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Evaluation of computed tomography images of calcaneus for estimation of sex

  • Ethics and Forensic Radiology
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Abstract

Estimation of sex from bone remnants after medicolegal issues or mass disasters constitute a challenge. Our objective was to investigate if morphometric measurements performed on computed tomography (CT) images of the calcaneus can be useful for sex estimation. The measurements were performed on CT images of calcaneus bones of 489 patients (203 women, 286 men). The parameters under investigation were maximum length (MAXL), load arm length (LAL), minimum breadth (MINB), body height (BH), maximum height (MAXH), dorsal articular facet length (DAFL), dorsal articular facet breadth (DAFB), and cuboidal facet height (CFH). All parameters were remarkably increased in men compared to women (p < 0.001, for all). The highest performances for sex estimation were displayed by DAFL (92.8%) and BH (92.6%). The concomitant use of variables MAXL, BH, CFH, and DAFL revealed accuracy as high as 96% for gender discrimination. We suggest that morphometric measurements performed on CT images of the calcaneus can provide useful data for the estimation of sex.

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References

  1. Scott S, Ruengdit S, Peckmann TR, Mahakkanukrauh P (2017) Sex estimation from measurements of the calcaneus: applications for personal identification in Thailand. Forensic Sci Int 278:405.e1–405.e8

    Article  Google Scholar 

  2. Peckmann TR, Orr K, Meek S, Manolis SK (2015) Sex determination from the calcaneus in a 20th century Greek population using discriminant function analysis. Sci Justice 55(6):377–382

    Article  Google Scholar 

  3. Kim DI, Lee SS, Kim YS (2010) Statistical analysis of bone elements excavated from the forensic context. Kor J Phys Anthropol 23(1):1–8

    Article  Google Scholar 

  4. Bidmos MA, Asala SA (2003) Discriminant function sexing of the calcaneus of the South African whites. J Forensic Sci 48(6):1213–1218

    Article  Google Scholar 

  5. Kim DI, Kim YS, Lee UY, Han SH (2013) Sex estimation from calcaneus in Korean using discriminant analysis. Forensic Sci Int 228(1–3):177.e1–177.e7

    Google Scholar 

  6. Bidmos MA, Asala SA (2004) Sexual dimorphism of the calcaneus of South African blacks. J Forensic Sci 49(3):446–450

    Article  Google Scholar 

  7. Introna F Jr, Di Vella G, Campobasso CP, Dragone M (1997) Sex estimation by discriminant analysis of calcanei measurements. J Forensic Sci 42(4):725–728

    Article  Google Scholar 

  8. Gualdi-Russo E (2007) Sex estimation from the talus and calcaneus measurements. Forensic Sci Int 171(2–3):151–156

    Article  Google Scholar 

  9. Ekizoglu O, Inci E, Palabiyik FB, Can IO, Er A, Bozdag M et al (2017) Sex estimation in a contemporary Turkish population based on CT scans of the calcaneus. Forensic Sci Int 279:310.e1–310.e6

    Article  Google Scholar 

  10. Bidmos M (2006) Metrical and non-metrical assessment of population affinity from the calcaneus. Forensic Sci Int 159(1):6–13

    Article  Google Scholar 

  11. Wilbur AK (1998) The utility of hand and foot bones for the determination of sex and the estimation of stature in a prehistoric population from west-central Illinois. Int J Osteoarchaeol 8(3):180–191

    Article  Google Scholar 

  12. Steele DG (1976) The estimation of sex on the basis of the talus and calcaneus. Am J Phys Anthropol 45(3 pt. 2):581–588

    Article  CAS  Google Scholar 

  13. Bidmos M, Asala S (2005) Calcaneal measurement in estimation of stature of South African blacks. Am J Phys Anthropol 126(3):335–342

    Article  Google Scholar 

  14. Babaroutsi E, Magkos F, Manios Y, Sidossis LS (2005) Body mass index, calcium intake, and physical activity affect calcaneal ultrasound in healthy Greek males in an age-dependent and parameter-specific manner. J Bone Miner Metab 23(2):157–166

    Article  Google Scholar 

  15. DiMichele DL, Spradley MK (2012) Sex estimation in a modern American osteological sample using a discriminant function analysis from the calcaneus. Forensic Sci Int 221(1–3):152.e1–152.e5

    Google Scholar 

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Acknowledgements

The authors declare no competing interest. No financial support was received for this paper.

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Authors and Affiliations

  1. Department of Radiology, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey

    Yasin Ertug Cekdemir, Uygar Mutlu & Ali Balci

  2. Department of Forensic Medicine, Institute of Forensic Medicine Manisa, Manisa, Turkey

    Gokçe Karaman

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  1. Yasin Ertug Cekdemir
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  2. Uygar Mutlu
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  3. Gokçe Karaman
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  4. Ali Balci
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Correspondence to Yasin Ertug Cekdemir.

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This study is a retrospective study. Ethical approval is not required dependent on the law and the national ethical guidelines in our country.

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Cekdemir, Y.E., Mutlu, U., Karaman, G. et al. Evaluation of computed tomography images of calcaneus for estimation of sex. Radiol med 126, 1064–1073 (2021). https://doi.org/10.1007/s11547-021-01363-7

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  • DOI: https://doi.org/10.1007/s11547-021-01363-7

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