Literature DB >> 21905574

Can we assess the age of bruises? An attempt to develop an objective technique.

Sophie E Grossman1, A Johnston, P Vanezis, D Perrett.   

Abstract

AIMS: The aims of this study were (A) to investigate whether the number of years of forensic experience affected the accuracy with which forensic experts (FEs) were able to age bruises and (B) to identify the properties and colours of a bruise that were utilized by FEs in their assessment of bruise age. The study then investigated the possibility of using a more objective technique. It was decided to use readily available digital photography and software to objectively assess changes in bruise colouration and to investigate if this can be used to age bruises.
METHODS: Twenty-three FEs were shown 25 photographs of bruises of varying but known ages and asked to estimate the ages. In part two of the study, bruises were inflicted on volunteers using a vacuum pump and photographs taken of the bruise daily from infliction to resolution. The images were analysed using Adobe Photoshop. Red, green and blue (RGB) values were recorded for each bruise and analyses carried out comparing the values over time between subjects and within subjects.
RESULTS: This study both enhanced and supported a previous conclusion that visual assessment of photographs is an unreliable method for ageing bruises. Additionally, it found that the degree of forensic experience had no effect on accuracy. It also identified that colour (particularly yellow, red and purple) and intensity of colour were the most commonly used properties of a bruise in the assessment of its age. The RGB method proved to be a reliable technique with which to measure bruise colour, but its validity in the assessment of bruise age was poor.
CONCLUSIONS: Visual assessment of bruises is unreliable and the accuracy of ageing was not improved by the degree of forensic experience. The RGB method gave highly reproducible results, but did not accurately assess bruise age. However, results within subjects suggested that there may be individual variation in haemoglobin metabolism.

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Mesh:

Year:  2011        PMID: 21905574     DOI: 10.1258/msl.2011.010135

Source DB:  PubMed          Journal:  Med Sci Law        ISSN: 0025-8024            Impact factor:   1.266


  7 in total

1.  Evaluating change in bruise colorimetry and the effect of subject characteristics over time.

Authors:  Katherine R N Scafide; Daniel J Sheridan; Jacquelyn Campbell; Valerie B Deleon; Matthew J Hayat
Journal:  Forensic Sci Med Pathol       Date:  2013-07-10       Impact factor: 2.007

2.  Does the intensity of the inflammatory reaction in a bruise depend on its proximity to the site of trauma?

Authors:  Claire Ross; Roger W Byard; Neil E I Langlois
Journal:  Forensic Sci Med Pathol       Date:  2013-07-10       Impact factor: 2.007

3.  The development of a colorimetric scale as a visual aid for the bruise age determination of bite marks and blunt trauma.

Authors:  E Nuzzolese; G Di Vella
Journal:  J Forensic Odontostomatol       Date:  2012-12-01

4.  The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective.

Authors:  Michelle Gk Ward; Amy Ornstein; Anne Niec; C Louise Murray
Journal:  Paediatr Child Health       Date:  2013-10       Impact factor: 2.253

5.  A novel, comprehensive, and reproducible porcine model for determining the timing of bruises in forensic pathology.

Authors:  Kristiane Barington; Henrik Elvang Jensen
Journal:  Forensic Sci Med Pathol       Date:  2016-01-28       Impact factor: 2.007

6.  Noninvasive Monitoring of Dynamical Processes in Bruised Human Skin Using Diffuse Reflectance Spectroscopy and Pulsed Photothermal Radiometry.

Authors:  Ana Marin; Nina Verdel; Matija Milanič; Boris Majaron
Journal:  Sensors (Basel)       Date:  2021-01-05       Impact factor: 3.576

7.  Bruise dating using deep learning.

Authors:  Jhonatan Tirado; David Mauricio
Journal:  J Forensic Sci       Date:  2020-09-29       Impact factor: 1.832

  7 in total

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