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Epain M, Valette S, Zou K, Faisan S, Heitz F, Croisille P, Fracasso T, Fanton L. Sex estimation from coxal bones using deep learning in a population balanced by sex and age. Int J Legal Med 2024:10.1007/s00414-024-03268-2. [PMID: 38862820 DOI: 10.1007/s00414-024-03268-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Accepted: 06/03/2024] [Indexed: 06/13/2024]
Abstract
In the field of forensic anthropology, researchers aim to identify anonymous human remains and determine the cause and circumstances of death from skeletonized human remains. Sex determination is a fundamental step of this procedure because it influences the estimation of other traits, such as age and stature. Pelvic bones are especially dimorphic, and are thus the most useful bones for sex identification. Sex estimation methods are usually based on morphologic traits, measurements, or landmarks on the bones. However, these methods are time-consuming and can be subject to inter- or intra-observer bias. Sex determination can be done using dry bones or CT scans. Recently, artificial neural networks (ANN) have attracted attention in forensic anthropology. Here we tested a fully automated and data-driven machine learning method for sex estimation using CT-scan reconstructions of coxal bones. We studied 580 CT scans of living individuals. Sex was predicted by two networks trained on an independent sample: a disentangled variational auto-encoder (DVAE) alone, and the same DVAE associated with another classifier (Crecon). The DVAE alone exhibited an accuracy of 97.9%, and the DVAE + Crecon showed an accuracy of 99.8%. Sensibility and precision were also high for both sexes. These results are better than those reported from previous studies. These data-driven algorithms are easy to implement, since the pre-processing step is also entirely automatic. Fully automated methods save time, as it only takes a few minutes to pre-process the images and predict sex, and does not require strong experience in forensic anthropology.
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Affiliation(s)
- Marie Epain
- Service of Legal Medicine, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France.
- University Lyon, Claude-Bernard Lyon 1 University, Lyon-Est Medical School, Lyon, France.
| | | | - Kaifeng Zou
- Laboratoire des Sciences de l'Ingénieur, de l'Informatique et de l'Imagerie, ICube (UMR 7357), UNISTRA, CNRS, Illkirch, France
| | - Sylvain Faisan
- Laboratoire des Sciences de l'Ingénieur, de l'Informatique et de l'Imagerie, ICube (UMR 7357), UNISTRA, CNRS, Illkirch, France
| | - Fabrice Heitz
- Laboratoire des Sciences de l'Ingénieur, de l'Informatique et de l'Imagerie, ICube (UMR 7357), UNISTRA, CNRS, Illkirch, France
| | - Pierre Croisille
- CREATIS-LRMN, INSERM U630, INSA Lyon, Villeurbanne, France
- Radiology Department, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - Tony Fracasso
- Centre universitaire romand de médecine légale, Lausanne - Genève, Département de médecine communautaire, Université de Genève, Geneva, Switzerland
| | - Laurent Fanton
- Service of Legal Medicine, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France
- University Lyon, Claude-Bernard Lyon 1 University, Lyon-Est Medical School, Lyon, France
- CREATIS-LRMN, INSERM U630, INSA Lyon, Villeurbanne, France
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Demet Mutlu G, Asirdizer M, Kartal E, Keskin S, Mutlu İ, Goya C. Sex estimation from the hyoid bone measurements in an adult Eastern Turkish population using 3D CT images, discriminant function analysis, support vector machines, and artificial neural networks☆. Leg Med (Tokyo) 2024; 67:102383. [PMID: 38159420 DOI: 10.1016/j.legalmed.2023.102383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Revised: 11/23/2023] [Accepted: 12/23/2023] [Indexed: 01/03/2024]
Abstract
The hyoid bone is one of the bones in the human body that shows sexual dimorphism. The anthropological and anthropometric characteristics that determine sexual dimorphism are influenced by demographic differences. The aim of this study was to investigate the rate of sexual dimorphism of the hyoid bone in the adult Eastern Turkish population from the examination of the 3D computed tomography images of 240 patients, using discriminant function analysis (DFA), support vector machines (SVM), and artificial neural networks (ANN). These evaluations were based on eight hyoid measurements that have been frequently used in previous CT studies. The results showed that all eight measurements were higher in males than in females (p = 0.000). It was determined that sex could be estimated accurately at up to 93.3 % using DFA, 93.8 % using SVM and 95.4 % using ANN. The maximum accuracy rate achieved to 94.2 % in males using SVM, and 95.8 % in females using ANN. These high rates of sexual dimorphism found using DFA, SVM, and ANN in this study indicate that characteristics of the hyoid bone can be utilized to determine sex in the Eastern Turkish population.
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Affiliation(s)
| | - Mahmut Asirdizer
- Head of Forensic Medicine Department, Medical Faculty of Bahçeşehir University, Istanbul, Turkey.
| | - Erhan Kartal
- Head of Forensic Medicine Department, Medical Faculty of Van Yuzuncu Yil University, Van, Turkey.
| | - Siddik Keskin
- Head of Biostatistics Department, Medical School of Van Yuzuncu Yil University, Van, Turkey.
| | | | - Cemil Goya
- Head of Radiodiagnostic Department, Medical School of Van Yuzuncu Yil University, Van, Turkey.
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Castillo-Alonso C, Tabilo L, López-Lázaro S. Use of dimensions in posterior dentition for sex estimation in forensic contexts: A systematic review and meta-analysis. Arch Oral Biol 2023; 155:105782. [PMID: 37611493 DOI: 10.1016/j.archoralbio.2023.105782] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 08/04/2023] [Accepted: 08/05/2023] [Indexed: 08/25/2023]
Abstract
OBJECTIVE This study assessed the validity of dimensions in posterior dentition for sex estimation in forensic contexts. DESIGN A systematic review was established following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). After assessing the risk of bias and methodological quality with the QUADAS-2 system, the data were subjected to statistical tests for a meta-analysis of diagnostic accuracy and I2 to verify the heterogeneity. RESULTS The search resulted in 15 studies that underwent qualitative testing, all were selected for quantitative analysis. The papers included: the mesiodistal of the upper first molar, lower first molar, and upper second molar, and the buccolingual of the upper first molar and upper second molar. The results showed that sensitivity and specificity rates were lower with the mesiodistal diameter, with rates of 0.577 for the lower first molar, 0.674 for the upper first molar, and 0.698 for the upper second molar, while the rates were higher with the buccolingual diameter, with 0.724 for the upper first molar, and 0.743 for the upper second molar. The power to estimate sex is greater for males than for females. High heterogeneity was detected among the studies of almost all dimensions, except sensibility for the lower first molar and specificity for the upper second molar. CONCLUSIONS None of the dimensions reached an accuracy of ≥80%, however, so they are not a reliable method for sex estimation in forensic practice.
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Affiliation(s)
- Camila Castillo-Alonso
- Departamento de Antropología, Facultad de Ciencias Sociales, Universidad de Chile, Av. Ignacio Carrera Pinto 1045, Santiago, Chile
| | - Luna Tabilo
- Departamento de Antropología, Facultad de Ciencias Sociales, Universidad de Chile, Av. Ignacio Carrera Pinto 1045, Santiago, Chile
| | - Sandra López-Lázaro
- Departamento de Antropología, Facultad de Ciencias Sociales, Universidad de Chile, Av. Ignacio Carrera Pinto 1045, Santiago, Chile; Forensic Dentistry Lab, Centro de Investigación en Odontología Legal y Forense -CIO, Facultad de Odontología, Universidad de La Frontera, Temuco, Chile.
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Debs P, Fayad LM. The promise and limitations of artificial intelligence in musculoskeletal imaging. FRONTIERS IN RADIOLOGY 2023; 3:1242902. [PMID: 37609456 PMCID: PMC10440743 DOI: 10.3389/fradi.2023.1242902] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Accepted: 07/26/2023] [Indexed: 08/24/2023]
Abstract
With the recent developments in deep learning and the rapid growth of convolutional neural networks, artificial intelligence has shown promise as a tool that can transform several aspects of the musculoskeletal imaging cycle. Its applications can involve both interpretive and non-interpretive tasks such as the ordering of imaging, scheduling, protocoling, image acquisition, report generation and communication of findings. However, artificial intelligence tools still face a number of challenges that can hinder effective implementation into clinical practice. The purpose of this review is to explore both the successes and limitations of artificial intelligence applications throughout the muscuskeletal imaging cycle and to highlight how these applications can help enhance the service radiologists deliver to their patients, resulting in increased efficiency as well as improved patient and provider satisfaction.
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Affiliation(s)
- Patrick Debs
- The Russell H. Morgan Department of Radiology & Radiological Science, The Johns Hopkins Medical Institutions, Baltimore, MD, United States
| | - Laura M. Fayad
- The Russell H. Morgan Department of Radiology & Radiological Science, The Johns Hopkins Medical Institutions, Baltimore, MD, United States
- Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States
- Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States
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Lo M, Mariconti E, Nakhaeizadeh S, Morgan RM. Preparing computed tomography images for machine learning in forensic and virtual anthropology. Forensic Sci Int Synerg 2023; 6:100319. [PMID: 36852172 PMCID: PMC9958428 DOI: 10.1016/j.fsisyn.2023.100319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 02/02/2023] [Accepted: 02/06/2023] [Indexed: 02/11/2023]
Affiliation(s)
- Martin Lo
- UCL Department of Security and Crime Science, University College London, 35 Tavistock Square, London, WC1H 9EZ, UK,UCL Centre for the Forensic Sciences, University College London, 35 Tavistock Square, London, WC1H 9EZ, UK,Corresponding author. UCL Department of Security and Crime Science, University College London, 35 Tavistock Square, London, WC1H 9EZ, UK.
| | - Enrico Mariconti
- UCL Department of Security and Crime Science, University College London, 35 Tavistock Square, London, WC1H 9EZ, UK
| | - Sherry Nakhaeizadeh
- UCL Department of Security and Crime Science, University College London, 35 Tavistock Square, London, WC1H 9EZ, UK,UCL Centre for the Forensic Sciences, University College London, 35 Tavistock Square, London, WC1H 9EZ, UK
| | - Ruth M. Morgan
- UCL Department of Security and Crime Science, University College London, 35 Tavistock Square, London, WC1H 9EZ, UK,UCL Centre for the Forensic Sciences, University College London, 35 Tavistock Square, London, WC1H 9EZ, UK
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Kartal E, Etli Y, Asirdizer M, Hekimoglu Y, Keskin S, Demir U, Yavuz A, Celbis O. Sex estimation using foramen magnum measurements, discriminant analyses and artificial neural networks on an eastern Turkish population sample. Leg Med (Tokyo) 2022; 59:102143. [PMID: 36084487 DOI: 10.1016/j.legalmed.2022.102143] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 07/20/2022] [Accepted: 08/30/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND Although many studies have been conducted using the foramen magnum for sex estimation, recent findings have indicated that the discriminant and regression models obtained from the foramen magnum may not be reliable. Artificial Neural Networks, was used as a classification technique in sex estimation studies on some other bones, did not used in sex estimation studies on the foramen magnum until now. The aim of this study was sex estimation on an Eastern Turkish population sample using foramen magnum measurements, discriminant analyses and Artificial Neural Networks. METHODOLOGY The study was performed on the CT images of a total of 720 cases, comprising 360 males and 360 females. For sex estimation, discriminant analysis and Artificial Neural Networks were used. RESULTS The accuracy rate was 86.7% with discriminant analysis and when sex estimation accuracy was determined according to cases with posterior probabilities above 95%, the accuracy ranged from 0% to 33.3%. With the use of the discriminant formulas of 2 other studies, obtained from different Turkish samples, sex could be determined at a rate of 84.6%. Some formulas were found to be unsuccessful in sex estimation. Sex estimation accuracy of 88.2% was achieved with Artificial Neural Networks. CONCLUSION In this study, it was found that sex could be determined to some extent with discriminant formulas from other samples from the same population, although some formulas were unsuccessful. With the use of image processing techniques and machine learning algorithms, better results can be obtained in sex estimation.
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Affiliation(s)
- Erhan Kartal
- Assistant Professor of Forensic Medicine, Head of the Department of Forensic Medicine, Medical Faculty of Van Yuzuncu, Yil University, Van, Turkey
| | - Yasin Etli
- Specialist of Forensic Medicine, Department of Forensic Medicine, Medical Faculty Hospital of Selcuk University, Konya, Turkey
| | - Mahmut Asirdizer
- Professor of Forensic Medicine, Head of the Department of Forensic Medicine, Medical Faculty of Bahçeşehir University, Istanbul, Turkey.
| | - Yavuz Hekimoglu
- Associate Professor of Forensic Medicine, Ankara City Hospital of Health Sciences University, Ankara, Turkey
| | - Siddik Keskin
- Professor of Biostatistics, Head of Biostatistics Department, Medical School of Van Yuzuncu Yil University, Van, Turkey
| | - Ugur Demir
- Specialist of Forensic Medicine, Tokat Hospital of Health Sciences University, Tokat, Turkey
| | - Alparslan Yavuz
- Associate Professor of Radiology, Department of Radiology, Antalya Training and Research Hospital of Health Sciences University, Antalya, Turkey
| | - Osman Celbis
- Professor of Forensic Medicine, Head of the Department of Forensic Medicine, Medical Faculty of Inonu University, Malatya, Turkey
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Krenn VA, Webb NM, Fornai C, Haeusler M. Sex classification using the human sacrum: Geometric morphometrics versus conventional approaches. PLoS One 2022; 17:e0264770. [PMID: 35385483 PMCID: PMC8986015 DOI: 10.1371/journal.pone.0264770] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Accepted: 02/16/2022] [Indexed: 12/13/2022] Open
Abstract
The human pelvis shows marked sexual dimorphism that stems from the conflicting selective pressures of bipedal locomotion and parturition. The sacrum is thought to reflect this dimorphism as it makes up a significant portion of the pelvic girdle. However, reported sexual classification accuracies vary considerably depending on the method and reference sample (54%-98%). We aim to explore this inconsistency by quantifying sexual dimorphism and sex classification accuracies in a geographically heterogeneous sample by comparing 3D geometric morphometrics with the more commonly employed linear metric and qualitative assessments. Our sample included 164 modern humans from Africa, Europe, Asia, and America. The geometric morphometric analysis was based on 44 landmarks and 56 semilandmarks. Linear dimensions included sacral width, corpus depth and width, and the corresponding indices. The qualitative inspection relied on traditional macroscopic features such as proportions between the corpus of the first sacral vertebrae and the alae, and sagittal and coronal curvature of the sacrum. Classification accuracy was determined using linear discriminant function analysis for the entire sample and for the largest subsamples (i.e., Europeans and Africans). Male and female sacral shapes extensively overlapped in the geometric morphometric investigation, leading to a classification accuracy of 72%. Anteroposterior corpus depth was the most powerful discriminating linear parameter (83%), followed by the corpus-area index (78%). Qualitative inspection yielded lower accuracies (64-76%). Classification accuracy was higher for the Central European subsample and diminished with increasing geographical heterogeneity of the subgroups. Although the sacrum forms an integral part of the birth canal, our results suggest that its sex-related variation is surprisingly low. Morphological variation thus seems to be driven also by other factors, including body size, and sacrum shape is therefore likely under stronger biomechanical rather than obstetric selection.
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Affiliation(s)
- Viktoria A. Krenn
- Institute of Evolutionary Medicine, University of Zurich, Zurich, Switzerland
- Department of Evolutionary Anthropology, University of Vienna, Vienna, Austria
- Human Evolution and Archaeological Sciences (HEAS), University of Vienna, Vienna, Austria
| | - Nicole M. Webb
- Institute of Evolutionary Medicine, University of Zurich, Zurich, Switzerland
- Senckenberg Society for Nature Research, Leibniz Institution for Biodiversity and Earth System Research, Frankfurt, Germany
- Institute of Archaeological Sciences, Senckenberg Centre for Human Evolution and Palaeoenvironment, Eberhard Karls University of Tübingen, Tübingen, Germany
| | - Cinzia Fornai
- Institute of Evolutionary Medicine, University of Zurich, Zurich, Switzerland
- Department of Evolutionary Anthropology, University of Vienna, Vienna, Austria
- Human Evolution and Archaeological Sciences (HEAS), University of Vienna, Vienna, Austria
- Vienna School of Interdisciplinary Dentistry, Klosterneuburg, Austria
| | - Martin Haeusler
- Institute of Evolutionary Medicine, University of Zurich, Zurich, Switzerland
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Sex Estimation from the Clavicle Using 3d Reconstruction, Discriminant Analyses, and Neural Networks in an Eastern Turkish Population. Leg Med (Tokyo) 2022; 56:102043. [DOI: 10.1016/j.legalmed.2022.102043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Revised: 02/02/2022] [Accepted: 02/09/2022] [Indexed: 01/04/2023]
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Lottering T, Hemingway J, Small C. An exploration of sacral morphology using geometric morphometrics and three-dimensionally derived interlandmark distances. Int J Legal Med 2022; 136:1051-1065. [PMID: 35022842 DOI: 10.1007/s00414-021-02724-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 10/12/2021] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Accurate sex estimation is an important component of a biological profile in forensic anthropology. The pelvis is widely accepted as the most dimorphic osseous structure, and thus, this dimorphism is also reflected by the sacrum. AIM This study aimed to explore sacral morphology and to derive a practically applicable discriminant function formula for sex estimation. MATERIALS A total of 20 three-dimensional landmarks were digitised on a sample of 200 sacra from a sample of South Africans of African descent (Black South Africans) with ages ranging between 20 and 90 years, equally distributed for sex. METHODS Geometric morphometric methods were used to analyse sacral morphology and sexual dimorphism as it captures size-independent shape variation and three-dimensional morphology. RESULTS Size-independent shape analysis revealed four sacral structures and metrics that account for most of its shape variation. When these were compared between the sexes, we found that sacral curvature pattern, rather than depth, differed between sexes and that males have greater anterior sacral heights. Females have larger alae relative to the body of S1. In addition, the anterior posterior breadth of the sacral canal is larger in males, as is the relative size and projection of the superior articular processes. Discriminant analyses of these data produced average accuracies of only 72.5%, but this improved to 84.5% when using novel interlandmark distances derived from the raw coordinate data. CONCLUSION Our results demonstrate that landmark-based techniques allow for a more nuanced understanding of structural variation. In addition, accuracies were achieved that surpass traditional metrics using an equal number of variables. These results contribute to our understanding of sacral dimorphism and will assist in forensic casework.
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Affiliation(s)
- Tamara Lottering
- Human Variation and Identification Research Unit (HVIRU), School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, 2193, Republic of South Africa.
| | - Jason Hemingway
- Human Variation and Identification Research Unit (HVIRU), School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, 2193, Republic of South Africa
| | - Candice Small
- Human Variation and Identification Research Unit (HVIRU), School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, 2193, Republic of South Africa.
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Thurzo A, Kosnáčová HS, Kurilová V, Kosmeľ S, Beňuš R, Moravanský N, Kováč P, Kuracinová KM, Palkovič M, Varga I. Use of Advanced Artificial Intelligence in Forensic Medicine, Forensic Anthropology and Clinical Anatomy. Healthcare (Basel) 2021; 9:1545. [PMID: 34828590 PMCID: PMC8619074 DOI: 10.3390/healthcare9111545] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 11/10/2021] [Accepted: 11/10/2021] [Indexed: 12/11/2022] Open
Abstract
Three-dimensional convolutional neural networks (3D CNN) of artificial intelligence (AI) are potent in image processing and recognition using deep learning to perform generative and descriptive tasks. Compared to its predecessor, the advantage of CNN is that it automatically detects the important features without any human supervision. 3D CNN is used to extract features in three dimensions where input is a 3D volume or a sequence of 2D pictures, e.g., slices in a cone-beam computer tomography scan (CBCT). The main aim was to bridge interdisciplinary cooperation between forensic medical experts and deep learning engineers, emphasizing activating clinical forensic experts in the field with possibly basic knowledge of advanced artificial intelligence techniques with interest in its implementation in their efforts to advance forensic research further. This paper introduces a novel workflow of 3D CNN analysis of full-head CBCT scans. Authors explore the current and design customized 3D CNN application methods for particular forensic research in five perspectives: (1) sex determination, (2) biological age estimation, (3) 3D cephalometric landmark annotation, (4) growth vectors prediction, (5) facial soft-tissue estimation from the skull and vice versa. In conclusion, 3D CNN application can be a watershed moment in forensic medicine, leading to unprecedented improvement of forensic analysis workflows based on 3D neural networks.
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Affiliation(s)
- Andrej Thurzo
- Department of Stomatology and Maxillofacial Surgery, Faculty of Medicine, Comenius University in Bratislava, 81250 Bratislava, Slovakia
- Department of Simulation and Virtual Medical Education, Faculty of Medicine, Comenius University, Sasinkova 4, 81272 Bratislava, Slovakia;
- forensic.sk Institute of Forensic Medical Analyses Ltd., Boženy Němcovej 8, 81104 Bratislava, Slovakia; (R.B.); (N.M.); (P.K.)
| | - Helena Svobodová Kosnáčová
- Department of Simulation and Virtual Medical Education, Faculty of Medicine, Comenius University, Sasinkova 4, 81272 Bratislava, Slovakia;
- Department of Genetics, Cancer Research Institute, Biomedical Research Center, Slovak Academy Sciences, Dúbravská Cesta 9, 84505 Bratislava, Slovakia
| | - Veronika Kurilová
- Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Ilkovičova 3, 81219 Bratislava, Slovakia;
| | - Silvester Kosmeľ
- Deep Learning Engineering Department at Cognexa, Faculty of Informatics and Information Technologies, Slovak University of Technology, Ilkovičova 2, 84216 Bratislava, Slovakia;
| | - Radoslav Beňuš
- forensic.sk Institute of Forensic Medical Analyses Ltd., Boženy Němcovej 8, 81104 Bratislava, Slovakia; (R.B.); (N.M.); (P.K.)
- Department of Anthropology, Faculty of Natural Sciences, Comenius University in Bratislava, Mlynská dolina Ilkovičova 6, 84215 Bratislava, Slovakia
| | - Norbert Moravanský
- forensic.sk Institute of Forensic Medical Analyses Ltd., Boženy Němcovej 8, 81104 Bratislava, Slovakia; (R.B.); (N.M.); (P.K.)
- Institute of Forensic Medicine, Faculty of Medicine, Comenius University in Bratislava, Sasinkova 4, 81108 Bratislava, Slovakia
| | - Peter Kováč
- forensic.sk Institute of Forensic Medical Analyses Ltd., Boženy Němcovej 8, 81104 Bratislava, Slovakia; (R.B.); (N.M.); (P.K.)
- Department of Criminal Law and Criminology, Faculty of Law Trnava University, Kollárova 10, 91701 Trnava, Slovakia
| | - Kristína Mikuš Kuracinová
- Institute of Pathological Anatomy, Faculty of Medicine, Comenius University in Bratislava, Sasinkova 4, 81108 Bratislava, Slovakia; (K.M.K.); (M.P.)
| | - Michal Palkovič
- Institute of Pathological Anatomy, Faculty of Medicine, Comenius University in Bratislava, Sasinkova 4, 81108 Bratislava, Slovakia; (K.M.K.); (M.P.)
- Forensic Medicine and Pathological Anatomy Department, Health Care Surveillance Authority (HCSA), Sasinkova 4, 81108 Bratislava, Slovakia
| | - Ivan Varga
- Institute of Histology and Embryology, Faculty of Medicine, Comenius University in Bratislava, 81372 Bratislava, Slovakia;
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Bakici RS, Oner Z, Oner S. The analysis of sacrum and coccyx length measured with computerized tomography images depending on sex. EGYPTIAN JOURNAL OF FORENSIC SCIENCES 2021. [DOI: 10.1186/s41935-021-00227-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Sex estimation is vital in establishing an accurate biological profile from the human skeleton, as sex influences the analysis of other elements in both Physical and Forensic Anthropology and Legal Medicine. The present study was conducted to analyze the sex differences between the sacrum and coccyx length based on the measurements calculated with computed tomography (CT) images. One hundred case images (50 females, 50 males) who were between the ages of 25 and 50 and admitted by the emergency department between September 2018 and June 2019 and underwent CT were included in the study. Eighteen lengths, 4 curvature lengths, and 2 regions were measured in sagittal, coronal and transverse planes with orthogonal adjustment for three times.
Results
It was stated that the mean anterior and posterior sacral length, anterior and posterior sacrococcygeal length, anterior and posterior sacral curvature length, anterior coccygeal curvature length, sacral area, lengths of transverse lines 1, 2, 3 and 4, sacral first vertebra transverse and sagittal length measurements were longer in males when compared to females (p < 0.05). It was noted that the parameter with the highest discrimination value in the receiver operating characteristic (ROC) analysis was the sacral area (AUC = 0.88/Acc = 0.82). Based on Fisher’s linear discriminant analysis findings, the discrimination rate was 96% for males, 92% for females and the overall discrimination rate was 94%.
Conclusions
It was concluded that the fourteen parameters that were indicated as significant in the present study could be used in anthropology, Forensic Medicine and Anatomy to predict sex.
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Sacral morphometrics for sex estimation of dead cases in Central Thailand. Leg Med (Tokyo) 2020; 48:101824. [PMID: 33310090 DOI: 10.1016/j.legalmed.2020.101824] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 11/28/2020] [Accepted: 12/01/2020] [Indexed: 11/21/2022]
Abstract
Sex estimation by various forensic anthropology approaches is a crucial factor for identification of human skeletal remains. However, inexpensive, uncomplicated and reliable methods are still required, especially in a remote crime scene and a high crime incidence area. Here, we examined 13 sacral parameters from 78 independent skeletons derived from deceases found in Central Thailand (male, n = 46; female, n = 32) using simple standard anthropometric techniques for sex allocation. Discriminant analysis exhibited that anterior-posterior diameter of S1 vertebra corpus (APS) is the most accurate sacral parameter for sex determination in our study with 82.1% of correct discrimination rate. The accuracy could be improved up to 97.4% when additional three sacral variables including the length of sacrum measured from the medial anterior-superior sacral promontory to the medial anterior-inferior S5 vertebra (ASL), alar index (ALI), and the maximum anterior breadth of sacrum measured across sacral alar (ABS) were computed together with APS. These encourage the use of sacral morphometrics for sex assessment of human sacrum remains in Central Thailand. However, further investigation with broadening sacral morphometric data across the country might provide a promising sex determination equation from a sacral skeleton for Thai population.
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Garoufi N, Bertsatos A, Chovalopoulou ME, Villa C. Forensic sex estimation using the vertebrae: an evaluation on two European populations. Int J Legal Med 2020; 134:2307-2318. [PMID: 32940842 DOI: 10.1007/s00414-020-02430-w] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 09/11/2020] [Indexed: 11/30/2022]
Abstract
Sex estimation is one of the primary steps for constructing the biological profile of skeletal remains leading to their identification in the forensic context. While the pelvis is the most sex diagnostic bone, the cranium and other post-cranial elements have been extensively studied. Earlier research has also focused on the vertebral column with varying results regarding its sex classification accuracy as well as the underlying population specificity. The present study focuses on three easily identifiable vertebrae, namely T1, T12, and L1, and utilizes two modern European populations, a Greek and a Danish, to evaluate their forensic utility in sex identification. To this end, 865 vertebrae from 339 individuals have been analyzed for sexual dimorphism by further evaluating the effects of age-at-death and population affinity on its expression. Our results show that T1 is the best sex diagnostic vertebra for both populations reaching cross-validated accuracy of almost 90%, while age-at-death has limited effect on its sexual dimorphism. On the contrary, T12 and L1 produced varying results ranging from 75 to 83% accuracy with the Greek population exhibiting distinctively more pronounced sexual dimorphism. Additionally, age-at-death had significant effect on sexual dimorphism of T12 and L1 and especially in the Greek female and Danish male groups. Our results on inter-population comparison suggest that vertebral sex discriminant functions, and especially those utilizing multiple measurements, are highly population specific and optimally suitable only for their targeted population. An open-source software tool to facilitate classifying new cases based on our results is made freely available to forensic researchers.
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Affiliation(s)
- Nefeli Garoufi
- Department of Animal and Human Physiology, Faculty of Biology, School of Sciences, University of Athens, Panepistimiopolis, GR 157 01, Athens, Greece.
| | - Andreas Bertsatos
- Department of Animal and Human Physiology, Faculty of Biology, School of Sciences, University of Athens, Panepistimiopolis, GR 157 01, Athens, Greece
| | - Maria-Eleni Chovalopoulou
- Department of Animal and Human Physiology, Faculty of Biology, School of Sciences, University of Athens, Panepistimiopolis, GR 157 01, Athens, Greece
- Science and Technology in Archaeology and Culture Research Center, The Cyprus Institute, 2121, Aglantzia, Nicosia, Cyprus
| | - Chiara Villa
- Laboratory of Advanced Imaging and 3D Modelling Section of Forensic Pathology, Department of Forensic Medicine, University of Copenhagen, Copenhagen, Denmark
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Evaluation of Antegonial Angle and Antegonial Depth to Estimate Sex in a Prepubertal Turkish Population. Am J Forensic Med Pathol 2020; 41:194-198. [DOI: 10.1097/paf.0000000000000579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Gorelik N, Gyftopoulos S. Applications of Artificial Intelligence in Musculoskeletal Imaging: From the Request to the Report. Can Assoc Radiol J 2020; 72:45-59. [PMID: 32809857 DOI: 10.1177/0846537120947148] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Artificial intelligence (AI) will transform every step in the imaging value chain, including interpretive and noninterpretive components. Radiologists should familiarize themselves with AI developments to become leaders in their clinical implementation. This article explores the impact of AI through the entire imaging cycle of musculoskeletal radiology, from the placement of the requisition to the generation of the report, with an added Canadian perspective. Noninterpretive tasks which may be assisted by AI include the ordering of appropriate imaging tests, automatic exam protocoling, optimized scheduling, shorter magnetic resonance imaging acquisition time, computed tomography imaging with reduced artifact and radiation dose, and new methods of generation and utilization of radiology reports. Applications of AI for image interpretation consist of the determination of bone age, body composition measurements, screening for osteoporosis, identification of fractures, evaluation of segmental spine pathology, detection and temporal monitoring of osseous metastases, diagnosis of primary bone and soft tissue tumors, and grading of osteoarthritis.
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Affiliation(s)
- Natalia Gorelik
- Department of Diagnostic Radiology, 54473McGill University Health Center, Montreal, Quebec, Canada
| | - Soterios Gyftopoulos
- Department of Radiology, 12297NYU Langone Medical Center/NYU Langone Orthopedic Center, New York, NY, USA.,Department of Orthopedic Surgery, 12297NYU Langone Medical Center/NYU Langone Orthopedic Center, New York, NY, USA
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