Cite this as: Elliott, J. 2022 Radiographic Technique for Archaeological Human Dry Bones: a scoping review, Internet Archaeology 59. https://doi.org/10.11141/ia.59.1
Within archaeological research, radiography has been used with human dry bones to diagnose pathologies, demonstrate trauma and assist age estimation through dentition eruption status. This study concerns the acquisition of radiographs, including technical parameters, imaging workflow and associated quantitative analysis of bone. Collectively, these themes can be grouped under the term radiographic technique. Despite its indispensability, the available guidance literature for appropriate radiographic technique in archaeology appears sparse. The aim of this research was to quantify and characterise current knowledge and recommendations related to radiographic technique. A scoping review was conducted, involving a systematic search of academic literature within the last 20 years. Archaeological academic textbooks and journal articles from any geographical location or time period were included but were limited to studies involving human dry bone and written in the English language. Of 244 potential studies, results identified seventeen journal articles and four academic textbooks with direct recommendations or guidance for radiographic technique. The primary reason for exclusion was the omission of methodological detail. The majority of included texts addressed the identification of pathologies, cortical thickness or detection of Harris lines. While recommendations exist, gaps in the knowledge include dedicated guidelines for specific anatomy and the integration of photography during radiographic imaging.
Corresponding author: James Elliott
james.elliott@canterbury.ac.uk
Canterbury Christ Church University
Agarwal, S.C. 2018 'Understanding bone aging, loss, and osteoporosis in the past' in M.A. Katzenberg and A.L. Grauer (eds) Biological Anthropology of the Human Skeleton, 3rd edition, Hoboken: John Wiley & Sons. 385-414.
Ameen, S., Staub, L., Ulrich, S., Vock, P., Ballmer, F. and Anderson, S.E. 2005 'Harris lines of the tibia across centuries: a comparison of two populations, medieval and contemporary in Central Europe', Skeletal Radiology 34(5) 279-84. https://doi.org/10.1007/s00256-004-0841-3
Arksey, H. and O'Malley, L. 2005 'Scoping studies: towards a methodological framework', International Journal of Social Research Methodology: Theory and Practice 8(1), 19-32. https://doi.org/10.1080/1364557032000119616
Ashifa, N., Parakh, M.K. and Ulaganambi, S. 2020 'Estimation of age using third molar development', American Journal of Forensic Medicine and Pathology 41(2), 115-18. https://doi.org/10.1097/PAF.0000000000000540
Beauchesne, P. and Agarwal, S.C. 2017 'A multi-method assessment of bone maintenance and loss in an Imperial Roman population: implications for future studies of age-related bone loss in the past', American Journal of Physical Anthropology 164(1), 41-61. https://doi.org/10.1002/ajpa.23256
Beckett, R.G. 2014 'Paleoimaging: a review of applications and challenges', Forensic Science, Medicine and Pathology 10, 423-36. https://doi.org/10.1007/s12024-014-9541-z
Beckett, R.G. and Conlogue, G.J. 2010 Paleoimaging: Field applications for cultural remains and artifacts, London: CRC Press.
Beckett, R.G., Conlogue, G.J. and Nelson A. 2020a Case Studies for Advances in Paleoimaging and Other Non-clinical Application, Boca Raton: CRC Press.
Beckett, R.G., Conlogue, G.J., Viner, M.D., Saleemd, S.N., Said, A.H. and Piombino-Mascali, D. 2020b 'A paleoimaging study of human mummies held in the mother church of Gangi, Sicily: implications for mass casualty methodology', Forensic Imaging 23, 200416. https://doi.org/10.1016/j.fri.2020.200416
Bethard, J.D., Ainger, T.J., Gonciar, A. and Nyárádi, Z. 2021 'Surviving (but not thriving) after cranial vault trauma: a case study from Transylvania', International Journal of Paleopathology 34, 122-129. https://doi.org/10.1016/j.ijpp.2021.06.006
Biehler-Gomez, L., Tritella, S., Martino, F., Campobasso, C.P., Franchi, A., Spairani, R., Sardanelli, F. and Cattaneo, C. 2019 'The synergy between radiographic and macroscopic observation of skeletal lesions on dry bone', International Journal of Legal Medicine 133(5), 1611-28. http://doi.org/10.1007/s00414-019-02122-0
Bruwelheide, K.S., Beck, J. and Pelot, S. 2001 'Standardized protocol for radiographic and photographic documentation of human skeletons' in E. Williams (ed) Human Remains: Conservation, Retrieval and Analysis. British Archaeological Reports (Int. Ser.) 934, Oxford: Archaeopress. 153–65.
Chhem, R.K. 2006 'Paleoradiology: imaging disease in mummies and ancient skeletons', Skeletal Radiology 35(11), 803-4. https://doi.org/10.1007/s00256-006-0144-y
Chhem, R.K. and Brothwell, D.R. 2008 Paleoradiology: Imaging mummies and fossils, New York: Springer.
Cieślik, A.I., Dąbrowski, P. and Przysiężna-Pizarska, M.A. 2017 'The face of conflict: significant sharp force trauma to the mid-facial skeleton in an individual of probable 16th–17th century date excavated from Byczyna, Poland', International Journal of Paleopathology 17, 75-78. https://doi.org/10.1016/j.ijpp.2017.02.003
Conlogue, G.J. and Beckett, R.G. 2020 Advances in Paleoimaging: Applications for paleoanthropology, bioarchaeology, forensics, and cultural artifacts, Boca Raton: CRC Press.
Conlogue, G., Beckett, R., Bailey, Y., Posh, J., Henderson, D., Double, G. and King, T. 2008 'Paleoimaging: The use of radiography, magnetic resonance, and endoscopy to examine mummified remains', Journal of Radiology Nursing 27(1), 5-13. https://doi.org/10.1016/j.jradnu.2007.09.003
Conlogue, G., Nelson, A.J. and Guillén, S. 2004 'The application of radiography to field studies in physical anthropology', Canadian Association of Radiologists Journal 55(4), 254-57.
Cope, D.J. and Dupras, T.L. 2011 'Osteogenesis imperfecta in the archeological record: an example from the Dakhleh Oasis, Egypt', International Journal of Paleopathology 1(3-4), 188-99. https://doi.org/10.1016/j.ijpp.2012.02.001
Dabernat, H. and Crubézy, É. 2009 'Multiple bone tuberculosis in a child from Predynastic Upper Egypt (3200 BC)', International Journal of Osteoarcheology 20, 719–30. https://doi.org/10.1002/oa.1082
Elliott, J. in press 'Radiography of human dry bones: a reflective account with recommendations for practice', Radiography. https://doi.org/10.1016/j.radi.2021.10.011
Évingera, S., Bernert, Z., Fóthi, E., Wolff, K., Kővári, I., Marcsikd, A., Donoghue, H.D., O'Grady, J., Kiss, K.K. and Hajdu, T. 2011 'New skeletal tuberculosis cases in past populations from Western Hungary (Transdanubia)', HOMO: Journal of Comparative Human Biology 62, 165-83. https://doi.org/10.1016/j.jchb.2011.04.001
Fatula, S. 2021 'Detection of cancerous lesions in skeletal remains using visual methods and radiographs', International Journal of Osteoarchaeology 31, 916-25. https://doi.org/10.1002/oa.3008
Flensborg, G. and Martínez, G. 2021 'Calcaneus fracture in a Middle Holocene individual from the eastern Pampa-Patagonian transition (Argentina)', Journal of the Mechanical Behavior of Biomedical Materials 120, 104568. https://doi.org/10.1016/j.jmbbm.2021.104568
Garvin, H.M. and Stock, M.K. 2016 'The utility of advanced imaging in forensic anthropology', Academic Forensic Pathology 6(3), 499-516. http://doi.org/10.23907/2016.050
Gilmour, R., Brickley, M.B., Hoogland, M., Jurriaans, E., Mays, S. and Prowse, T.L. 2021 'Quantifying cortical bone in fragmentary archeological second metacarpals', American Journal of Physical Anthropology 174, 812-21. http://doi.org/10.1002/ajpa.24248
Gooderham, E., Marinho, L., Spake, L., Fisk, S., Prates, C., Sousa, S., Oliveira, C., Santos, A.L. and Cardoso, H.F.V. 2020 'Severe skeletal lesions, osteopenia and growth deficit in a child with pulmonary tuberculosis (mid-20th century, Portugal)', International Journal of Paleopathology 30, 47-56. https://doi.org/10.1016/j.ijpp.2020.03.002
Ives, R. and Brickley, M.B. 2004 'A procedural guide to metacarpal radiogrammetry in archaeology', International Journal of Osteoarchaeology 14, 7-17. http://doi.org/10.1002/oa.709
Kristóf, L.A., Kovács, M., Baksa, G., Bereczki, Z., Szatmári, F., Patonay, L., Pálfi, G. and Pohárnok L. 2015 'Condition assessment of two early Christian martyrs, St Christine's and St Augustine's relics with paleoradiological methods in Hungary', Journal of Cultural Heritage 16(2), 249-53. https://doi.org/10.1016/j.culher.2014.04.001
Leo, C., O'Connor, J.E. and McNulty, J.P. 2013 'Combined radiographic and anthropological approaches to victim identification of partially decomposed or skeletal remains', Radiography 19, 353-62. http://doi.org/10.1016/j.radi.2013.07.008
Licata, M., Tosi, A., Ciliberti, R., Badino, P. and Pinto, A. 2019 'Role of radiology in the assessment of skeletons from archeological sites', Seminars in Ultrasound, CT and MRI 40(1), 12-17. http://doi.org/10.1053/j.sult.2018.10.003
Long, B.W., Hall Rollins, J. and Smith, B.J. 2020 Merrill's Atlas of Radiographic Positioning and Procedures, 14th edition. St Louis: Mosby.
Manifold, B.M. 2014 'Photodensitometry: a useful method for studying bone mineral density in the skeletal remains of children', Bulletin of the International Association for Paleodontology 8(1), 187-94.
Mays, S. 2007 'Radiography and allied techniques in the palaeopathology of skeletal remains' in R. Pinhasi and S. Mays (eds) Advances in Human Palaeopathology, Chichester: Wiley. 77–100.
Mays, S. 2016 'Bone-formers and bone-losers in an archaeological population', American Journal of Physical Anthropology 159(4), 577-84. https://doi.org/10.1002/ajpa.22912
Meyer, S., Frater, N., Seiler, R., Bickel, S., Bönia, T., Eppenberger, P. and Rühli, F. 2020 'Multidisciplinary studies of heavily fragmented and commingled ancient Egyptian human remains found in KV 40 (Valley of the Kings, Luxor, Egypt): a pragmatic workflow and first results', Journal of Archaeological Science: Reports 29, 102069. https://doi.org/10.1016/j.jasrep.2019.102069
Mitchell, P.D. and Brickley, M. 2017 Updated Guidelines to the Standards for Recording Human Remains (Chartered Institute for Archaeologists). https://www.archaeologists.net/publications/papers [Last accessed: 14 February 2021]
Nystrom, K.C., Braunstein, E.M. and Buikstra, J.E. 2004 'Field paleoradiography of skeletal material from the Early Classic Period of Copan, Honduras', Canadian Association of Radiologists Journal 55(4), 246-53.
Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., Brennan, S.E., Chou, R., Glanville, J., Grimshaw, J.M., Hróbjartsson, A., Lalu, M.M., Li, T., Loder, E.W., Mayo-Wilson, E., McDonald, S., McGuinness, L.A., Stewart, S., Thomas, J., Tricco, A.C., Welch, V.A., Whiting, P. and Moher, D. 2021 'The PRISMA 2020 statement: an updated guideline for reporting systematic reviews', BMJ 372, n71. https://doi.org/10.1136/bmj.n71
Papagrigorakis, M.J., Karamesinis, K.G., Daliouris, K.P., Kousoulis, A.A., Synodinos, P.N. and Hatziantoniou, M.D. 2012 'Paleopathological findings in radiographs of ancient and modern Greek skulls', Skeletal Radiology 41, 1605-11. http://doi.org/10.1007/s00256-012-1432-3
Peters, M.D., Godfrey, C.M., Khalil, H., McInerney, P., Parker, D. and Soares, C.B. 2015 'Guidance for conducting systematic scoping reviews', International Journal of Evidence-Based Healthcare 13(3), 141–46. https://doi.org/10.1097/XEB.0000000000000050
Purchase, S.L., Bazaliiskii, V.I. and Lieverse, A.R. 2019 'An innovative method to visualise mastoiditis using a hand-held X-ray system', International Journal of Paleopathology 26, 22-26. http://doi.org/10.1016/j.ijpp.2019.05.006
Primeau, C., Jakobsen, L.S. and Lynnerup, N. 2016 'CT imaging vs. traditional radiographic imaging for evaluating Harris Lines in tibiae', Anthropologischer Anzeiger: Journal of Biological and Clinical Anthropology 73(2), 99-108. http://doi.org/10.1127/anthranz/2016/0587
Ramírez-Salomón, M., Vega-Lizama, E., Quintana-Owen, P., Cucina, A. and Tiesler, V. 2018 'Pulp pathosis associated with ancient Maya dental inlays', Archives of Oral Biology 95, 202-8. https://doi.org/10.1016/j.archoralbio.2018.08.008
Scott, A.B. and Hoppa, R.D. 2015 'A re-evaluation of the impact of radiographic orientation on the identification and interpretation of Harris Lines', American Journal of Physical Anthropology 156, 141-47. http://doi.org/10.1002/ajpa.22635
Seiler, R., Eppenberger, P. and Rühli, F. 2018 'Application of portable digital radiography for dental investigations of ancient Egyptian mummies during archaeological excavations: evaluation and discussion of the advantages and limitations of different approaches and projections', Imaging Science in Dentistry 48(3), 167-76. http://doi.org/10.5624/isd.2018.48.3.167
Silva, R.F., Franco, A., Dias, P.E.M., Gonçalves, A.S. and Paranhos, L.R. 2013 'Interrelationship between forensic radiology and forensic odontology — A case report of identified skeletal remains', Journal of Forensic Radiology and Imaging 1, 201-206. http://dx.doi.org/10.1016/j.jofri.2013.06.005
Symmons, R. 2004 'Digital photodensitometry: a reliable and accessible method for measuring bone density', Journal of Archaeological Science 31(6), 711-19. https://doi.org/10.1016/j.jas.2003.11.002
Vallis, J. 2017 'The role of radiography in disaster victim identification' in T. Thompson and D. Errickson (eds) Human Remains: Another dimension: The application of imaging to the study of human remains, London: Academic Press. 57-69. https://doi.org/10.1016/B978-0-12-804602-9.00006-0
van der Merwe, A.E., Veselka, B., van Veen, H.A., van Rijn, R.R., Colman, K.L. and de Boe, H.H. 2018 'Four possible cases of osteomalacia: the value of a multidisciplinary diagnostic approach', International Journal of Paleopathology 23, 15-25. http://doi.org/10.1016/j.ijpp.2018.03.004
van Schaik, K., Eisenberg, R., Bekvalac, J. and Rühli, F. 2017 'The radiologist in the crypt: burden of disease in the past and its modern relevance', Academic Radiology 24(10), 1305-11. https://doi.org/10.1016/j.acra.2017.03.008
van Schaik, K., Eisenberg, R., Bekvalac, J., Glazer, A. and Rühli, F. 2019 'Evaluation of lesion burden in a bone-by-bone comparison of osteological and radiological methods of analysis', International Journal of Paleopathology 24, 171-74. http://doi.org/10.1016/j.ijpp.2018.11.002
Wanek, J., Papageorgopoulou, C. and Rühli, F. 2021 'Fundamentals of paleoimaging techniques: bridging the gap between physicists and paleopathologists' in A.L. Grauer (ed) A Companion to Paleopathology. Chichester: Blackwell Publishing Ltd. 324-38.
Whitley, A.S., Jefferson, G., Holmes, K., Sloane, C., Anderson, C. and Hoadley, G. 2015 Clark's Positioning in Radiography, 13th edition. London: CRC Press.
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