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A method for estimating gestational age of fetal remains based on long bone lengths

dc.contributor.authorCarneiro, Cristiana
dc.contributor.authorCurate, Francisco
dc.contributor.authorCunha, Eugénia
dc.date.accessioned2017-04-07T15:56:06Z
dc.date.available2017-04-07T15:56:06Z
dc.date.issued2016-09
dc.description.abstractThe estimation of gestational age (GA) in fetal human remains is important in forensic settings, particularly to assess fetal viability, in addition to often being the only biological profile parameter that can be assessed with some accuracy for non-adults. The length of long bone diaphysis is one of the most frequently used methods for fetal age estimation. The main objective of this study was to present a simple and objective method for estimating GA based on the measurements of the diaphysis of the femur, tibia, fibula, humerus, ulna, and radius. Conventional least squares regression equations (classical and inverse calibration approaches) and quick reference tables were generated. A supplementary objective was to compare the performance of the new formulae against previously published models. The sample comprised 257 fetuses (136 females and 121 males) with known GA (between 12 and 40 weeks) and was selected based on clinical and pathological information. All measurements were performed on radiographic images acquired in anonymous clinical autopsy records from spontaneous and therapeutic abortions in two Portuguese hospitals. The proposed technique is straightforward and reproducible. The models for the GA estimation are exceedingly accurate and unbiased. Comparisons between inverse and classical calibration show that both perform exceptionally well, with high accuracy and low bias. Also, the newly developed equations generally outperform earlier methods of GA estimation in forensic contexts. Quick reference tables for each long bone are now available. The obtained models for the estimation of gestational age are of great applicability in forensic contexts.
dc.identifier.doi10.1007/s00414-016-1393-5
dc.identifier.issn0937-9827
dc.identifier.urihttp://hdl.handle.net/10400.1/9317
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer Verlag
dc.relation.isbasedonWOS:000382003900028
dc.titleA method for estimating gestational age of fetal remains based on long bone lengths
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/SFRH/SFRH%2FBPD%2F74015%2F2010/PT
oaire.citation.endPage1341
oaire.citation.issue5
oaire.citation.startPage1333
oaire.citation.titleInternational Journal of Legal Medicine
oaire.citation.volume130
oaire.fundingStreamSFRH
person.familyNameTaborda Curate
person.givenNameJosé Francisco
person.identifierhttps://scholar.google.pt/citations?user=rG909IQAAAAJ&hl=pt-PT
person.identifier.ciencia-idEF1B-4B08-5982
person.identifier.orcid0000-0002-0480-209X
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccess
rcaap.typearticle
relation.isAuthorOfPublication255b6420-8d4b-438d-b232-6ba3d1a1248c
relation.isAuthorOfPublication.latestForDiscovery255b6420-8d4b-438d-b232-6ba3d1a1248c
relation.isProjectOfPublication3c733ef8-a5e9-48a2-803a-049ada08b4de
relation.isProjectOfPublication.latestForDiscovery3c733ef8-a5e9-48a2-803a-049ada08b4de

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