 years onwards.

Conclusions

Bone density decay only theoretically provides a new method to determine age at death for adult females. Due to the scattering of the data, an accuracy of approximately ±18 years is found at a confidence interval of 75%, which is, unfortunately, of limited practical interest. We found new sex differences of bone density decay in the skull that are potentially of relevance for the general understanding of bone degradation processes.
Literature
1.
go back to reference Cunha E, Baccino E, Martrille L, Ramsthaler F, Prieto J, Schuliar Y, Lynnerup N, Cattaneo C (2009) The problem of aging human remains and living individuals: a review. Forensic Sci Int 193:1–13PubMedCrossRef Cunha E, Baccino E, Martrille L, Ramsthaler F, Prieto J, Schuliar Y, Lynnerup N, Cattaneo C (2009) The problem of aging human remains and living individuals: a review. Forensic Sci Int 193:1–13PubMedCrossRef
2.
go back to reference Kellinghaus M, Schulz R, Vieth V, Schmidt S, Pfeiffer H, Schmeling A (2010) Enhanced possibilities to make statements on the ossification status of the medial clavicular epiphysis using an amplified staging scheme in evaluating thin-slice CT scans. Int J Leg Med 124:321–325CrossRef Kellinghaus M, Schulz R, Vieth V, Schmidt S, Pfeiffer H, Schmeling A (2010) Enhanced possibilities to make statements on the ossification status of the medial clavicular epiphysis using an amplified staging scheme in evaluating thin-slice CT scans. Int J Leg Med 124:321–325CrossRef
3.
go back to reference Schmidt S, Nitz I, Schulz R, Schmeling A (2008) Applicability of the skeletal age determination method of Tanner and Whitehouse for forensic age diagnostics. Int J Leg Med 122:309–314CrossRef Schmidt S, Nitz I, Schulz R, Schmeling A (2008) Applicability of the skeletal age determination method of Tanner and Whitehouse for forensic age diagnostics. Int J Leg Med 122:309–314CrossRef
4.
go back to reference Kellinghaus M, Schulz R, Vieth V, Schmidt S, Schmeling A (2010) Forensic age estimation in living subjects based on the ossification status of the medial clavicular epiphysis as revealed by thin-slice multidetector computed tomography. Int J Leg Med 124:149–154CrossRef Kellinghaus M, Schulz R, Vieth V, Schmidt S, Schmeling A (2010) Forensic age estimation in living subjects based on the ossification status of the medial clavicular epiphysis as revealed by thin-slice multidetector computed tomography. Int J Leg Med 124:149–154CrossRef
5.
go back to reference Knell B, Ruhstaller P, Prieels F, Schmeling A (2009) Dental age diagnostics by means of radiographical evaluation of the growth stages of lower wisdom teeth. Int J Leg Med 123:465–469CrossRef Knell B, Ruhstaller P, Prieels F, Schmeling A (2009) Dental age diagnostics by means of radiographical evaluation of the growth stages of lower wisdom teeth. Int J Leg Med 123:465–469CrossRef
6.
go back to reference Olze A, Solheim T, Schulz R, Kupfer M, Pfeiffer H, Schmeling A (2010) Assessment of the radiographic visibility of the periodontal ligament in the lower third molars for the purpose of forensic age estimation in living individuals. Int J Leg Med 124:445–448CrossRef Olze A, Solheim T, Schulz R, Kupfer M, Pfeiffer H, Schmeling A (2010) Assessment of the radiographic visibility of the periodontal ligament in the lower third molars for the purpose of forensic age estimation in living individuals. Int J Leg Med 124:445–448CrossRef
7.
go back to reference Olze A, Solheim T, Schulz R, Kupfer M, Schmeling A (2010) Evaluation of the radiographic visibility of the root pulp in the lower third molars for the purpose of forensic age estimation in living individuals. Int J Leg Med 124:183–186CrossRef Olze A, Solheim T, Schulz R, Kupfer M, Schmeling A (2010) Evaluation of the radiographic visibility of the root pulp in the lower third molars for the purpose of forensic age estimation in living individuals. Int J Leg Med 124:183–186CrossRef
8.
go back to reference Macchiarelli R, Bonduoli L (1994) Linear densitometry and digital image processing of proximal femur radiographs: implications for archaeological and forensic anthropology. Am J Phys Anthropol 93:109–122PubMedCrossRef Macchiarelli R, Bonduoli L (1994) Linear densitometry and digital image processing of proximal femur radiographs: implications for archaeological and forensic anthropology. Am J Phys Anthropol 93:109–122PubMedCrossRef
9.
go back to reference Rissech C, Schaefer M, Malgosa A (2008) Development of the femur–implications for age and sex determination. Forensic Sci Int 180:1–9PubMedCrossRef Rissech C, Schaefer M, Malgosa A (2008) Development of the femur–implications for age and sex determination. Forensic Sci Int 180:1–9PubMedCrossRef
10.
go back to reference Ríos L, Weisensee K, Rissech C (2008) Sacral fusion as an aid in age estimation. Forensic Sci Int 180:111.e1–111.e7CrossRef Ríos L, Weisensee K, Rissech C (2008) Sacral fusion as an aid in age estimation. Forensic Sci Int 180:111.e1–111.e7CrossRef
11.
go back to reference Pasquier E, De Saint Martin Pernot L, Burdin V, Mounayer C, Le Rest C, Colin D, Mottier D, Roux C, Baccino E (1999) Determination of age at death: assessment of an algorithm of age prediction using numerical three-dimensional CT data from pubic bones. Am J Phys Anthropol 108:261–268PubMedCrossRef Pasquier E, De Saint Martin Pernot L, Burdin V, Mounayer C, Le Rest C, Colin D, Mottier D, Roux C, Baccino E (1999) Determination of age at death: assessment of an algorithm of age prediction using numerical three-dimensional CT data from pubic bones. Am J Phys Anthropol 108:261–268PubMedCrossRef
12.
go back to reference Brooks S, Suchey JM (1990) Skeletal age determination based on the os pubis: a comparison of the Acsàdi-Nemeskéri and Suchey-Brooks methods. Hum Evol 5:227–238CrossRef Brooks S, Suchey JM (1990) Skeletal age determination based on the os pubis: a comparison of the Acsàdi-Nemeskéri and Suchey-Brooks methods. Hum Evol 5:227–238CrossRef
13.
go back to reference Ferrant O, Rougé-Maillart C, Guittet L, Papin F, Clin B, Fau G, Telmon N (2009) Age at death estimation of adult males using coxal bone and CT scan: a preliminary study. Forensic Sci Int 186:14–21PubMedCrossRef Ferrant O, Rougé-Maillart C, Guittet L, Papin F, Clin B, Fau G, Telmon N (2009) Age at death estimation of adult males using coxal bone and CT scan: a preliminary study. Forensic Sci Int 186:14–21PubMedCrossRef
14.
go back to reference Meinl A, Huber CD, Tangl S, Gruber GM, Teschler-Nicola M, Watzek G (2008) Comparison of the validity of three dental methods for the estimation of age at death. Forensic Sci Int 178:96–105PubMedCrossRef Meinl A, Huber CD, Tangl S, Gruber GM, Teschler-Nicola M, Watzek G (2008) Comparison of the validity of three dental methods for the estimation of age at death. Forensic Sci Int 178:96–105PubMedCrossRef
15.
go back to reference Dobberstein RC, Tung S-M, Ritz-Timme S (2010) Aspartic acid racemisation in purified elastin from arteries as basis for age estimation. Int J Leg Med 124:269–275CrossRef Dobberstein RC, Tung S-M, Ritz-Timme S (2010) Aspartic acid racemisation in purified elastin from arteries as basis for age estimation. Int J Leg Med 124:269–275CrossRef
16.
go back to reference Dorandeu A, Coulibaly B, Piercecchi-Marti MD, Bartoli C, Gaudart J, Baccino E, Leonetti G (2008) Age-at-death estimation based on the study of frontosphenoidal sutures. Forensic Sci Int 177:47–51PubMedCrossRef Dorandeu A, Coulibaly B, Piercecchi-Marti MD, Bartoli C, Gaudart J, Baccino E, Leonetti G (2008) Age-at-death estimation based on the study of frontosphenoidal sutures. Forensic Sci Int 177:47–51PubMedCrossRef
17.
go back to reference Obert M, Ahlemeyer B, Baumgart-Vogt E, Traupe H (2005) Flat-panel volumetric computed tomography a new method for visualizing fine bone detail in living mice. J Comput Assist Tomogr 29:560–565PubMedCrossRef Obert M, Ahlemeyer B, Baumgart-Vogt E, Traupe H (2005) Flat-panel volumetric computed tomography a new method for visualizing fine bone detail in living mice. J Comput Assist Tomogr 29:560–565PubMedCrossRef
18.
go back to reference Verhoff MA, Karger B, Ramsthaler F, Obert M (2008) Investigations on an isolated skull with gunshot wounds using flat-panel CT. Int J Leg Med 122:441–445CrossRef Verhoff MA, Karger B, Ramsthaler F, Obert M (2008) Investigations on an isolated skull with gunshot wounds using flat-panel CT. Int J Leg Med 122:441–445CrossRef
19.
go back to reference Reuß C, Obert M, Schilling R, Harth S, Traupe H, Verhoff MA (2008) Automatische Analyse von hochauflösenden flat-panel Computertomographie-Bildern zur Bestimmung des Verknöcherungszustandes von Suturen zur Altersbestimmung beim Menschen. 87th Annual conference of the German forensic society, Dresden Reuß C, Obert M, Schilling R, Harth S, Traupe H, Verhoff MA (2008) Automatische Analyse von hochauflösenden flat-panel Computertomographie-Bildern zur Bestimmung des Verknöcherungszustandes von Suturen zur Altersbestimmung beim Menschen. 87th Annual conference of the German forensic society, Dresden
20.
go back to reference Obert M, Schulte-Geers C, Schilling RL, Harth S, Kläver M, Traupe H, Verhoff MA (2010) High-resolution flat-panel volumetric CT images show no correlation between human age and suture obliteration–independent of sex. Forensic Sci Int 180:180.e1–180.e12CrossRef Obert M, Schulte-Geers C, Schilling RL, Harth S, Kläver M, Traupe H, Verhoff MA (2010) High-resolution flat-panel volumetric CT images show no correlation between human age and suture obliteration–independent of sex. Forensic Sci Int 180:180.e1–180.e12CrossRef
21.
go back to reference IDL reference guide, version 6.0 (2003) Research Systems Inc., RSI, Boulder, CO, USA IDL reference guide, version 6.0 (2003) Research Systems Inc., RSI, Boulder, CO, USA
22.
go back to reference Crow EL, Davis FA, Maxfield MW (1960) Statistics manual. Dover Publications, New York Crow EL, Davis FA, Maxfield MW (1960) Statistics manual. Dover Publications, New York
23.
go back to reference Zwillinger D, Kokoska S (2000) CRC standard probability and statistics tables and formulae. Chapman & Hall/CRC, Boca Raton Zwillinger D, Kokoska S (2000) CRC standard probability and statistics tables and formulae. Chapman & Hall/CRC, Boca Raton
24.
go back to reference Beichelt FE, Montgomery DC (2003) Teubner-Taschenbuch der Stochastik. Wahrscheinlichkeitstheorie, Stochastische Prozesse, Mathematische Statistik. B.G. Teubner, Stuttgart Beichelt FE, Montgomery DC (2003) Teubner-Taschenbuch der Stochastik. Wahrscheinlichkeitstheorie, Stochastische Prozesse, Mathematische Statistik. B.G. Teubner, Stuttgart
25.
go back to reference Madeline LA, Elster AD (1995) Suture closure in the human chondrocranium: CT assessment. Radiology 196:747–756PubMed Madeline LA, Elster AD (1995) Suture closure in the human chondrocranium: CT assessment. Radiology 196:747–756PubMed
26.
go back to reference Robinson MS, Bidmos MA (2009) The skull and humerus in the determination of sex: reliability of discriminant function equations. Forensic Sci Int 186:86.e1–86.e5CrossRef Robinson MS, Bidmos MA (2009) The skull and humerus in the determination of sex: reliability of discriminant function equations. Forensic Sci Int 186:86.e1–86.e5CrossRef
27.
go back to reference Steyn M, Iscan MY (1998) Sexual dimorphism in the crania and mandibles of South African whites. Forensic Sci Int 98:9–16PubMedCrossRef Steyn M, Iscan MY (1998) Sexual dimorphism in the crania and mandibles of South African whites. Forensic Sci Int 98:9–16PubMedCrossRef
28.
go back to reference Steiger P, Cummings SR, Black DM, Spencer NE, Genant HK (1992) Age-related decrements in bone mineral density in women over 65. J Bone Miner Res 7:625–632PubMedCrossRef Steiger P, Cummings SR, Black DM, Spencer NE, Genant HK (1992) Age-related decrements in bone mineral density in women over 65. J Bone Miner Res 7:625–632PubMedCrossRef
29.
go back to reference Ribot C, Tremlliers F, Poullies JM, Louvet JP, Guiraud R (1988) Influence of the menopause and aging on spinal density in French women. Bone Miner 5:89–97PubMedCrossRef Ribot C, Tremlliers F, Poullies JM, Louvet JP, Guiraud R (1988) Influence of the menopause and aging on spinal density in French women. Bone Miner 5:89–97PubMedCrossRef
30.
go back to reference Ortolani S, Trevisan C, Bianchi ML, Caraceni MP, Ulivieri FM, Gandolini G, Montessano A, Polli EE (1991) Spinal and forearm bone mass in relation to ageing and menopause in healthy Italian women. Eur J Clin Investig 21:33–39CrossRef Ortolani S, Trevisan C, Bianchi ML, Caraceni MP, Ulivieri FM, Gandolini G, Montessano A, Polli EE (1991) Spinal and forearm bone mass in relation to ageing and menopause in healthy Italian women. Eur J Clin Investig 21:33–39CrossRef
31.
go back to reference Guglielmi G, Giannatempo GM, Blunt BA, Grampp S, Glüer CC, Cammisa M, Genant HK (1995) Spinal bone mineral density by quantitative CT in a normal Italian population. Eur Radiol 5:269–275 Guglielmi G, Giannatempo GM, Blunt BA, Grampp S, Glüer CC, Cammisa M, Genant HK (1995) Spinal bone mineral density by quantitative CT in a normal Italian population. Eur Radiol 5:269–275
32.
go back to reference Jahng JS, Kang KS, Park HW, Han MH (1991) Assessment of bone mineral density in postmenopausal and senile osteoporosis using quantitative CT. Orthopedics 14:1101–1105PubMed Jahng JS, Kang KS, Park HW, Han MH (1991) Assessment of bone mineral density in postmenopausal and senile osteoporosis using quantitative CT. Orthopedics 14:1101–1105PubMed
33.
go back to reference Cann CE, Genant HK (1980) Precise measurement of vertebral mineral content using computed tomography. J Comput Assist Tomogr 4:493–500PubMedCrossRef Cann CE, Genant HK (1980) Precise measurement of vertebral mineral content using computed tomography. J Comput Assist Tomogr 4:493–500PubMedCrossRef
34.
go back to reference Jones CD, Laval-Jeantet AM, Laval-Jeantet MH, Genant HK (1987) Importance of measurement of spongious vertebral bone mineral density in the assessment of osteoporosis. Bone 8:201–206PubMedCrossRef Jones CD, Laval-Jeantet AM, Laval-Jeantet MH, Genant HK (1987) Importance of measurement of spongious vertebral bone mineral density in the assessment of osteoporosis. Bone 8:201–206PubMedCrossRef
35.
go back to reference Nilsson M, Johnell O, Johnsson K, Redlund-Johnell I (1988) Quantitative computed tomography in measurement of vertebral trabecular bone mass. Acta Radiol 29:719–725PubMed Nilsson M, Johnell O, Johnsson K, Redlund-Johnell I (1988) Quantitative computed tomography in measurement of vertebral trabecular bone mass. Acta Radiol 29:719–725PubMed
36.
go back to reference Kelly PJ, Nguyen T, Hopper J, Pocock N, Sambrook P, Eisman J (1993) Changes in axial bone density with age: a twin study. J Bone Miner Res 8:11–17PubMedCrossRef Kelly PJ, Nguyen T, Hopper J, Pocock N, Sambrook P, Eisman J (1993) Changes in axial bone density with age: a twin study. J Bone Miner Res 8:11–17PubMedCrossRef
37.
go back to reference Cummings SR, Black DM, Nevitt MC, Browner W, Cauley J, Ensrud K, Genant HK, Palermo L, Scott J, Vogt TM (1993) Bone density at various sites for prediction of hip fractures. Lancet 341:72–75PubMedCrossRef Cummings SR, Black DM, Nevitt MC, Browner W, Cauley J, Ensrud K, Genant HK, Palermo L, Scott J, Vogt TM (1993) Bone density at various sites for prediction of hip fractures. Lancet 341:72–75PubMedCrossRef
38.
go back to reference Burgess AE, Colborne B, Zoffmann E (1987) Vertebral trabecular bone: comparison of single and dual-energy CT measurements with chemical analysis. J Comput Assist Tomogr 11:506–515PubMedCrossRef Burgess AE, Colborne B, Zoffmann E (1987) Vertebral trabecular bone: comparison of single and dual-energy CT measurements with chemical analysis. J Comput Assist Tomogr 11:506–515PubMedCrossRef
39.
go back to reference Cann CE (1987) QCT applications: comparison of current scanners. Radiology 162:257–261PubMed Cann CE (1987) QCT applications: comparison of current scanners. Radiology 162:257–261PubMed
40.
go back to reference Cann CE (1988) Quantitative CT for determination of bone mineral density: a review. Radiology 166:509–522PubMed Cann CE (1988) Quantitative CT for determination of bone mineral density: a review. Radiology 166:509–522PubMed
41.
go back to reference Tobias JH, Cook D, Chambers TJ, Dalzell N (1993) Low spinal bone mass in Asian women reflects their small skeletal size. J Bone Miner Res 8:S330 Tobias JH, Cook D, Chambers TJ, Dalzell N (1993) Low spinal bone mass in Asian women reflects their small skeletal size. J Bone Miner Res 8:S330
42.
go back to reference De Simone DP, Stevens J, Edwards J, Shary J, Gordon L, Bell NH (1989) Influence of body habitus and race on bone mineral density of the midradius, hip and spine in aging women. J Bone Miner Res 4:827–830 De Simone DP, Stevens J, Edwards J, Shary J, Gordon L, Bell NH (1989) Influence of body habitus and race on bone mineral density of the midradius, hip and spine in aging women. J Bone Miner Res 4:827–830
43.
go back to reference Luckey MM, Meier DE, Mandeli JP, Da Costa MC, Hubbard MC, Goldsmith SJ (1989) Radial and vertebral bone density in white and black women: evidence for racial differences in premenopausal bone homeostasis. J Clin Endocrinol Metab 69:762–770PubMedCrossRef Luckey MM, Meier DE, Mandeli JP, Da Costa MC, Hubbard MC, Goldsmith SJ (1989) Radial and vertebral bone density in white and black women: evidence for racial differences in premenopausal bone homeostasis. J Clin Endocrinol Metab 69:762–770PubMedCrossRef
44.
go back to reference Harbison J, Daly L, Murphy B, Mc Coy C, Masterson J (1992) Normal bone density in Irish women: is American normative data suitable for use in Ireland? Ir J Med Sci 16:66–69CrossRef Harbison J, Daly L, Murphy B, Mc Coy C, Masterson J (1992) Normal bone density in Irish women: is American normative data suitable for use in Ireland? Ir J Med Sci 16:66–69CrossRef
45.
go back to reference Krall EA, Dawson-Hughes B (1993) Heritable and life-style determinants of bone mineral density. J Bone Miner Res 8:1–9PubMedCrossRef Krall EA, Dawson-Hughes B (1993) Heritable and life-style determinants of bone mineral density. J Bone Miner Res 8:1–9PubMedCrossRef
46.
go back to reference Reid IR, Mackie M, Ibbertson HK (1986) Bone mineral content in Polynesian and white New Zealand women. Brit Med J 292:1547–1548CrossRef Reid IR, Mackie M, Ibbertson HK (1986) Bone mineral content in Polynesian and white New Zealand women. Brit Med J 292:1547–1548CrossRef
47.
go back to reference Liel Y, Edwards J, Shary J (1988) Effect of race and body habitus on bone mineral density of the radius, hip, and spine in premenopausal women. J Clin Endocrinol Metab 66:1247–1250PubMedCrossRef Liel Y, Edwards J, Shary J (1988) Effect of race and body habitus on bone mineral density of the radius, hip, and spine in premenopausal women. J Clin Endocrinol Metab 66:1247–1250PubMedCrossRef
48.
go back to reference Mazess RB, Barden HS (1991) Bone density in premenopausal women: effect of age, dietary intake, physical activity, smoking, and birth-control pills. Am J Clin Nutr 53:132–142PubMed Mazess RB, Barden HS (1991) Bone density in premenopausal women: effect of age, dietary intake, physical activity, smoking, and birth-control pills. Am J Clin Nutr 53:132–142PubMed
49.
go back to reference Johnson JS (1976) A comparison of age estimation using discriminant function analysis with some other estimations of unknown skulls. J Anat 121:475–484PubMed Johnson JS (1976) A comparison of age estimation using discriminant function analysis with some other estimations of unknown skulls. J Anat 121:475–484PubMed
50.
go back to reference Lovejoy CO, Meindl RS, Mensforth RP, Barton TJ (1985) Multifactorial determination of skeletal age at death: a method and blind tests of its accuracy. Am J Phys Anthropol 68:1–14PubMedCrossRef Lovejoy CO, Meindl RS, Mensforth RP, Barton TJ (1985) Multifactorial determination of skeletal age at death: a method and blind tests of its accuracy. Am J Phys Anthropol 68:1–14PubMedCrossRef
51.
go back to reference Hershkovitz I, Latimer B, Dutour O, Jellema LM, Wish-Baratz S, Rothschild C, Rothschild BM (1997) Why do we fail in aging the skull from the sagittal suture? Am J Phys Anthropol 103:393–399PubMedCrossRef Hershkovitz I, Latimer B, Dutour O, Jellema LM, Wish-Baratz S, Rothschild C, Rothschild BM (1997) Why do we fail in aging the skull from the sagittal suture? Am J Phys Anthropol 103:393–399PubMedCrossRef
52.
go back to reference Sahni D, Jit I, Neelam S (2005) Time of closure of cranial sutures in northwest Indian adults. Forensic Sci Int 148:199–205PubMedCrossRef Sahni D, Jit I, Neelam S (2005) Time of closure of cranial sutures in northwest Indian adults. Forensic Sci Int 148:199–205PubMedCrossRef
Metadata
Title
Age and gender-dependent bone density changes of the human skull disclosed by high-resolution flat-panel computed tomography
Authors
Christina Schulte-Geers
Martin Obert
René L. Schilling
Sebastian Harth
Horst Traupe
Elke R. Gizewski
Marcel A. Verhoff
Publication date
01-05-2011
Publisher
Springer-Verlag
Published in
International Journal of Legal Medicine / Issue 3/2011
Print ISSN: 0937-9827
Electronic ISSN: 1437-1596
DOI
https://doi.org/10.1007/s00414-010-0544-3

Other articles of this Issue 3/2011

International Journal of Legal Medicine 3/2011 Go to the issue