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1 Paleoradiology: History and New Developments - Academia.dk

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6 Chapter 1 <strong>Paleoradiology</strong>: <strong>History</strong> <strong>and</strong> <strong>New</strong> <strong>Developments</strong><br />

1.2.2<br />

1933 Amenophis I<br />

Amenophis I (also known as Amenhotep I) was the<br />

2nd Pharaoh of the 18th Dynasty, who is generally<br />

thought to have ruled for 20 years between 1526 <strong>and</strong><br />

1506 BC. His mummy was found by Victor Loret in<br />

1898 in the Deir el-Bahri cache in the mortuary temple<br />

of Queen Hatshepsut in the Valley of the Kings.<br />

An x-ray study was done at the Cairo Museum on Saturday<br />

January 30, Tuesday February 2nd, <strong>and</strong> Thursday<br />

February 4th, 1932, after removal of the mummy<br />

from the coffin <strong>and</strong> cartonnage. Dr. Douglas Derry<br />

used x-ray findings to assess the age of the mummy:<br />

“The body proved to be that of an adult man. It is not<br />

possible to assign an age, except to say that all epiphyses<br />

are completely united <strong>and</strong> he is therefore above<br />

25 years of age. So far as the teeth could be seen, they<br />

would were not unduly worn, nor are there any signs<br />

indicating advanced age such as loss of teeth or rarefaction<br />

of any of the bones, so that this king may have<br />

been about 40–50 years of age” (Derry 1933, p 47).<br />

In his further evaluation of the x-ray study, Derry<br />

reported the following findings. “The cranial cavity<br />

appears to contain a diffuse mass, but whether this<br />

is the remains of the brain <strong>and</strong> membranes or whether<br />

it represents linen packing introduced by way<br />

of the nose, cannot be definitely decided, as the photographs<br />

do not show the condition of the ethmoid”<br />

(Derry 1933, pp 46–47). “The body has suffered considerable<br />

damage probably at the h<strong>and</strong>s of the thieves.<br />

The right arm is bent at the elbow <strong>and</strong> the forearm is<br />

lying across the abdomen. There is a small amulet on<br />

the middle of the right arm, <strong>and</strong> towards the lower<br />

end of the arm there are two or three beads…”. “The<br />

body cavity both chest <strong>and</strong> abdomen probably contains<br />

linen package” (Derry 1933, p 48).<br />

1.2.3<br />

1965 Royal Mummy Collection<br />

In the spring of 1965, a team from the University of<br />

Michigan, in collaboration with Alex<strong>and</strong>ria University<br />

in Egypt, was invited to undertake a paleoradiological<br />

study of skulls of ancient Nubian populations<br />

who lived near the Nile River. The Michigan project<br />

focused mostly on craniofacial variation studies. The<br />

radiological equipment used included a portable xray<br />

cephalometer using ytterbium-169 isotope with a<br />

half-life of 32.5 days, which allowed the equipment to<br />

be totally independent of a power source.<br />

Following this first Nubian project, the Egyptian<br />

Department of Antiquities invited the same team, led<br />

by Dr. James E. Harris, Chairman of the Department<br />

of Orthodontics at the University of Michigan, to<br />

conduct an x-ray survey of the royal mummy collection<br />

of the Egyptian Museum. The project started in<br />

December 1967 with a radiographic study limited to<br />

the royal mummies’ skulls. At that time, x-ray images<br />

of mummies were taken while they were still lying<br />

within their glass cases, to prevent any possible damage.<br />

However, the glass was found to contain lead,<br />

which severely degraded the images. In 1968, permission<br />

was given to remove the glass cases so that the<br />

mummies could be x-rayed in their wooden coffins,<br />

which resulted in far fewer artifacts than those caused<br />

by the glass cases. At this time the ytterbium source<br />

was replaced by a conventional x-ray machine using<br />

90 kV, <strong>and</strong>, in addition to skull studies, a whole-body<br />

radiographic evaluation of the complete collection of<br />

royal mummies from the middle kingdom to the Roman<br />

period was performed.<br />

The st<strong>and</strong>ard x-ray protocol included lateral <strong>and</strong><br />

frontal views of the skull, the thorax, the pelvis, <strong>and</strong><br />

the lower limbs. The data obtained during those multiple<br />

expeditions to Egypt form the basis of the publication<br />

of the Atlas of Royal Mummies by Harris<br />

<strong>and</strong> Wente (1980). The Atlas focused primarily on<br />

craniofacial variations <strong>and</strong> dental malocclusion, underst<strong>and</strong>ably,<br />

as the analysis of the data was conducted<br />

by a team of academic dental surgeons. The main<br />

limitation of this study was the lack of a specific x-ray<br />

protocol designed to study specific skeletal regions,<br />

as whole-body radiography was obtained for the survey.<br />

In lieu of a thorough analysis of x-ray data, apart<br />

from the study of craniofacial variations, there was a<br />

limited radiological inventory made available to potential<br />

mummy scientists, which was described in the<br />

preface of the Atlas. The preface stated that the reader<br />

was provided with “copies of x-rays from which he<br />

may draw his own conclusions <strong>and</strong> interpretations”<br />

(Harris <strong>and</strong> Wente 1980). This approach, although<br />

laudable, did not offer appropriate x-ray data for a<br />

paleopathological study of any of the royal Egyptian<br />

mummies. In addition, these data were not validated<br />

in the peer-reviewed literature until 1988 when 12<br />

royal mummies were selected for paleopathological<br />

studies using x-rays as methods for disease detection<br />

(Braunstein et al. 1988). However, in 1973 the data<br />

were collated in a scholarly textbook, which became<br />

generally popular. Interestingly, this book entitled<br />

“X-raying the Pharaohs” (Harris <strong>and</strong> Weeks 1973)<br />

shed light on the context in which the radiological<br />

study of royal mummies was conducted, as revealed<br />

in the following quotes.<br />

“We arrived at the museum each morning at<br />

9 o’clock <strong>and</strong>, after signing the guard’s register, proceeded<br />

upstairs to Gallery 52 where the mummies<br />

were displayed. While some of the staff began the task<br />

of setting the x-ray unit on its tripod, adjusting the<br />

transformers, <strong>and</strong> loading the film cassettes, two of

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