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Virtual morphometric method using seven cervical vertebrae for sex estimation on the Turkish population.
Oguzhan Ekizoglu1,2, Elif Hocaoglu3, Ercan Inci3
1Department of Forensic Medicine, Tepecik Training and Research Hospital, Izmir, Turkey. drekizoglu@gmail.com.
International Journal of Legal Medicine
|February 5, 2021
Summary
Sex estimation using cervical vertebrae in Turkish individuals achieved high accuracy (up to 91.40%). This virtual method offers a reliable alternative for forensic anthropology when other skeletal elements are unavailable.
Area of Science:
- Forensic Anthropology
- Skeletal Biology
- Radiology
Background:
- Sex estimation from skeletal remains is vital for biological profiling in forensic science.
- While the pelvis and skull are primary indicators, research explores other skeletal elements like vertebrae for sex determination.
- Developing population-specific standards is crucial for accurate forensic analysis.
Purpose of the Study:
- To establish sex estimation standards for the Turkish population using cervical vertebrae.
- To develop and validate a virtual method for sex estimation from CT scans of cervical vertebrae.
- To assess the accuracy and reliability of cervical vertebrae measurements for sex determination.
Main Methods:
- Retrospective analysis of CT scans from 294 Turkish individuals.
- Virtual measurement of seven cervical vertebrae, divided into training (N=210) and validation (N=84) sets.
- Logistic regression models were applied to explore combinations of vertebral parameters, assessing intra- and inter-observer error.
Main Results:
- Low intra- and inter-observer errors were observed, indicating high measurement reliability.
- All measured cervical vertebral parameters showed statistically significant sex differences.
- Generated models achieved accuracies ranging from 83.30% to 91.40%, with the highest accuracy from a multivariate model using three parameters from four vertebrae.
Conclusions:
- Cervical vertebrae provide a reliable basis for sex estimation in the Turkish population using a virtual method.
- The developed virtual method demonstrates accuracy comparable to traditional postcranial skeletal analyses.
- This study contributes population-specific standards and advances virtual forensic anthropology techniques.

