Virtual determination of sex: metric and nonmetric traits of the adult pelvis from 3D computed tomography models

Examination of the adult os coxae and sacrum is one of the most common methods of sex estimation from bone. Medical imaging, such as computed tomography (CT), provides the opportunity for three-dimensional (3D) imaging of the skeleton from clinical scans of known individuals in situ. In this study, a randomly selected subset of abdominopelvic CT-derived models were used to evaluate simple, repeatable metric methods of sex estimation based on a combination of obstetric measurements and the traditionally nonmetric Phenice-derived traits. A four-variable discriminant function for sex estimation was developed based on statistical analyses. Overall, the cross-validated accuracy of this method was 100%, with inter-observer error showing an average of only 2.2%. Comparative analysis was run on the data set using FORDISC 3.0. This study shows that current sex determination standards from the pelvis should be updated to include more in vivo data to increase the accuracy of identification.     

Metric sex determination from the pelvis in modern Greeks

The ability to determine sex from unknown skeletal remains is vital, and methods to do this on the various bones of the human skeleton have been researched extensively. Many researchers have emphasized the need for population specific data for methods which are based on measurements, as there are vast differences in body size in various populations. The pelvis is known to be the most sexually dimorphic part of the human body, and no discriminant function formulae for this bone are available for Greek or other Mediterranean groups. The purpose of this study was therefore to develop discriminant functions which can be used for sex determination on measurements of the pelvis of modern Greeks. A sample of 97 male and 95 female pelves in a skeletal collection housed in Heraklion, Crete, was used. Measurements were taken from the articulated pelvis, single os coxae and the sacrum. Discriminant function formulae for all measurements and various combinations were used in order to assess the degree of sexual dimorphism in various parts of the pelvis, and to make the formulae usable on fragmented remains. For the single os coxae, average accuracies of 79.7-95.4% (79.1-93.5% on cross-validation) were found. However, it was found that measurements of the sciatic notch were unreliable and yielded poor results, and it is advisable that this characteristic must only be used as a last resort. Dimensions of the sacrum were not very dimorphic (average accuracy 60.9%), while measurements from the articulated pelvis yielded poorer results than that from single innominate bones. The diameter of the acetabulum was the single most dimorphic characteristic, providing on average 83.9% accuracy when used in isolation.     

An Analysis of Hounsfield Unit Values and Volumetrics from Computerized Tomography of the Proximal Femur for Sex and Age Estimation

Sex and age are two elements in the establishment of a biological profile for forensic identification. While the pelvic bones are the most ideal structures for sex estimation, the condition of a body is not always ideal due to the nature of death, such as in mass disasters, or postmortem processes. This study utilized CT scans and resultant 3D models of 100 male and 100 female adults of known ages ranging from 18 to 98 years old to collect volumetric and Hounsfield unit measurements of the proximal femur. Equations were created to establish logistic regression models for sex estimation and linear regression models for age estimation. The resultant sex estimation method had an accuracy of 93.5% and utilized the volume of the proximal femur. This study provides three linear regression models for age with an accuracy range of 86%–92% ±12 years. As imaging technologies are increasingly adopted for forensic purposes, the power of 3D data will provide the opportunity for more quantitative and reproducible analyses. The proposed method for sex and age estimation provides a reliable tool that can be utilized in both day-to-day casework and disaster victim identification.     

Estimating Sex Using Metric Analysis of the Scapula by Postmortem Computed Tomography

Postmortem computed tomography (CT) has been extensively used in the last decade for identification purposes and in various anthropologic studies. Postmortem CT measurements of scapulae, analyzed using logistic discriminant function developed in this study, showed 94.5% accuracy in estimating sex. Data analyzed using the Dabbs and Moore‐Jansen (2010) discriminant function and the discriminant function generated in this study provided nearly identical results with disagreement in only one case. Height and weight were not statically significant in sex prediction. The results of this study show that data obtained from volume rendered postmortem CT images can be considered reliable and treated as a practical option to standard anthropological methods, especially in mass fatalities as a rapid triage tool for sex determination.     

舌骨的法医人类学研究

目的建立利用舌骨形态测量值判别性别的方法,并探讨其在法医学应用中的价值。方法对于河北地区收集的108例舌骨样本(男78例,女30例)进行观察研究,确立11个观测指标并进行测量,测量值采用SPSS统计软件进行统计学分析,建立利用舌骨形态测量值判别性别的方程,并进行Fisher判别分析。结果在11项观察指标中,8项测量指标男女性别间存在显著性统计学差异(P<0.01);利用8项测量指标中的任一指标或之中的多个指标组合建立线性性别判别方程,方程判别性别的准确率在66%～92%,其中多指标的方程判别性别准确率较单一指标的方程高,最高达到92%。结论舌骨形态存在着性别差异,利用多个舌骨形态学测量值建立的性别判别方程准确率较高,可用于无名尸骨的性别判别。     

Prognosis of sexual dimorphism with unfused hyoid bone: Artificial intelligence informed decision making with discriminant analysis

Depending on the metric and non-metric skeletal features of various bones, forensic experts proposed diverse sex identification methods. The main focus of the present study is to calculate sexual dimorphism in human unfused or disarticulated hyoid bone and compared it with studies conducted by different researchers. For this study, 293 unfused hyoid bones were accumulated and investigated from 173 male and 120 female cadavers of the northwest Indian population from the age of 15 to 80 years. Initially, discriminant analysis was performed on the dataset to predict sex and to get an idea for the crucial variables for sexual dimorphism. Later, significant variables predicted by the discriminant analysis were used for machine learning approaches to improve accuracy for sex determination. The standard scaler method is used for pre-processing of the data before machine learning analysis and to prevent overfitting and underfitting, 70 % of the whole dataset was utilized in the training of the model and the remaining data were used for testing the model. According to the discriminant analysis, body length (BL) and body height (BH) were found to be highly significant for the sex determination and predicted sex with 75.1 % accuracy. However, implementation of machine learning approaches such as the XG Boost classifier increased the accuracy to 83 % with sensitivity, and specificity scores of 0.81 and 0.84, respectively. Moreover, the ROC-AUC score achieved by the XG Boost classifier is 0.89; indicating machine learning investigation can improve the sex determination accuracy up to the appropriate standard.     

Identification of sex depending on radiological examination of foot and patella

Forensic anthropology involves the building of an antemortem profile of an individual from skeletal remains. This includes sex, race determination, and age and stature estimation. Because most bones that are conventionally used for sex determination are often recovered either in a fragmented or incomplete state, it has become necessary to use denser bones that are often recovered intact, eg, the patella, calcaneus, and talus. The present work was performed to investigate the possibility of estimation of sex from some radiologic measurements among a known cross-section of Egyptian population. In this study lateral and anteroposterior radiographs of the right foot and knee were made on 160 living unfractured and nonpathologic individuals comprising 80 males and 80 females aged 25 to 65 years referred to the Radiology Department of Assiut University Hospital. Two measurements on right patella (maximum height and maximum width) and 2 measurements of metatarsal bones (length and midshaft diameter), were used to determine sex by univariate and multivariate discriminant analysis. Eighty radiographs of foot and patella of individuals not used in the original sample were randomly selected to test the accuracy of this method. The study revealed that significant sex differences were demonstrated based on these measurements taken on metatarsal bones more than on patella. One function associating 2 parameters (length and midshaft) of the third metatarsal bone obtained the highest value of correct sex determination with rate of 100% accuracy. The multivariate function associating length of the first, third, and fifth metatarsal bones and midshaft of first, second, and fifth metatarsal gave 100% accuracy. Test of multivariate function on the independent sample revealed a correct classification of 87.5%.     

The Lateral Angle Revisited: A Validation Study of the Reliability of the Lateral Angle Method for Sex Determination Using Computed Tomography (CT),

This article presents the results of a validation study of a previously published method of sex determination from the temporal bone. The purpose of this study was to evaluate the lateral angle method for the internal acoustic canal for accurately determining the sex of human skeletal remains using measurements taken from computed tomography (CT) scans. Previous reports have observed that the lateral angle size in females is significantly larger than in males. The method was applied to an independent series of 77 postmortem CT scans (42 males, 35 females) to validate its accuracy and reliability. The mean lateral angle of the internal acoustic canal was found to be larger in females (46.5°) than in males (43.4°). However, the difference was not statistically significant and the sex differences reported in previous studies were not substantiated. In light of the observed results, the lateral angle method appears to be of minimal practical use in forensic anthropology and archeology.     

第12胸椎三维重建图像性别判定研究

目的考察计算机断层扫描(CT)技术测量中国汉族第12胸椎判定性别的效果,探索CT技术在法医人类学人体骨骼测量研究中应用的可行性。方法确定11项径线指标测量第12胸椎多层面重组(MPR)三维重建图像,剔除不稳定指标后计算四项比值指标,统计各项指标的数据考察CT测量第12胸椎判定性别的效果。结果剔除两次测量结果不稳定的三项指标后的12项指标性别差异显著,建立了7个性别判定方程,综合判别率在80.0%~91.6%,仅含椎体指标的方程性别判别率最高达91.6%。结论中国汉族人第12胸椎形态学测量指标具有性别差异,CT技术可以准确测量骨骼,对法医人类学人体骨骼测量研究具有应用价值。     

Discriminant function sexing of the calcaneus of the South African whites

The skull and some postcranial elements, such as the humerus, femur, and tibia, have been used in their intact states for sex determination in forensic and archaeological cases. But, in practice, these bones are often recovered in fragmented states, which render them unsuitable for use in sex determination. The calcaneus is a compact bone that is able to withstand high tensile forces. Some of its parameters have been used for sex determination in American whites and blacks (1) and Italians (2). This bone has not been used for sex determination in the South African white population. Therefore, the aim of this study was to assess the degree of sexual dimorphism of the calcaneus of the South African white population sample, derive discriminant function score equations for use in sex determination, and determine the level of accuracy of its sex-determining ability. Nine parameters were measured on each pair of 53 male and 60 female calcanei of known South African white skeletons, obtained by a random sampling technique from the Raymond A. Dart Collection of Human Skeletons, School of Anatomical Sciences, University of the Witwatersrand, Johannesburg. Basic statistic and discriminant function analysis was performed on the acquired data. The basic statistics showed that all measured parameters were sexually dimorphic. Discriminant function score equations were generated for use in sex determination. The average accuracy of sex classification ranged from 73 to 86% for the univariate method, 81 to 91% for the stepwise method, and 82 to 92% for the direct method. It is concluded that the calcaneus is useful for sex determination in the South African white population.     

应用CT三维重组技术判定胸骨性别的研究

目的建立利用三维重组形态学指标判定胸骨性别来源的方法,并对其判定效果进行评价,考察虚拟骨骼的法医学应用价值。方法应用胸部螺旋CT扫描图像,通过多层面重组法获取胸骨的二维影像,结合容积再现技术得出的三维模型,分别测量胸骨的全长、柄长、体长、柄最大宽、体最大宽、柄最大厚、体最大厚、体上端厚等8项指标,并计算出3个比值指标;筛选出其中有性别差异的指标,建立性别判别方程并评价其判别效果。结果 11个指标的性别差异均具有统计学意义(P0.05),但以胸骨全长、胸骨体长、体最大厚及柄最大宽的判别效果较好。所建方程组中,全指标、长度指标判别方程及逐步判别方程的判别率较高,88.6%的判定率与近期国外有关性别判定研究的报道结果基本一致。结论应用多层螺旋CT三维重组技术判定国人胸骨性别具有较高的可行性和准确性,该技术有望应用于胸骨年龄推断及其它虚拟骨骼的研究。     

Estimation of stature and determination of sex from radial and ulnar bone lengths in a Turkish corpse sample

Determination of sex and estimation of stature are important aspects of forensic identification of an unknown individual. In the absence of pelvis the sex is assessed from long bones and cranium as they both provide high accuracy in sexing. The present study is an attempt to assess sex and stature from long bones of the forearm using recently deceased forensic cases in Istanbul, Turkey. The sample is composed of 80 males and 47 females with an average age of 36 and 30 years, respectively. Length measurements from the radius and ulna were obtained by exposing the epiphyseal ends of the long bones in a fashion similar to dry long bones. Discriminant function statistics showed a sex determination accuracy as high as 96%. Regression analysis was used in stature estimation from these two bones. Ideally osteological remains are necessary to make standards for osteological identification. These materials are not always easy to obtain and those available seem to be less ideal when they do not represent a current population. Forensic anthropologists therefore should develop techniques that utilize autopsy remains.     

Test of an alternative method for determining sex from the os coxae: applications for modern Americans

A recently proposed method for determining sex from the os coxae reports a 98% success rate using European collections. The purposes of the present study are to (1) evaluate the success rate of this proposed method using modern American os coxae from different population subgroups; (2) compare the success rate of the new method with that obtained using traditional techniques; and (3) determine replicability of the new method and interobserver error. Eight hundred and seventy-six adult left os coxae were independently evaluated by both authors. Summary statistics for sex classifications were calculated for the total sample and for a random sample of 400 individuals. The impact of sex and ancestry on the success of each method was calculated on the random sample using Pearson's chi2 values. Results demonstrate that for modern American os coxae, neither sex nor race have a significant impact on the success rate for either the new or traditional methods (p < 0.01). Additionally, the success rate of the new method is comparable with that obtained using traditional techniques. Finally, interobserver error using the new method for overall sex determination is low.     

The efficiency of the demarking point of the femoral head as a sex determining parameter

The percentage of skeletal remains that can be sexed depends on the degree of completeness of the skeleton, the parameters that are used and the type of statistical analysis that is done. The objective of the present study was to assess the accuracy of the demarking point in sexing the femur of South African whites and blacks. One hundred pairs of femurs were randomly selected from the bone collections of each of the two racial groups. The bones were sexed by measuring the head diameters and comparing them with the corresponding demarking point values that had been previously determined. The sex that was so allocated to each bone was compared with its documented sex in the database in order to assess the accuracy of the method. The overall success rate of sex identification was 32% for both white and black populations, but the accuracy of sexing was 100%.     

Sexual Dimorphism of the Arm Bones in a Modern Greek Population

Abstract: Several studies have shown that sex determination methods based on measurements of the skeleton are population specific. Metric traits of the long bones of the arm have been reported as reliable indicators of sex. This study was designed to determine whether the three long bones of the arm can be used for sex determination on a skeletal population from Greece. The material used consists of the arm bones of 204 adult individuals (111 males and 93 females) coming from the Modern Human Skeletal Collection of the University of Athens. The age range is 19–96 years for males and 20–99 years for females. The maximum lengths and epiphyseal widths were measured in the long bones of the arm (humerus, radius, and ulna). The discriminant analysis of the metrical data of each long bone gave very high discrimination accuracies. The rate of correct sex discrimination based on different long bones ranges from 90.30% (ulna) to 95.70% (humerus). In addition, intra‐ and inter‐observer error tests were performed. These indicated that replication of measurements was satisfactory for the same observer over time and between observers. The results of this study show that metric characteristics of the arm bones can be used for the determination of sex in skeletal remains from Greece and that bone dimensions are population specific.     

Metacarpal sexual determination in a Spanish population

Anthropologists and forensic pathologist determine the sex of skeletons by analyzing quantitative and qualitative characters in the bone remains. Generally, the skull and os coxae are the elements most used, but they are not always preserved. In such cases, the investigator needs to have available other techniques based on different remains. The aim of the present work is to develop and describe discriminating functions for sex determination in a recent Spanish population using metacarpal morphology. A sample of bones corresponding to a contemporary Spanish population deposited at the Complutense University of Madrid (UCM) was analyzed. This sample comprised 697 metacarpals, corresponding to 79 adult individuals (37 men and 42 women). These allowed us to obtain 120 unifactorial discriminant functions. We selected the 10 equations, one for each metacarpal from both hands, that provided the best sexual discrimination. The correct sex classification rank progressed from 81%, for right (R) metacarpals IV and V, to 91%, for left (L) metacarpal II. The results suggest that metacarpals are structures that can be used for sex determination in paleoanthropological and forensic identifications.     

The reliability of sex determination of skeletons from forensic context in the Balkans

In this study we have tested the applicability of morphological methods for sex assessment, based on seven pelvic and nine cranial traits, using contemporary Balkans population. The material involved in the study comprises 262 pelvic bones and 180 skulls of male individuals from two mass graves in Serbia. The material was examined separately by an experienced and an inexperienced physical anthropologists. Sex was correctly estimated by the experienced anthropologist in 100% of individuals using all of the 16 pelvic and cranial criteria. In fact, sex differences in pelvic morphology were large enough to allow sexing the individuals with 100% accuracy. Among seven features observed on the pelvic bones, the least reliable single sex indicator was the width of the great sciatic notch (with accuracy of 79.15%). Looking at the skull alone, sex was correctly determined in 70.56% cases. It was shown that the most accurate single indicators among cranial methods was the robustness of the mandible (with accuracy of 70.93%), while the sharpness of the supraorbital margins was the least reliable indicator demonstrating accuracy in only 28.75% of crania. Examination of the sample by an individual with training in physical anthropology, but no case experience, suggests that experience is likely to contribute moderately to the accuracy of the sex determination. Namely, the inexperienced anthropologist accurately assessed the sex of the sample 95.04% of the time; 4.06% less accurate than the experienced anthropologist. The two anthropologists showed the least agreement in scoring the ventral arc and composite arc on the pelvic bones.     

A Reliable Regression‐Based Approach for Reassociating Human Skeletal Elements of the Lower Limbs from Commingled Assemblages

Accurate sorting of commingled human remains comprises a fundamental requirement for all further anthropological analyses. The lower limb bones are particularly important for reconstructing biological profiles. This study introduces a metric technique for sorting these elements using eight standard anthropological measurements and 222 adult individuals from Greece. The bones utilized were the os coxae, the femora, the tibiae and the tali. Simple regression analyses were used to develop functions for reassociating articulating bones, providing strong correlations (r = 0.74–0.95, p‐value <0.05) and high coefficients of determination (r²=0.54–0.91). Blind tests demonstrated that combining metric and morphoscopic techniques provides an excellent sorting accuracy for the hip and knee joints (ten of ten individuals), allowing for a reliable reassociation between a sex and age indicator (os coxae) and a body size indicator (femur). Overall, these results indicate the high value of metric methods in sorting commingled human remains.     

Use of the ventral arc in pubic sex determination

A sample of 1284 well-documented pubic bones was studied for sex determination methods. This sample included many adolescents and could be used to expand Phenice's 1969 study, which was largely based on mature adults. In the present study, focus was placed on the ventral arc which, when used alone, provided 96% accuracy in sex determination. This paper stresses the development of the ventral arc in the adolescent: a precursor condition is defined, which first appears at age 14 and becomes the most frequent condition at age 20. In mature adults, 4% show conditions that are misleading and likely to lead to sex determination errors. Practical applications of this method are discussed in relation to the forensic science setting, including three cases. A set of casts was developed to increase the reliability of the method, and these casts were then tested in interobserver error studies.