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A comprehensive morphometric analysis of crista galli for sex determination with a novel morphological classification on computed tomography images

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Abstract

Purpose

This study aimed to examine the morphometry of the crista galli (CG) on paranasal sinus computed tomography (PNCT) images to develop a new approach of morphological classification with objective radiological criteria and to investigate the relationship of morphometric and morphological characteristics with gender.

Methods

The height, width, and length of the CG were measured on the PNCT images of 533 subjects (266 males, 267 females). Based on the dimensions and the presence of the cavitary component of the CG, the CG was classified into three morphological types. The success of CG dimensions and new morphological classification of CG in the determination of gender was evaluated with ROC and Paired Logistic Regression analyses.

Results

The morphometric cutoff values of the height, width, and length of the CG for the estimation of gender were determined as 15.15, 3.45, and 13.25 mm, respectively. CG length (accuracy 83.7%) showed more successful classification rate on gender determination as compared to height (accuracy: 81.4%), and width (accuracy 81.2%) of the CG. The presence of ossified type CG accurately identified the male sex at a rate of 88.7%, and teardrop type CG determined female sex at a rate of 82.9%. Tubular type CG identified male sex correctly at the rate of 65.8%.

Conclusion

The height, length, and width measurements of CG on PNCT images and the new morphological types recommended in this study can be used in the determination of gender with high accuracy rates.

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References

  1. Abdel Fatah EE, Shirley NR, Jantz RL, Mahfouz MR (2014) Improving sex estimation from crania using a novel three-dimensional quantitative method. J Forensic Sci 59:590–600. https://doi.org/10.1111/1556-4029.12379

    Article  PubMed  Google Scholar 

  2. Acar G, Cicekcibasi AE, Koplay M, Kelesoglu KS (2020) The relationship between the pneumatization patterns of the frontal sinus, crista galli and nasal septum: a tomography study. Turk Neurosurg 30:532–541. https://doi.org/10.5137/1019-5149.JTN.26006-19.4

    Article  PubMed  Google Scholar 

  3. Akhlaghi M, Bakhtavar K, Moarefdoost J, Kamali A, Rafeifar S (2016) Frontal sinus parameters in computed tomography and sex determination. Leg Med 19:22–27. https://doi.org/10.1016/j.legalmed.2016.01.008et

    Article  Google Scholar 

  4. Akiyama O, Kondo A (2020) Classification of crista galli pneumatization and clinical considerations for anterior skull base surgery. J Clin Neurosci 82:225–230. https://doi.org/10.1016/j.jocn.2020.11.005

    Article  PubMed  Google Scholar 

  5. Al-Qudah MA (2010) Anatomical variations in sino-nasal region: a computer tomography (CT) study. J Med J 44:290–297

    Google Scholar 

  6. Alazzawi S, Omar R, Rahmat K, Alli K (2012) Radiological analysis of the ethmoid roof in the Malaysian population. Auris Nasus Larynx 39:393–396. https://doi.org/10.1016/j.anl.2011.10.002

    Article  PubMed  Google Scholar 

  7. Araki K, Maki K, Seki K, Sakamaki K, Harata Y, Sakaino R, Okano T, Seo K (2004) Characteristics of a newly developed dentomaxillofacial X-ray cone beam CT scanner (CB MercuRayTM): system configuration and physical properties. Dentomaxillofac Radiol 33:51–59. https://doi.org/10.1259/dmfr/54013049

    Article  CAS  PubMed  Google Scholar 

  8. Bašić N, Bašić V, Jukić T, Bašić M, Jelić M, Hat J (1999) Computed tomographic imaging to determine the frequency of anatomical variations in pneumatization of the ethmoid bone. Eur Arch Otorhinolaryngol 256:69–71. https://doi.org/10.1007/s004050050118

    Article  PubMed  Google Scholar 

  9. Belden CJ, Mancuso AA, Kotzur IM (1997) The developing anterior skull base: CT appearance from birth to 2 years of age. AJNR Am J Neuroradiol 18:811–818

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Choi BY, Lee KS, Han SH, Park DK, Lim NH, Koh KS, Kim HJ, Kang HS (2001) Group analysis using the metric measurements of Korean skulls. Korean J Phys Anthropol 14:207–215. https://doi.org/10.5115/acb.2014.47.3.196

    Article  Google Scholar 

  11. Cobzeanu MD, Baldea V, Bâldea MC, Vonica PS, Cobzeanu BM (2014) The anatomo-radiological study of unusual extrasinusal pneumatizations: superior and supreme turbinate, crista galli process, uncinate process. Rom J Morphol Embryol 55:1099–1104

    PubMed  Google Scholar 

  12. Costa ALF, Paixão AK, Gonçalves BC, Ogawa CM, Martinelli T, Maeda FA, Trivino T, Lopes SLPdC (2019) Cone beam computed tomography-based anatomical assessment of the olfactory fossa. Int J Dent. https://doi.org/10.1155/2019/4134260

    Article  PubMed  PubMed Central  Google Scholar 

  13. Çalışkan A, Sumer AP, Bulut E (2017) Evaluation of anatomical variations of the nasal cavity and ethmoidal complex on cone-beam computed tomography. Oral Radiol 33:51–59. https://doi.org/10.5624/isd.2019.49.2.103

    Article  Google Scholar 

  14. Dayal MR, Spocter MA, Bidmos MA (2008) An assessment of sex using the skull of black South Africans by discriminant function analysis. Homo 59:209–221. https://doi.org/10.1016/j.jchb.2007.01.001

    Article  CAS  PubMed  Google Scholar 

  15. Franklin D, Cardini A, Flavel A, Kuliukas A (2013) Estimation of sex from cranial measurements in a Western Australian population. Forensic Sci Int 229:e151-158. https://doi.org/10.1016/j.forsciint.2013.03.005

    Article  Google Scholar 

  16. Franklin D, Freedman L, Milne N (2005) Sexual dimorphism and discriminant function sexing in indigenous South African crania. Homo 55:213–228. https://doi.org/10.1016/j.jchb.2004.08.001

    Article  CAS  PubMed  Google Scholar 

  17. Grabherr S, Cooper C, Ulrich-Bochsler S, Uldin T, Ross S, Oesterhelweg L, Bolliger S, Christe A, Schnyder P, Mangin P (2009) Estimation of sex and age of “virtual skeletons”—a feasibility study. Eur Radiol 19:419–429. https://doi.org/10.1007/s00330-008-1155-y

    Article  PubMed  Google Scholar 

  18. Hatcher DC, Dial C, Mayorga C (2003) Cone beam CT for pre-surgical assessment of implant sites. J Calif Dent Assoc 31:825–834

    PubMed  Google Scholar 

  19. Iscan MY, Steyn M (2013) The human skeleton in forensic medicine. Charles C Thomas Publisher, Springfield

    Google Scholar 

  20. Kamath VG, Asif M, Shetty R, Avadhani R (2015) Binary logistic regression analysis of foramen magnum dimensions for sex determination. Anat Res Int. https://doi.org/10.1155/2015/459428

    Article  PubMed  PubMed Central  Google Scholar 

  21. Keros P (1965) On the practical importance of differences in the level of the cribriform plate of the ethmoid. Laryngol Otol (Stuttg) 41:808–813

    Google Scholar 

  22. Kim JJ, Cho JH, Choi JW, Lim HW, Somng YJ, Choi SJ, Yeo NK (2012) Morphologic analysis of crista galli using computed tomography. J Rhinol 19:91–95

    Google Scholar 

  23. Mahakkanukrauh P, Sinthubua A, Prasitwattanaseree S, Ruengdit S, Singsuwan P, Praneatpolgrang S, Duangto P (2015) Craniometric study for sex determination in a Thai population. Anat Cell Biol 48:275. https://doi.org/10.5115/acb.2015.48.4.275

    Article  PubMed  PubMed Central  Google Scholar 

  24. Mahfouz M, Badawi A, Merkl B, Fatah EEA, Pritchard E, Kesler K, Moore M, Jantz R, Jantz L (2007) Patella sex determination by 3D statistical shape models and nonlinear classifiers. Forensic Sci Int 173:161–170. https://doi.org/10.1016/j.forsciint.2007.02.024

    Article  PubMed  Google Scholar 

  25. Manea C, Mladina R (2016) Crista galli sinusitis—a radiological impression or a real clinical entity. Rom J Rhinol 23:167–171. https://doi.org/10.1515/rjr-2016-0019

    Article  Google Scholar 

  26. Meindl RS, Lovejoy CO, Mensforth RP, Carlos LD (1985) Accuracy and direction of error in the sexing of the skeleton: implications for paleodemography. Am J Phys Anthropol 68:79–85. https://doi.org/10.1002/ajpa.1330680108

    Article  CAS  PubMed  Google Scholar 

  27. Memarian A, Aghakhani K, Mehrpisheh S, Fares F (2017) Gender determination from diagnostic factors on anteroposterior pelvic radiographs. J Chin Med Assoc 80:161–168. https://doi.org/10.1016/j.jcma.2016.06.009

    Article  PubMed  Google Scholar 

  28. Meral O, Toklu BB, Meydan R, Kaya A, Karadayı B, Acar T (2020) Sex estimation from foramen magnum parameters in adult Turkish population: a computed tomography study. Leg Med 47:101775. https://doi.org/10.1016/j.legalmed.2020.101775

    Article  Google Scholar 

  29. Michiue T, Hishmat AM, Oritani S, Miyamoto K, Amin MF, Ishikawa T, Maeda H (2018) Virtual computed tomography morphometry of the patella for estimation of sex using postmortem Japanese adult data in forensic identification. Forensic Sci Int 285:e201-206. https://doi.org/10.1016/j.forsciint.2017.11.029

    Article  Google Scholar 

  30. Mladina R, Antunović R, Cingi C, Muluk NB, Skitarelić N, Malić M (2017) An anatomical study of pneumatized crista galli. Neurosurg Rev 40:671–678. https://doi.org/10.1007/s10143-017-0825-0

    Article  PubMed  Google Scholar 

  31. Mol A, Proffit W, Cevidanes L, Bailey L (2005) Cone-beam CT image analysis of condylar changes following orthognathic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 3:E26

    Article  Google Scholar 

  32. Nikita E, Michopoulou E (2018) A quantitative approach for sex estimation based on cranial morphology. Am J Phys Anthropol 165:507–517. https://doi.org/10.1002/ajpa.23376

    Article  PubMed  Google Scholar 

  33. Paber JELB, Cabato MSD, Villarta RL, Hernandez JG (2008) Radiographic analysis of the ethmoid roof based on Keros classification among Filipinos. Philipp J Otolaryngol Head Neck Surg 23:15–19. https://doi.org/10.3241/pjohns.v23i1.763

    Article  Google Scholar 

  34. Paknahad M, Shahidi S, Zarei Z (2017) Sexual dimorphism of maxillary sinus dimensions using cone-beam computed tomography. J Forensic Sci 62:395–398. https://doi.org/10.1111/1556-4029.13272

    Article  PubMed  Google Scholar 

  35. Ramsthaler F, Kettner M, Gehl A, Verhoff M (2010) Digital forensic osteology: morphological sexing of skeletal remains using volume-rendered cranial CT scans. Forensic Sci Int 195:148–152. https://doi.org/10.1016/j.forsciint.2009.12.010

    Article  PubMed  Google Scholar 

  36. Rooppakhun S, Piyasin S, Vatanapatimakul N, Kaewprom Y, Sitthiseripratip K (2011) Craniometric study of Thai skull based on three-dimensional computed tomography (CT) data. J Med Assoc Thai 93:90

    Google Scholar 

  37. Sangvichien S, Boonkaew K, Chuncharunee A, Komoltri C, Piyawinitwong S, Wongsawut A, Namwongsa S (2007) Sex determination in Thai skulls by using craniometry: multiple logistic regression analysis. Siriraj Med J 59:216–221

    Google Scholar 

  38. Scarfe WC, Farman AG, Sukovic P (2006) Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 72(1):75

    PubMed  Google Scholar 

  39. Som P, Park E, Naidich T, Lawson W (2009) Crista galli pneumatization is an extension of the adjacent frontal sinuses. AJNR Am J Neuroradiol 30:31–33. https://doi.org/10.3174/ajnr.A1291

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Steyn M, Pretorius E, Hutten L (2004) Geometric morphometric analysis of the greater sciatic notch in South Africans. Homo 54:197–206. https://doi.org/10.1078/0018-442x-00076

    Article  CAS  PubMed  Google Scholar 

  41. Şahan MH, Inal M, Muluk NB, Şimşek G (2019) Cribriform plate, crista galli, olfactory fossa and septal deviation. Curr Med Imaging 15:319–325. https://doi.org/10.2174/1573405614666180314150237

    Article  Google Scholar 

  42. Torimitsu S, Makino Y, Saitoh H, Sakuma A, Ishii N, Yajima D, Inokuchi G, Motomura A, Chiba F, Yamaguchi R (2017) Sex determination based on sacral and coccygeal measurements using multidetector computed tomography in a contemporary Japanese population. J Forensic Radiol Imaging 9:8–12. https://doi.org/10.1016/j.jofri.2017.01.001

    Article  Google Scholar 

  43. Tunis TS, Sarig R, Cohen H, Medlej B, Peled N, May H (2017) Sex estimation using computed tomography of the mandible. Int J Legal Med 131:1691–1700. https://doi.org/10.1007/s00414-017-1554-1

    Article  PubMed  Google Scholar 

  44. Uçar H, Bahşi I, Orhan M, Yalçin ED (2021) The radiological evaluation of the crista galli and ıts clinical ımplications for anterior skull base surgery. J Craniofac Surg. https://doi.org/10.1097/SCS.0000000000007507

    Article  PubMed  Google Scholar 

  45. Urooge A, Patil BA (2017) Sexual dimorphism of maxillary sinus: a morphometric analysis using cone beam computed tomography. J Clin Diagn Res 11(3):ZC67. https://doi.org/10.7860/JCDR/2017/25159.9584

    Article  PubMed  PubMed Central  Google Scholar 

  46. Zech W-D, Hatch G, Siegenthaler L, Thali MJ, Lösch S (2012) Sex determination from os sacrum by postmortem CT. Forensic Sci Int 221:39–43. https://doi.org/10.1078/0018-442x-00076

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Faculty of Medicine, Department of Radiology, Hitit University, Çorum, Turkey

    Erdal Komut

  2. Faculty of Medicine, Department of Anatomy, Hitit University, Çorum, Turkey

    Murat Golpinar

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  1. Erdal Komut
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Contributions

EK and MG contributed to the study conception and design, material preparation, data collection, and analysis. The first draft of the manuscript was written by EK, and MG commented on previous versions of the manuscript. All the authors read and approved the final manuscript.

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Correspondence to Erdal Komut.

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Komut, E., Golpinar, M. A comprehensive morphometric analysis of crista galli for sex determination with a novel morphological classification on computed tomography images. Surg Radiol Anat 43, 1989–1998 (2021). https://doi.org/10.1007/s00276-021-02799-2

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