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Estimation of sex using craniofacial dimensions: a study of CT scan images in Kaduna State, Nigeria

Year 2023, Volume: 48 Issue: 2, 607 - 615, 02.07.2023
https://doi.org/10.17826/cumj.1219426

Abstract

Purpose: The aim of this study is to evaluate the potential of craniofacial dimensions in estimating sex in a sample population in Kaduna State, Nigeria.
Materials and Methods: This is a retrospective study of normal CT scan images of 399 Crania (comprising 236 males and 163 females) of age range 18–95 years that came for CT scans for the diagnostic purpose at the National Ear Care Centre, Kaduna between the years of 2017–2019. The images were randomly taken at the archives of the Radiology Department of the institute on an axial plane. The five craniofacial dimensions were measured directly from the computer screen using Vitrea CT Software.
Results: Maximum cranial width (13.49±0.57 cm), maximum cranial length (18.11±0.74 cm), and bizygomatic length (12.64±0.58 cm) of males were significantly greater than in females (13.35±0.49 cm), (17.82±0.66 cm) and (12.22±0.59 cm) respectively. The bizygomatic length on the receiver operating characteristic curve (Area under the curve = 0.711), logistic regression (odd ratio = 1.254), and discriminant function analysis (percentage accuracy after cross validation = 67.4 %.) was the best single variable for estimating sex. Bizygomatic and maximum cranial length were selected as the significant estimators of sex by multivariate logistic regression with Adjusted Odd Ratios of 1.412 and 3.984 respectively, as well as discriminant function analysis (percentage accuracy after cross validation = 66.9%).
Conclusion: Among the sample population in Kaduna State, Nigeria, there is sexual dimorphism in some of the craniofacial variable found in CT scan images. Multivariate logistic regression may be the best model to utilize for predicting sex among the Kaduna State sample group.

Supporting Institution

NIL

Project Number

95

Thanks

Thanks

References

  • Gapert R, Black S, Last J. Sex determination from the foramen magnum : discriminant function analysis in an eighteenth and nineteenth century British sample. Int J Legal Med. 2009;123:25–33.
  • Uthman AT, Al-rawi NH, Al-timimi JF. Evaluation of foramen magnum in gender determination using helical CT scanning. Dentomaxillofacial Radiol. 2012;41:197–02.
  • Maharja MR, Walung ED, Shrestha R, Acharya J. Dimensions of foramen magnum for estimation of sex in Nepalese population. Nepal Med Coll J. 2018;20:116–20.
  • McGinnes MB. Sex determination by discriminant function analysis of Native American crania from Florida and Georgia (Doctoral dissertation, University of Florida).
  • Aliyu J, Danborno B, Hamman WO, Aliyu IS, Adamu LH. Sexual dimorphism and estimation of height from body length anthropometric parameters among the Hausa ethnic group of Nigeria. Arab J Forensic Sci Forensic Med. 2017;1:612–24.
  • Krogman W, Iscan, MY. The human skeleton in forensic medicine. Charles C Thomas Publisher;1986:189–43.
  • Shah T, Patel MN, Nath S, Menon SK. Determination of sex using cephalo-facial dimensions by discriminant function and logistic regression equations. Egyptian Journal of Forensic Sciences. 2016;6:114-9.
  • Jain D, Jasuja OP, Nath S. An assessment of sex using craniofacial measurements of human crania by discriminant function analysis. Rom J Leg Med. 2016;24:294–9.
  • Dayal M, Spocter M, Bidmos M. An assessment of sex using the skull of black South Africans by discriminant function analysis. HOMO-J Comp Hum Biol. 2008;59:209–21.
  • Adefisan IE, Oladipo GS, Paul CW. Estimation of sex and stature using craniofacial variables in the Yoruba ethnic group of Nigeria. Saudi J Biomed Res. 2021;6:95–102.
  • Zheng J, Ni S, Wang Y, Zhang B, Teng Y, Jiang S. Sex Determination of Han adults in northeast china using cone beam computer tomography. Forensic Sci Int. 2018;289:1-7.
  • Hilgers ML, William C, Scarfe JP, Scheetz C, Allan GF. Accuracy of linear temporomandibular joint measurements with cone beam computed tomography and digital cephalometric radiography. Am J Orthod Dentofac Orthop. 2005;128:803–11.
  • Kamburoğlu K, Kolsuz E, Hakan K, Cenk K, Tuncer Ö, Candan SP. Accuracy of CBCT Measurements of a Human Skull. J Digit Imaging. 2011;24:787–93.
  • Bello SS, Zagga AD, Kalale SB, Usman JD, Bello A. Measurements of occipital condyles using computerised tomography from Sokoto state, Nigeria. Int J Heal Med Inf. 2013;2:10–7.
  • Ominde BS, Igbigbi PS. Morphometry of the occipital condyles in adult Nigerians. Online J Heal Allied Sci. 2021;20:1–7.
  • Musa MA, Danfulani M. Cranial index determination using computed tomography. Cukurova Med J Araştırma. 2015;40:239–44.
  • Paulinus SO, Mba EE, Ukpong EV, Archibong BE, Udoh BE, Egom AE, Ani CC, Ebong PT, Okoro UU, Igiri AO, Egbe NO. Anthropometric study of the cranial parameters using computed tomography (CT) scan to establish cephalic index of a sampled population in Calabar, Nigeria. Glob J of Pure and Applied Sci. 2019;25:153–9.
  • Jain K, Nagrale N, Ambad R, Bankar N, Patond S. Osteometric evaluation of human skull for sex determination : a comparative study. Indian J Forensic Med Toxicol. 2020;14:7142–6.
  • Williams BA, Roger TL. Evaluating the accuracy and precision of cranial morphological traits for sex determination. J Forensic Sci. 2006;51:729–35.
  • Jantz RL, Mahfouz M, Shirley NR, Fatah EA. Improving sex estimation from crania using 3-dimensional CT scans. US Department of Justice. 2013 Jan:1-71.
  • Tellioglu AM, Durum Y, Gok M, Karakas S, Polat AG, Karaman CZ. Suitability of foramen magnum measurements in sex determination and their clinical significance. Folia Morphol(Warsz). 2018;77:99–4.
  • Ukoha U, Egwu O, Okafor I, Anyabolu A, Gu Ndukwe, Okpala I. Sexual dimorphism in the foramen magnum of Nigerian adult. Int J Biol Med Res. 2011;2:878–81.
  • Bhargavi C, Sharma BB. Sexual dimorphism of the craniofacial region in a South Indian population. Singapore Med J. 2013;54:458–62.
  • Kamath VG, Asif M, Shetty R, Avadhani R. Binary logistic regression analysis of foramen magnum dimensions for sex determination. Anat Res Int. 2015;2015:1–9.
  • Garapati S, Suneetha P. The Foramen Magnum : A morphometric study on CT images of adults. Int J Anat Res. 2018;6:5163–6.
  • Vinutha SP, Suresh V, Shubha R. Discriminant function analysis of foramen magnum variables in south Indian population: A Study of computerised tomographic images. Anat Res Int. 2018;2018:1–8.
  • Ilguy M, Fisekcioglu E. Measurements of the foramen magnum and mandible in relation to sex using CBCT. J Forensic Sci. 2014;59:579–78.
  • Uysal SE, Gokharman D, Kacar M, Tuncbilek I, Kosa U. Estimation of sex by 3D CT measurements of the foramen magnum. J Forensic Sci. 2005;50:1310–4.
  • Madadin M, Menezes RG, Al Saif HS, Alola HA, Al Muhanna A, Gullenpet AH, Nagesh KR, Kharoshah MA, Al Dhafery B. Morphometric evaluation of the foramen magnum for sex determination: A study from Saudi Arabia. J Forensic Leg Med. 2017;1:66–71.
  • Yilmaz O, Demİrcİoğlu İ. Examination of the morphometric features and three-dimensional modelling of the skull in van cats by using computed tomographic images. Ankara Univ Vet Fak Derg. 2021;68:213–22.
  • Ekizoglu O, Hocaoglu E, Inci E, Ozgur I, Solmaz D, Aksoy S. Assessment of sex in a modern Turkish population using cranial anthropometric parameters. Leg Med 2016;21:45–52.
  • González-colmenares G, Sanabria C, Rojas-sánchez MP, León K, Malpud A. Sex estimation from skull base radiographs in a contemporary Colombian population. J Forensic Leg Med. 2019;62:77–81.
  • Bhaskar B, Nidugala H, Bhargavi C, Ramakrishna Avadhani. Sexual dimorphism of the craniofacial region in a south Indian population. Singapore Med J. 2013;54:458–62.
  • Khanduri S, Malik S, Khan N, Patel YD, Khan A, Chawla H. Establishment of cephalic index using cranial parameters by computed tomography in a sampled north Indian population. Cureus. 2021;13:1521.
  • Botwe BO, Nana J, Boadu A, Kyei KA, John D. Radiological determination of the cranial index of present-day Ghanaians. Forensic Sci Res. 2022;7:138–41.
  • Abo-El-Atta HM, Abdel-Rahman RH, El-Hawary G, Abo El-Al-Atta HM. Sexual dimorphism of foramen magnum: An Egyptian study. Egypt J Forensic Sci. 2020;10:1–2.
  • El- Barrany UME-, Ghaleb SS, Ibrahim SF, Nouri M, Mohammed AH. Sex Prediction using foramen magnum and occipital condyles computed tomography measurements in Sudanese population. Arab J Forensic Sci Forensic Med. 2016;1:414–23.
  • Nagwani M, Srivastava G, Rani A. To study the correlation between foramen magnum index and cranial index in Indian population. Innov J Med Heal Sci. 2020;10:780–3.
  • Adel R, Ahmed HM, Hassan OA, Abdelgawad EA. Assessment of craniometric sexual dimorphism using multidetector computed tomographic imaging in a sample of Egyptian population. Am J ForensicMed Pathol. 2019;40:19–26.
  • Belaldavar C, Kotrashetti VS, Hallikerimath SR, Kale AD. Assessment of frontal sinus dimensions to determine sexual dimorphism among Indian adults. J Forensic Dent Sci. 2014;6:25.
  • Adamu LH, Ojo SA, Danborno B, Adebisi SS, Taura MG. Sex determination using facial linear dimensions and angles among Hausa population of Kano State , Nigeria. Egypt J Forensic Sci. 2016;6:459–67.
  • Saini V, Srivastava R, Rai RK, Shamal SN, Singh TB, Tripathi SK. An Osteometric study of northern Indian populations for sexual dimorphism in craniofacial region. J Forensic Sci. 2011;56:700-5.
  • Shanthi C, Subhadra V, Loknadham S, Kumar B. Cranial index: Sex determination parameter of adult skulls in South Indian population. Int J Med Pharm Sci. 2013;3:1–6.
  • Geetanjali SB, Diwan C. Multivariate analysis for sexual dimorphism of skull. Nat J Bas Med Sci. 2013;2:304–6

Kraniyofasiyal boyutlar kullanarak cinsiyet tahmini: Kaduna Eyaleti, Nijerya'da BT tarama görüntüleri çalışması

Year 2023, Volume: 48 Issue: 2, 607 - 615, 02.07.2023
https://doi.org/10.17826/cumj.1219426

Abstract

Amaç: Bu çalışmanın amacı, Kaduna eyaletinin Nijerya'daki örnek bir popülasyonda cinsiyeti tahmin etmede kraniyofasiyal boyutların potansiyelini değerlendirmektir.
Gereç ve Yöntem: Bu, 18-95 yaş aralığında 399 Crania'nın (236 erkek ve 163 kadın) normal BT tarama görüntülerinin retrospektif bir çalışmasıdır. 2017-2019 yılları. Görüntüler rastgele bir eksenel düzlemde Enstitünün Radyoloji Bölümü arşivlerinde çekildi. Beş kraniyofasiyal boyut, Vitrea CT yazılımı kullanılarak doğrudan bilgisayar ekranından ölçüldü.
Bulgular: Maksimum kraniyal genişlik (13.49 ± 0.57 cm), maksimum kraniyal uzunluk (18.11 ± 0.74 cm) ve tuhaf uzunluk (12.64 ± 0.58 cm) erkeklerden önemli ölçüde daha büyüktü (17.82 ± 0.49 cm) (17.82 ± 0.66 ( CM) ve (12.22 ± 0.59 cm). Alıcı çalışma karakteristik eğrisi (eğrinin altındaki alan = 0.711), lojistik regresyon (tek oran = 1.254) ve ayırt edici fonksiyon analizi (çapraz validasyondan sonra yüzde doğruluğu = %67.4) üzerindeki tuhaf uzunluk. . Bizgomatik ve maksimum kraniyal uzunluk, sırasıyla 1.412 ve 3.984 ayarlanmış tek oranlara sahip çok değişkenli lojistik regresyon ile cinsiyetin önemli tahmin edicileri olarak seçildi (ayrımcı fonksiyon analizi (çapraz validasyondan sonra yüzde doğruluk =%66.9).
Sonuç: Nijerya, Kaduna Eyaletindeki örneklem popülasyonunda, BT tarama görüntülerinde bulunan bazı kraniyofasiyal değişkenlerde cinsel dimorfizm vardır. Çok değişkenli lojistik regresyon, Kaduna Eyaleti örneklem grubu arasında cinsiyeti tahmin etmek için kullanılacak en iyi model olabilir.

Project Number

95

References

  • Gapert R, Black S, Last J. Sex determination from the foramen magnum : discriminant function analysis in an eighteenth and nineteenth century British sample. Int J Legal Med. 2009;123:25–33.
  • Uthman AT, Al-rawi NH, Al-timimi JF. Evaluation of foramen magnum in gender determination using helical CT scanning. Dentomaxillofacial Radiol. 2012;41:197–02.
  • Maharja MR, Walung ED, Shrestha R, Acharya J. Dimensions of foramen magnum for estimation of sex in Nepalese population. Nepal Med Coll J. 2018;20:116–20.
  • McGinnes MB. Sex determination by discriminant function analysis of Native American crania from Florida and Georgia (Doctoral dissertation, University of Florida).
  • Aliyu J, Danborno B, Hamman WO, Aliyu IS, Adamu LH. Sexual dimorphism and estimation of height from body length anthropometric parameters among the Hausa ethnic group of Nigeria. Arab J Forensic Sci Forensic Med. 2017;1:612–24.
  • Krogman W, Iscan, MY. The human skeleton in forensic medicine. Charles C Thomas Publisher;1986:189–43.
  • Shah T, Patel MN, Nath S, Menon SK. Determination of sex using cephalo-facial dimensions by discriminant function and logistic regression equations. Egyptian Journal of Forensic Sciences. 2016;6:114-9.
  • Jain D, Jasuja OP, Nath S. An assessment of sex using craniofacial measurements of human crania by discriminant function analysis. Rom J Leg Med. 2016;24:294–9.
  • Dayal M, Spocter M, Bidmos M. An assessment of sex using the skull of black South Africans by discriminant function analysis. HOMO-J Comp Hum Biol. 2008;59:209–21.
  • Adefisan IE, Oladipo GS, Paul CW. Estimation of sex and stature using craniofacial variables in the Yoruba ethnic group of Nigeria. Saudi J Biomed Res. 2021;6:95–102.
  • Zheng J, Ni S, Wang Y, Zhang B, Teng Y, Jiang S. Sex Determination of Han adults in northeast china using cone beam computer tomography. Forensic Sci Int. 2018;289:1-7.
  • Hilgers ML, William C, Scarfe JP, Scheetz C, Allan GF. Accuracy of linear temporomandibular joint measurements with cone beam computed tomography and digital cephalometric radiography. Am J Orthod Dentofac Orthop. 2005;128:803–11.
  • Kamburoğlu K, Kolsuz E, Hakan K, Cenk K, Tuncer Ö, Candan SP. Accuracy of CBCT Measurements of a Human Skull. J Digit Imaging. 2011;24:787–93.
  • Bello SS, Zagga AD, Kalale SB, Usman JD, Bello A. Measurements of occipital condyles using computerised tomography from Sokoto state, Nigeria. Int J Heal Med Inf. 2013;2:10–7.
  • Ominde BS, Igbigbi PS. Morphometry of the occipital condyles in adult Nigerians. Online J Heal Allied Sci. 2021;20:1–7.
  • Musa MA, Danfulani M. Cranial index determination using computed tomography. Cukurova Med J Araştırma. 2015;40:239–44.
  • Paulinus SO, Mba EE, Ukpong EV, Archibong BE, Udoh BE, Egom AE, Ani CC, Ebong PT, Okoro UU, Igiri AO, Egbe NO. Anthropometric study of the cranial parameters using computed tomography (CT) scan to establish cephalic index of a sampled population in Calabar, Nigeria. Glob J of Pure and Applied Sci. 2019;25:153–9.
  • Jain K, Nagrale N, Ambad R, Bankar N, Patond S. Osteometric evaluation of human skull for sex determination : a comparative study. Indian J Forensic Med Toxicol. 2020;14:7142–6.
  • Williams BA, Roger TL. Evaluating the accuracy and precision of cranial morphological traits for sex determination. J Forensic Sci. 2006;51:729–35.
  • Jantz RL, Mahfouz M, Shirley NR, Fatah EA. Improving sex estimation from crania using 3-dimensional CT scans. US Department of Justice. 2013 Jan:1-71.
  • Tellioglu AM, Durum Y, Gok M, Karakas S, Polat AG, Karaman CZ. Suitability of foramen magnum measurements in sex determination and their clinical significance. Folia Morphol(Warsz). 2018;77:99–4.
  • Ukoha U, Egwu O, Okafor I, Anyabolu A, Gu Ndukwe, Okpala I. Sexual dimorphism in the foramen magnum of Nigerian adult. Int J Biol Med Res. 2011;2:878–81.
  • Bhargavi C, Sharma BB. Sexual dimorphism of the craniofacial region in a South Indian population. Singapore Med J. 2013;54:458–62.
  • Kamath VG, Asif M, Shetty R, Avadhani R. Binary logistic regression analysis of foramen magnum dimensions for sex determination. Anat Res Int. 2015;2015:1–9.
  • Garapati S, Suneetha P. The Foramen Magnum : A morphometric study on CT images of adults. Int J Anat Res. 2018;6:5163–6.
  • Vinutha SP, Suresh V, Shubha R. Discriminant function analysis of foramen magnum variables in south Indian population: A Study of computerised tomographic images. Anat Res Int. 2018;2018:1–8.
  • Ilguy M, Fisekcioglu E. Measurements of the foramen magnum and mandible in relation to sex using CBCT. J Forensic Sci. 2014;59:579–78.
  • Uysal SE, Gokharman D, Kacar M, Tuncbilek I, Kosa U. Estimation of sex by 3D CT measurements of the foramen magnum. J Forensic Sci. 2005;50:1310–4.
  • Madadin M, Menezes RG, Al Saif HS, Alola HA, Al Muhanna A, Gullenpet AH, Nagesh KR, Kharoshah MA, Al Dhafery B. Morphometric evaluation of the foramen magnum for sex determination: A study from Saudi Arabia. J Forensic Leg Med. 2017;1:66–71.
  • Yilmaz O, Demİrcİoğlu İ. Examination of the morphometric features and three-dimensional modelling of the skull in van cats by using computed tomographic images. Ankara Univ Vet Fak Derg. 2021;68:213–22.
  • Ekizoglu O, Hocaoglu E, Inci E, Ozgur I, Solmaz D, Aksoy S. Assessment of sex in a modern Turkish population using cranial anthropometric parameters. Leg Med 2016;21:45–52.
  • González-colmenares G, Sanabria C, Rojas-sánchez MP, León K, Malpud A. Sex estimation from skull base radiographs in a contemporary Colombian population. J Forensic Leg Med. 2019;62:77–81.
  • Bhaskar B, Nidugala H, Bhargavi C, Ramakrishna Avadhani. Sexual dimorphism of the craniofacial region in a south Indian population. Singapore Med J. 2013;54:458–62.
  • Khanduri S, Malik S, Khan N, Patel YD, Khan A, Chawla H. Establishment of cephalic index using cranial parameters by computed tomography in a sampled north Indian population. Cureus. 2021;13:1521.
  • Botwe BO, Nana J, Boadu A, Kyei KA, John D. Radiological determination of the cranial index of present-day Ghanaians. Forensic Sci Res. 2022;7:138–41.
  • Abo-El-Atta HM, Abdel-Rahman RH, El-Hawary G, Abo El-Al-Atta HM. Sexual dimorphism of foramen magnum: An Egyptian study. Egypt J Forensic Sci. 2020;10:1–2.
  • El- Barrany UME-, Ghaleb SS, Ibrahim SF, Nouri M, Mohammed AH. Sex Prediction using foramen magnum and occipital condyles computed tomography measurements in Sudanese population. Arab J Forensic Sci Forensic Med. 2016;1:414–23.
  • Nagwani M, Srivastava G, Rani A. To study the correlation between foramen magnum index and cranial index in Indian population. Innov J Med Heal Sci. 2020;10:780–3.
  • Adel R, Ahmed HM, Hassan OA, Abdelgawad EA. Assessment of craniometric sexual dimorphism using multidetector computed tomographic imaging in a sample of Egyptian population. Am J ForensicMed Pathol. 2019;40:19–26.
  • Belaldavar C, Kotrashetti VS, Hallikerimath SR, Kale AD. Assessment of frontal sinus dimensions to determine sexual dimorphism among Indian adults. J Forensic Dent Sci. 2014;6:25.
  • Adamu LH, Ojo SA, Danborno B, Adebisi SS, Taura MG. Sex determination using facial linear dimensions and angles among Hausa population of Kano State , Nigeria. Egypt J Forensic Sci. 2016;6:459–67.
  • Saini V, Srivastava R, Rai RK, Shamal SN, Singh TB, Tripathi SK. An Osteometric study of northern Indian populations for sexual dimorphism in craniofacial region. J Forensic Sci. 2011;56:700-5.
  • Shanthi C, Subhadra V, Loknadham S, Kumar B. Cranial index: Sex determination parameter of adult skulls in South Indian population. Int J Med Pharm Sci. 2013;3:1–6.
  • Geetanjali SB, Diwan C. Multivariate analysis for sexual dimorphism of skull. Nat J Bas Med Sci. 2013;2:304–6
There are 44 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research
Authors

Aliyu Jaafar 0000-0002-6515-9122

Tanko Murdakai This is me 0000-0002-0727-5299

Moses Asongu Tersoo This is me 0009-0003-0974-3468

Abdulrazak Muhammad This is me 0000-0002-8064-4417

Zainab M. Bauchi This is me 0000-0002-1109-4378

Usman Farrau 0000-0002-0421-8280

Ibrahim Sambo Aliyu This is me 0000-0002-0690-6570

Lawan H. Adamu This is me 0000-0003-4787-8294

Muhammad Zaria Ibrahim This is me 0000-0002-7695-9985

Yusuf Nadabo Abdullahi This is me 0000-0002-0376-3754

Zaharaddeen Muhammad Zaharaddeen Muhammad Yusuf This is me 0009-0006-6064-8310

Amiru Jaafar This is me 0009-0000-1639-6044

Project Number 95
Early Pub Date July 11, 2023
Publication Date July 2, 2023
Acceptance Date June 11, 2023
Published in Issue Year 2023 Volume: 48 Issue: 2

Cite

MLA Jaafar, Aliyu et al. “Estimation of Sex Using Craniofacial Dimensions: A Study of CT Scan Images in Kaduna State, Nigeria”. Cukurova Medical Journal, vol. 48, no. 2, 2023, pp. 607-15, doi:10.17826/cumj.1219426.