Introducing standardized protocols for anthropological measurement of virtual subadult crania using computed tomography

Abstract Objectives This study introduces and assesses the precision of a standardized protocol for anthropometric measurement of the juvenile cranium using three-dimensional surface rendered models, for implementation in forensic investigation or paleodemographic research. Materials and methods A subset of multi-slice computed tomography (MSCT) DICOM datasets ( n =10) of modern Australian subadults (birth—10 years) was accessed from the “Skeletal Biology and Forensic Anthropology Virtual Osteological Database” ( n >1200), obtained from retrospective clinical scans taken at Brisbane children hospitals (2009–2013). The capabilities of Geomagic Design X ™ form the basis of this study; introducing standardized protocols using triangle surface mesh models to (i) ascertain linear dimensions using reference plane networks and (ii) calculate the area of complex regions of interest on the cranium. Results The protocols described in this paper demonstrate high levels of repeatability between five observers of varying anatomical expertise and software experience. Intra- and inter-observer error was indiscernible with total technical error of measurement (TEM) values ≤0.56 mm, constituting 2 , equating to Conclusions Exploiting the advances of MSCT in routine clinical assessment, this paper assesses the application of this virtual approach to acquire highly reproducible morphometric data in a non-invasive manner for human identification and population studies in growth and development. The protocols and precision testing presented are imperative for the advancement of “virtual anthropology” into routine Australian medico-legal death investigation.

[1]  S. Bergé,et al.  Validation of cephalic index measurements in scaphocephaly , 2013, Child's Nervous System.

[2]  Federico Hernández-Alfaro,et al.  3D planning in orthognathic surgery: CAD/CAM surgical splints and prediction of the soft and hard tissues results - our experience in 16 cases. , 2012, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[3]  M W Vannier,et al.  Craniofacial measurements based on 3D-CT volume rendering: implications for clinical applications. , 2004, Dento maxillo facial radiology.

[4]  R. Kikinis,et al.  Computer‐Assisted Three‐Dimensional Planning in Craniofacial Surgery , 1993, Plastic and reconstructive surgery.

[5]  Matthew Meredith,et al.  Evaluation of the Suchey-Brooks method of age estimation in an Australian subpopulation using computed tomography of the pubic symphyseal surface. , 2013, American journal of physical anthropology.

[6]  Thomas Looi,et al.  Generation of normative pediatric skull models for use in cranial vault remodeling procedures , 2012, Child's Nervous System.

[7]  Eleanor A M Graham,et al.  Anthropological Measurement of Lower Limb and Foot Bones Using Multi‐Detector Computed Tomography , 2008, Journal of Forensic Sciences.

[8]  Benjamin D Foley,et al.  Mandibular reconstruction using computer-aided design and computer-aided manufacturing: an analysis of surgical results. , 2013, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[9]  Michael J Thali,et al.  Digital forensic osteology--possibilities in cooperation with the Virtopsy project. , 2008, Forensic science international.

[10]  S Sindet-Pedersen,et al.  Comparison of the reliability of craniofacial anatomic landmarks based on cephalometric radiographs and three-dimensional CT scans. , 1997, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[11]  W. Howells,et al.  Cranial Variation in Man: A Study by Multivariate Analysis of Patterns of Difference Among Recent Human Populations , 1975 .

[12]  Christian Jackowski,et al.  Use of multislice computed tomography in disaster victim identification--advantages and limitations. , 2007, Forensic science international.

[13]  M W Vannier,et al.  Three-dimensional computed tomography landmark measurement in craniofacial surgical planning: experimental validation in vitro. , 1999, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[14]  Salvador Ruiz-Correa,et al.  New Scaphocephaly Severity Indices of Sagittal Craniosynostosis: A Comparative Study with Cranial Index Quantifications , 2006, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[15]  Guy N Rutty,et al.  Anthropological Measurement of the Juvenile Clavicle Using Multi‐Detector Computed Tomography—Affirming Reliability , 2013, Journal of forensic sciences.

[16]  Pravin K. Patel,et al.  Application of Virtual Surgical Planning with Computer Assisted Design and Manufacturing Technology to Cranio-Maxillofacial Surgery , 2012, Archives of plastic surgery.

[17]  M W Vannier,et al.  Quantitative analysis of spiral computed tomography for craniofacial clinical applications. , 1998, Dento maxillo facial radiology.

[18]  Daniel Franklin,et al.  Concordance of traditional osteometric and volume-rendered MSCT interlandmark cranial measurements , 2013, International Journal of Legal Medicine.

[19]  H. Howaldt,et al.  Standardized evaluation and documentation of findings in patients with craniosynostosis. , 2001, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[20]  Norbert Telmon,et al.  Age at death estimation of adult males using coxal bone and CT scan: a preliminary study. , 2009, Forensic science international.

[21]  H. Schaaf,et al.  Value and reliability of anthropometric measurements of cranial deformity in early childhood. , 2011, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[22]  Haijo Jung,et al.  Quantitative evaluation of acquisition parameters in three-dimensional imaging with multidetector computed tomography using human skull phantom. , 2002, Journal of digital imaging.