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Üç Boyutlu bilgisayarlı tomografi görüntülerinde oksipital kondil ölçümleri ile cinsiyetin değerlendirilmesi

Year 2025, Volume: 18 Issue: 4, 6 - 6

Abstract

Amaç: İskelet kalıntılarındaki kranial kemiklerin morfometrik ölçümleri cinsiyetin belirlenmesinde önemlidir. Günümüzde, bilgisayarlı tomografi gibi radyolojik görüntüleme teknikleri popülasyona özgü veriler elde etmede oldukça faydalıdır. Bu çalışmanın amacı, Türk popülasyonunda cinsiyet tahmini için 3B kranial BT modellemesinde oksipital kondillerin morfometrik ölçümlerinin yararlılığını değerlendirmektir.
Gereç ve yöntem: Bu amaçla, radyoloji anabilim dalı tarafından 2019-2021 yılları arasında çekilmiş karotis anjio BT görüntüleri retrospektif olarak kullanılarak oksipital kondillerin üç boyutlu görüntüleri elde edilmiştir. Bu görüntülerde her iki oksipital kondilin uzunluğu, genişliği ve yüksekliği, bazion ile oksipital kondilin ön ve arka uçları arasındaki mesafeler, opistion ile oksipital kondilin ön ve arka uçları arasındaki mesafeler, ön, arka, minimum ve maksimum interkondiler mesafeler, maksimum bikondiler mesafe, sağ ve sol sagital kondiler açılar, sagital interkondiler açı ölçülmüştür.
Bulgular: Sol kondiler açı dışındaki tüm parametrelerde cinsiyete göre istatistiksel olarak anlamlı farklılık olduğu ve oksipital kondillerde cinsel dimorfizm bulunduğu saptanmıştır. Diskriminant analizi ile oluşturulan çok değişkenli modellere göre erkeklerde %81,2 ile %84,6, kadınlarda ise %52,9 ile %68,8 doğrulukta cinsiyet tahmini yapılabileceği gösterilmiştir.
Sonuç: Oksipital kondillerin üç boyutlu bilgisayarlı tomografi görüntülerinin cinsiyet tahmininde kullanılabileceği saptanmıştır.

References

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  • 2. Kemkes Grottenthaler A. The reliability of forensic osteology--a case in point. Case study. Forensic Sci Int. 2001;117(1-2):65-72. doi:10.1016/s0379-0738(00)00450-3
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  • 4. Gonzalez P, Bernal V, Perez S. Analysis of sexual dimorphism of craniofacial traits using geometric morphometric techniques. Int J Osteoarchaeol. 2011;21:82-91. doi:10.1002/oa.1109
  • 5. Saini V, Srivastava R, Rai RK, Shamal SN, Singh TB, Tripathi SK. Mandibular ramus: an indicator for sex in fragmentary mandible. J Forensic Sci. 2011;56 Suppl 1:S13-S16. doi:10.1111/j.1556-4029.2010.01599.x
  • 6. Bruzek J, Murail P. Methodology and reliability of sex determination from the skeleton. In: Schmitt A, Cunha E, Pinheiro J, eds. Forensic anthropology and medicine. New Jersey: Humana Press. 2006:225-242. doi:10.1007/978-1-59745-099-7_9
  • 7. Sholapurkar VT, Virupaxi RD, Desai SP. Morphometric analysis of human occipital condyles for sex determination in dry adult skulls. Int J Anat Res. 2017;5:3318-3341. doi:10.16965/ijar.2016.457
  • 8. Abdel Karim RI, Housseini AM, Hashish RK. Adult sex estimation using three dimensional volume rendering multislice computed tomography of the foramen magnum and occipital condyles: A study in Egyptian population. Int. J. of Adv. Res. 2015;3:1212-1215.
  • 9. 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(1):25-33. doi:10.1007/s00414-008-0256-0
  • 10. Dirnhofer R, Jackowski C, Vock P, Potter K, Thali MJ. VIRTOPSY: minimally invasive, imaging-guided virtual autopsy. Radiographics. 2006;26(5):1305-1333. doi:10.1148/rg.265065001
  • 11. Dereli AK, Zeybek V, Sagtas E, Senol H, Ozgul HA, Acar K. Sex determination with morphological characteristics of the skull by using 3D modeling techniques in computerized tomography. Forensic Sci Med Pathol. 2018;14(4):450-459. doi:10.1007/s12024-018-0029-0
  • 12. Gapert R, Black S, Last J. Sex determination from the occipital condyle: discriminant function analysis in an eighteenth and nineteenth century British sample. Am J Phys Anthropol. 2009;138(4):384-394. doi:10.1002/ajpa.20946
  • 13. Çiçekcibaşı AE, Murshid KA, Ziylan T, Şeker M, Tuncer I. A morphometric evaluation of some important bony landmarks on the skull base related to sexes. Turk J Med Sci. 2004;34:37-42.
  • 14. Gumussoy I, Duman SB. Morphometric analysis of occipital condyles using alternative imaging technique. Surg Radiol Anat. 2020;42:161-169. doi:10.1007/s00276-019-02344-2
  • 15. Macaluso PJ. Metric sex determination from the basal region of the occipital bone in a documented french sample. Bull. Mém. Soc. Anthropol. 2010;23:19-26. doi:10.1007/s13219-010-0023-x
  • 16. Kalthur SG, Padmashali S, Gupta C, Dsouza AS. Anatomic study of the occipital condyle and its surgical implications in transcondylar approach. J Craniovertebr Junction Spine. 2014;5(2):71-77. doi:10.4103/0974-8237.139201
  • 17. Kumar A, Nagar M. Human adult occipital condyles: a morphometric analysis. Res Rev J Med Health Sci. 2014;3:112-116.
  • 18. Oliveira OF, Tinoco RLR, Daruge Júnıor E, Araujo LG, Silva RHA, Paranhos LR. Sex determination from occipital condylar measurements by baudoin index in forensic purposes. Int. J. Morphol. 2013;31:1297-1300. doi:10.4067/S0717-95022013000400024
  • 19. Natsis K, Piagkou M, Skotsimara G, Piagkos G, Skandalakis P. A morphometric anatomical and comparative study of the foramen magnum region in a Greek population. Surg Radiol Anat. 2013;35(10):925-934. doi:10.1007/s00276-013-1119-z
  • 20. Lyrtzis C, Piagkou M, Gkioka A, Anastasopoulos N, Apostolidis S, Natsis K. Foramen magnum, occipital condyles and hypoglossal canals morphometry: anatomical study with clinical implications. Folia Morphol (Warsz). 2017;76(3):446-457. doi:10.5603/FM.a2017.0002
  • 21. El Barrany UM, Ghaleb SS, Ibrahim SF, Nouri M, Mohammed AH. Sex prediction using foramen magnum and occipital condyles computed tomography measurements in Sudanese population. AJFSFM. 2016;230.3950:1-9. doi:10.12816/0033135
  • 22. Madadin M, Menezes RG, Al Saif HS, et al. Morphometric evaluation of the foramen magnum for sex determination: A study from Saudi Arabia. J Forensic Leg Med. 2017;46:66-71. doi:10.1016/j.jflm.2017.01.001
  • 23. Abo El Atta HMH, Abdel Rahman RH, El Hawary G, Abo El Al Atta HM. Sexual dimorphism of foramen magnum: an Egyptian study. Egypt J Forensic Sci. 2020;10:1-12. doi:10.1186/s41935-019-0167-x
  • 24. Aljarrah K, Packirisamy V, Al Anazi N, Nayak SB. Morphometric analysis of foramen magnum and occipital condyle using CT images for sex determination in a Saudi Arabian population. Morphologie. 2022;106(355):260-270. doi:10.1016/j.morpho.2021.07.006
  • 25. Avci E, Dagtekin A, Ozturk AH, et al. Anatomical variations of the foramen magnum, occipital condyle and jugular tubercle. Turk Neurosurg. 2011;21(2):181-190. doi:10.5137/1019-5149.JTN.3838-10.1
  • 26. Singh G, Talwar I. Morphometric analysis of foramen magnum in human skull for sex determination. Hum Bio Rev. 2013;2:29-41.
  • 27. Uysal S, Gokharman D, Kacar M, Tuncbilek I, Kosa U. Estimation of sex by 3D CT measurements of the foramen magnum. J Forensic Sci. 2005;50(6):1310-1314.

Determination of sex with occipital condyle measurements on three-dimensional computed tomography images

Year 2025, Volume: 18 Issue: 4, 6 - 6

Abstract

Purpose: Morphometric measurements of cranial bones in skeletal remains are important for sex determination. Nowadays, radiological imaging techniques such as computed tomography are very useful in obtaining population-specific data. The aim of this study was to evaluate the usefulness of morphometric measurements of the occipital condyles in 3D cranial CT modeling for sex estimation in a Turkish population.
Methods: In this study, three-dimensional images of the occipital condyles were obtained by retrospectively using the carotid CT angiography images from the radiology department between 2019 and 2021. In these images, the length, width and height of both occipital condyles, distances between the basion with and the anterior and posterior ends of the occipital condyles, distances between the opisthion the anterior and posterior ends of the occipital condyles, anterior, posterior, minimum and maximum intercondylar distances, maximum bicondylar distance, right and left sagittal condylar angles, sagittal intercondylar angle, were measured.
Results: A statistically significant sexual dimorphism was found for all parameters except the left condylar angle measured in the occipital condyles. According to multivariate discriminant analysis models, sex could be estimated with an accuracy of 81.2% to 84.6% for males and 52.9% to 68.8% for females.
Conclusion: It was determined that three-dimensional computed tomography images of the occipital condyles can be used in sex estimation.

References

  • 1. Saukko P, Knight B. Knight’s forensic pathology. London: CRC Press. 2016:103-107.
  • 2. Kemkes Grottenthaler A. The reliability of forensic osteology--a case in point. Case study. Forensic Sci Int. 2001;117(1-2):65-72. doi:10.1016/s0379-0738(00)00450-3
  • 3. Spradley MK, Jantz RL. Sex estimation in forensic anthropology: skull versus postcranial elements. J Forensic Sci. 2011;56(2):289-296. doi:10.1111/j.1556-4029.2010.01635.x
  • 4. Gonzalez P, Bernal V, Perez S. Analysis of sexual dimorphism of craniofacial traits using geometric morphometric techniques. Int J Osteoarchaeol. 2011;21:82-91. doi:10.1002/oa.1109
  • 5. Saini V, Srivastava R, Rai RK, Shamal SN, Singh TB, Tripathi SK. Mandibular ramus: an indicator for sex in fragmentary mandible. J Forensic Sci. 2011;56 Suppl 1:S13-S16. doi:10.1111/j.1556-4029.2010.01599.x
  • 6. Bruzek J, Murail P. Methodology and reliability of sex determination from the skeleton. In: Schmitt A, Cunha E, Pinheiro J, eds. Forensic anthropology and medicine. New Jersey: Humana Press. 2006:225-242. doi:10.1007/978-1-59745-099-7_9
  • 7. Sholapurkar VT, Virupaxi RD, Desai SP. Morphometric analysis of human occipital condyles for sex determination in dry adult skulls. Int J Anat Res. 2017;5:3318-3341. doi:10.16965/ijar.2016.457
  • 8. Abdel Karim RI, Housseini AM, Hashish RK. Adult sex estimation using three dimensional volume rendering multislice computed tomography of the foramen magnum and occipital condyles: A study in Egyptian population. Int. J. of Adv. Res. 2015;3:1212-1215.
  • 9. 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(1):25-33. doi:10.1007/s00414-008-0256-0
  • 10. Dirnhofer R, Jackowski C, Vock P, Potter K, Thali MJ. VIRTOPSY: minimally invasive, imaging-guided virtual autopsy. Radiographics. 2006;26(5):1305-1333. doi:10.1148/rg.265065001
  • 11. Dereli AK, Zeybek V, Sagtas E, Senol H, Ozgul HA, Acar K. Sex determination with morphological characteristics of the skull by using 3D modeling techniques in computerized tomography. Forensic Sci Med Pathol. 2018;14(4):450-459. doi:10.1007/s12024-018-0029-0
  • 12. Gapert R, Black S, Last J. Sex determination from the occipital condyle: discriminant function analysis in an eighteenth and nineteenth century British sample. Am J Phys Anthropol. 2009;138(4):384-394. doi:10.1002/ajpa.20946
  • 13. Çiçekcibaşı AE, Murshid KA, Ziylan T, Şeker M, Tuncer I. A morphometric evaluation of some important bony landmarks on the skull base related to sexes. Turk J Med Sci. 2004;34:37-42.
  • 14. Gumussoy I, Duman SB. Morphometric analysis of occipital condyles using alternative imaging technique. Surg Radiol Anat. 2020;42:161-169. doi:10.1007/s00276-019-02344-2
  • 15. Macaluso PJ. Metric sex determination from the basal region of the occipital bone in a documented french sample. Bull. Mém. Soc. Anthropol. 2010;23:19-26. doi:10.1007/s13219-010-0023-x
  • 16. Kalthur SG, Padmashali S, Gupta C, Dsouza AS. Anatomic study of the occipital condyle and its surgical implications in transcondylar approach. J Craniovertebr Junction Spine. 2014;5(2):71-77. doi:10.4103/0974-8237.139201
  • 17. Kumar A, Nagar M. Human adult occipital condyles: a morphometric analysis. Res Rev J Med Health Sci. 2014;3:112-116.
  • 18. Oliveira OF, Tinoco RLR, Daruge Júnıor E, Araujo LG, Silva RHA, Paranhos LR. Sex determination from occipital condylar measurements by baudoin index in forensic purposes. Int. J. Morphol. 2013;31:1297-1300. doi:10.4067/S0717-95022013000400024
  • 19. Natsis K, Piagkou M, Skotsimara G, Piagkos G, Skandalakis P. A morphometric anatomical and comparative study of the foramen magnum region in a Greek population. Surg Radiol Anat. 2013;35(10):925-934. doi:10.1007/s00276-013-1119-z
  • 20. Lyrtzis C, Piagkou M, Gkioka A, Anastasopoulos N, Apostolidis S, Natsis K. Foramen magnum, occipital condyles and hypoglossal canals morphometry: anatomical study with clinical implications. Folia Morphol (Warsz). 2017;76(3):446-457. doi:10.5603/FM.a2017.0002
  • 21. El Barrany UM, Ghaleb SS, Ibrahim SF, Nouri M, Mohammed AH. Sex prediction using foramen magnum and occipital condyles computed tomography measurements in Sudanese population. AJFSFM. 2016;230.3950:1-9. doi:10.12816/0033135
  • 22. Madadin M, Menezes RG, Al Saif HS, et al. Morphometric evaluation of the foramen magnum for sex determination: A study from Saudi Arabia. J Forensic Leg Med. 2017;46:66-71. doi:10.1016/j.jflm.2017.01.001
  • 23. Abo El Atta HMH, Abdel Rahman RH, El Hawary G, Abo El Al Atta HM. Sexual dimorphism of foramen magnum: an Egyptian study. Egypt J Forensic Sci. 2020;10:1-12. doi:10.1186/s41935-019-0167-x
  • 24. Aljarrah K, Packirisamy V, Al Anazi N, Nayak SB. Morphometric analysis of foramen magnum and occipital condyle using CT images for sex determination in a Saudi Arabian population. Morphologie. 2022;106(355):260-270. doi:10.1016/j.morpho.2021.07.006
  • 25. Avci E, Dagtekin A, Ozturk AH, et al. Anatomical variations of the foramen magnum, occipital condyle and jugular tubercle. Turk Neurosurg. 2011;21(2):181-190. doi:10.5137/1019-5149.JTN.3838-10.1
  • 26. Singh G, Talwar I. Morphometric analysis of foramen magnum in human skull for sex determination. Hum Bio Rev. 2013;2:29-41.
  • 27. Uysal S, Gokharman D, Kacar M, Tuncbilek I, Kosa U. Estimation of sex by 3D CT measurements of the foramen magnum. J Forensic Sci. 2005;50(6):1310-1314.
There are 27 citations in total.

Details

Primary Language English
Subjects Forensic Medicine
Journal Section Research Article
Authors

Harun Yildiz 0000-0001-6614-0389

Ayşe Kurtuluş Dereli 0000-0002-0592-585X

Ergin Sağtaş 0000-0001-6723-6593

Hande Şenol 0000-0001-6395-7924

Early Pub Date March 13, 2025
Publication Date
Submission Date January 20, 2025
Acceptance Date February 19, 2025
Published in Issue Year 2025 Volume: 18 Issue: 4

Cite

AMA Yildiz H, Kurtuluş Dereli A, Sağtaş E, Şenol H. Determination of sex with occipital condyle measurements on three-dimensional computed tomography images. Pam Med J. March 2025;18(4):6-6.

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