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Choi SJ, Lee WJ, Youn KH, Lozanoff S, Lee UY, Kim YS. Morphometric analysis of the hard palate in sex estimation among koreans using three-dimensional computed tomography. Sci Rep 2024; 14:24560. [PMID: 39427037 PMCID: PMC11490507 DOI: 10.1038/s41598-024-76436-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2024] [Accepted: 10/14/2024] [Indexed: 10/21/2024] Open
Abstract
Accurate sex estimation is crucial for comprehensive analysis of the biological profiles of unidentified human skeletal remains. However, there is a notable lack of research specifically addressing the morphometrics of the hard palate. Therefore, this study aimed to derive discriminant equations using the hard palate and assess their applicability for sexing partial skeletal remains in a contemporary Korean population. Statistical analyses were performed for 24 measurements derived from three-dimensional models of the hard palate, generated using computed tomography scans of 301 individuals (156 males, 145 females). Descriptive statistics revealed significant sexual dimorphism in the mean comparison of hard palate sizes between Korean males and females, with males exhibiting larger palates across all measurements (p < 0.05). Discriminant function score equations were generated to aid in sex determination. Univariate analysis yielded an accuracy range of 57.8-75.1%, whereas the stepwise method achieved an accuracy of 80.7% with five selected variables: IF-PNS, GFL-GFR, IF-GFR, Pr-EcL, and Pr-EnR. The results of this metric analysis demonstrate the usefulness of the hard palate for sex estimation in the contemporary Korean population. These findings have potential implications for forensic investigations, archeological studies, and population-specific anatomical research.
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Affiliation(s)
- Seok-Ju Choi
- Catholic Institute for Applied Anatomy, Department of Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Won-Joon Lee
- Department of Forensic Medicine Investigation, National Forensic Service Seoul Institute, Seoul, Republic of Korea
| | - Kwan Hyun Youn
- Division in Biomedical Art, Incheon Catholic University Graduate School, Incheon, Republic of Korea
| | - Scott Lozanoff
- Department of Anatomy, Biochemistry & Physiology, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, USA
| | - U-Young Lee
- Catholic Institute for Applied Anatomy, Department of Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Yi-Suk Kim
- Catholic Institute for Applied Anatomy, Department of Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
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Warrier V, San-Millán M. A statistical evaluation of the sexual dimorphism of the acetabulum in an Iberian population. Int J Legal Med 2024:10.1007/s00414-024-03334-9. [PMID: 39327330 DOI: 10.1007/s00414-024-03334-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Accepted: 09/13/2024] [Indexed: 09/28/2024]
Abstract
Sex estimation is essential for human identification within bioarchaeological and medico-legal contexts. Amongst the sexually dimorphic skeletal elements commonly utilised for this purpose, the pelvis is usually preferred because of its direct relationship with reproduction. Furthermore, the posterior part of the innominate bone has proven to have better preservation within degraded contexts. With the aim of investigating the potential of the vertical acetabular diameter as a sex marker, 668 documented individuals from three different Iberian skeletal collections were randomly divided into training and test samples and eventually analysed using different statistical approaches. Two traditional (Discriminant Function Analysis and Logistic Regression Analysis) and four Machine learning methodologies (Support Vector Classification, Decision Tree Classification, k Nearest Neighbour Classification, and Neural Networks) were performed and compared. Amongst these statistical modalities, Machine Learning methodologies yielded better accuracy outcomes, with DTC garnering highest accuracy percentages of 83.59% and 89.85% with the sex-pooled and female samples, respectively. With males, ANN yielded highest accuracy percentage of 87.70%, when compared to other statistical approaches. Higher accuracy obtained with ML, along with its minimal statistical assumptions, warrant these approaches to be increasingly utilised for further investigations involving sex estimation and human identification. In this line, the creation of a statistical platform with easier user interface can render such robust statistical modalities accessible to researchers and practitioners, effectively maximising its practical use. Future investigations should attempt to achieve this goal, alongside examining the influence of factors such as age, on the obtained accuracy outcomes.
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Affiliation(s)
- Varsha Warrier
- School of Sciences, College of Science and Engineering, University of Derby, Derby, UK
| | - Marta San-Millán
- Medical Sciences Department, Clinical Anatomy, Embriology and Neuroscience Research Group (NEOMA), Faculty of Medicine, University of Girona, Girona, Spain.
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Hisham S, Lai PS, Ibrahim MA, Zainun KA. Sex estimation using post-mortem computed tomographic images of the clavicle in a Malaysian population. Leg Med (Tokyo) 2024; 71:102500. [PMID: 39067245 DOI: 10.1016/j.legalmed.2024.102500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2024] [Revised: 06/28/2024] [Accepted: 07/21/2024] [Indexed: 07/30/2024]
Abstract
Forensic practitioners need contemporary anthropological data for the identification of human remains. The clavicle possesses a high degree of variability in its anatomical, biomechanical, and morphological features that are sex-dependent albeit population specific. The aim of this study was to develop sex estimation models for Malaysian individuals using post-mortem computed tomographic images of the clavicle. Sample comprised scans of 2.0 mm resolution of 405 individuals (209 male; 196 female) aged between 19 to 88 years. These scans were reconstructed and visualized using Infinitt. Six clavicular measurements (i.e. maximum length, C1; midshaft circumference, C2; midshaft maximum diameter, C3; midshaft minimum diameter, C4; maximum breadth of the sternal end, C5; and maximum breadth of the acromial articular surface, C6) were obtained from these images. Data were analyzed using descriptive statistics and discriminant function analysis. Measurements taken from the images were highly precise (ICC = 0.770-0.999). There is a significant difference between all parameters and sex (p < 0.001), however none for age and ethnic group. A multivariate sex estimation model was developed: Sex = (C1*0.86) + (C2*0.236) + (C3*-0.145) + (C5*- 0.074) - 17.618; with an accuracy rate of 89.1 % and sex bias of -3.2 %. Lower accuracy rates were obtained for single variable models (61.5-83.2 %). The resultant sex discriminant models can be used for estimating sex based on the clavicle in our local forensic practice.
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Affiliation(s)
- Salina Hisham
- Department of Forensic Medicine, Hospital Sultan Idris Shah Serdang, Ministry of Health Malaysia, Jalan Puchong, 43000 Kajang, Selangor, Malaysia.
| | - Poh Soon Lai
- Department of Forensic Medicine, Hospital Kuala Lumpur, Ministry of Health Malaysia, Jalan Pahang, 50586 Kuala Lumpur, Malaysia
| | - Mohamad Azaini Ibrahim
- Department of Forensic Medicine, Hospital Kuala Lumpur, Ministry of Health Malaysia, Jalan Pahang, 50586 Kuala Lumpur, Malaysia
| | - Khairul Anuar Zainun
- Department of Forensic Medicine, Hospital Sultan Idris Shah Serdang, Ministry of Health Malaysia, Jalan Puchong, 43000 Kajang, Selangor, Malaysia
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Garzón-Alfaro A, Botella M, Rus Carlborg G, Prados Olleta N, González-Ramírez AR, Hernández-Cortés P. Anthropometric study of the scapula in a contemporary population from granada. Sex estimation and glenohumeral osteoarthritis prevalence. PLoS One 2024; 19:e0305410. [PMID: 38985776 PMCID: PMC11236152 DOI: 10.1371/journal.pone.0305410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2024] [Accepted: 05/29/2024] [Indexed: 07/12/2024] Open
Abstract
Anthropometric studies of the scapula have been rare in Spanish populations, nevertheless they are of current interest in forensic anthropology for estimation of sex. Although the estimation of sex is usually carried out on the pelvis and skull, other measurements related to the scapula can be helpful when the skeletal remains are incomplete. Glenohumeral osteoarthritis development is influenced, among others, by the morphology of the scapula, which is one of the less studied aspects. We carried out a descriptive study of anthropometric parameters in a series of 157 scapulae (82 individuals) on bone remains dated to the 20th century from a population of Granada (Southern Spain). Seventy seven (49%) were right-side and 80 (51%) left-side; 72 (45.9%) were from males and 85 (54.1%) from females, and the mean age at death was 70.76±11.7 years. The objective was to develop a discrimination function for sex estimation based on anthropometric parameters of the scapula other than those considered to date, and to analyze the prevalence of glenohumeral osteoarthritis in relation to selected anthropometric parameters. A logistic regression model based on parameters of the upper-external segment of the scapula was done. The obtained formula: 1/1+e^ (- (-57.911 + 0.350*B + 0283*C + 0.249*b + 0.166*a +-0.100*β) classifies male sex with 98.3% accuracy and female sex with 92.1%. Glenohumeral osteoarthritis was detected in 16.6% of individuals and was related to age (p<0.05), scapular length (p<0.05), glenoid width (p<0.05), glenopolar angle (p<0.05), and α angle (p<0.05) in bivariate analyses but showed no significant associations in multivariate analyses. This approach can be useful for anthropological-forensic identification when scapula remains are incomplete. Glenohumeral osteoarthritis is significantly associated with a smaller α angle.
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Affiliation(s)
- Adoración Garzón-Alfaro
- Orthopedic Surgery Department, Upper Limb Surgery Unit, "San Cecilio" University Hospital of Granada, Madrid, Spain
| | - Miguel Botella
- Department of Anthropology, School of Medicine of Granada, Madrid, Spain
| | - Guillermo Rus Carlborg
- Department of Structural Mechanics, Ultrasonics Group (TEP-959), University of Granada, Granada, Spain
- Excellence Research Unit "ModelingNature" MNat UCE.PP2017.03, University of Granada, Granada, Spain
- Biosanitary Research Institute of Granada (IBS), Granada, Spain
| | - Nicolás Prados Olleta
- Orthopedic Surgery Department, Foot and Ankle Surgery Unit, "Virgen de las Nieves", University Hospital of Granada, Madrid, Spain
- Surgery Department, School of Medicine. Granada University, Granada, Spain
| | - Amanda Rocío González-Ramírez
- Biosanitary Research Institute of Granada (IBS), Granada, Spain
- Bio- Health Research Foundation of Eastern Andalusia- Alejandro Otero (FIBAO), Granada, Spain
| | - Pedro Hernández-Cortés
- Orthopedic Surgery Department, Upper Limb Surgery Unit, "San Cecilio" University Hospital of Granada, Madrid, Spain
- Biosanitary Research Institute of Granada (IBS), Granada, Spain
- Surgery Department, School of Medicine. Granada University, Granada, Spain
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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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Hekimoglu Y, Sasani H, Etli Y, Keskin S, Tastekin B, Asirdizer M. Sex Estimation From the Paranasal Sinus Volumes Using Semiautomatic Segmentation, Discriminant Analyses, and Machine Learning Algorithms. Am J Forensic Med Pathol 2023; 44:311-320. [PMID: 37235867 DOI: 10.1097/paf.0000000000000842] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
ABSTRACT The aims of this study were to determine whether paranasal sinus volumetric measurements differ according to sex, age group, and right-left side and to determine the rate of sexual dimorphism using discriminant function analysis and machine learning algorithms. The study included paranasal computed tomography images of 100 live individuals of known sex and age. The paranasal sinuses were marked using semiautomatic segmentation and their volumes and densities were measured. Sex determination using discriminant analyses and machine learning algorithms was performed. Males had higher mean volumes of all paranasal sinuses than females ( P < 0.05); however, there were no statistically significant differences between age groups or sides ( P > 0.05). The paranasal sinus volumes of females were more dysmorphic during sex determination. The frontal sinus volume had the highest accuracy, whereas the sphenoid sinus volume was the least dysmorphic. In this study, although there was moderate sexual dimorphism in paranasal sinus volumes, the use of machine learning methods increased the accuracy of sex estimation. We believe that sex estimation rates will be significantly higher in future studies that combine linear measurements, volumetric measurements, and machine-learning algorithms.
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Affiliation(s)
| | - Hadi Sasani
- Medical Faculty of Namik Kemal University, Istanbul
| | - Yasin Etli
- Specialist of Forensic Medicine. Department of Forensic Medicine, Medical Faculty Hospital of Selcuk University, Konya
| | - Siddik Keskin
- Biostatistics Department, Medical School of Van Yuzuncu Yil University, Van
| | - Burak Tastekin
- Clinic of Forensic Medicine, Republic of Turkey Ministry of Health Ankara City Hospital, Ankara
| | - Mahmut Asirdizer
- Forensic Medicine Department, Medical Faculty of Bahçeşehir University, Istanbul
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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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