Sex assessment from the proximal femur in the Spanish population based on three-dimensional computed tomography metric analysis
Metadata
Show full item recordAuthor
Djorojević, Mirjana; Roldán López Del Hierro, Concepción Beatriz; Botella López, Miguel Cecilio; Alemán Aguilera, María InmaculadaEditorial
MedScape
Materia
Anthropometry Femur Multidetector computed Tomography Sex
Date
2019Referencia bibliográfica
Đorojević, M., Roldán, C., Botella, M., & Alemán, I. (2019). Sex assessment from the proximal femur in a Spanish population based on three-dimensional computed tomography metric analysis. Vojnosanitetski pregled, (00), 31-31.
Abstract
The studies published in recent years
have shown that the linear measurements on the three-dimensional
computed tomography (3D-CT) clinical images
of the hip bone, skull or breastbone can serve as a reliable
alternative method for sex estimation. In spite of the fact
that the proximal femur exhibited high dimorphism when
examining the skeletal material, there is still a lack of morphometric
studies dealing with the CT imaging of this anatomical
region that would confirm the relevance of the previously
obtained results. The aim of this study was to validate
the reliability and precision of some proximal femur
measurements obtained in vivo from the 3D-CT models and
to compare the accuracies of our findings with those formerly
reported by other relevant research. The vertical diameter of neck and
the vertical diameter of head were found to contribute the
most when considered independently (90.4%–91.8%).
When combining these with the other dimensions, the prediction
accuracy increased up to 97.3%. The accuracy of CT
measurements is in accordance with those obtained in the
traditional morphometric studies on the skeletonized femurs
of contemporary populations. The 3D-CT approach
showed remarkably higher percentage of predictive ability in
comparison with the 2D technique. 3D-CT is
a suitable tool for the objective quantification of osteological
data. The medical scans and measurements on living individuals
offer a valuable source of data from which the highly
reliable skeletal standards can be developed for estimating sex,
even from the fragmented remains. The method proposed here
can be highly useful especially in the identification of mass disaster
victims when the direct osteometry is difficult to apply
and maceration of the remains is not an option.