Deep learning versus human assessors: forensic sex estimation from three-dimensional computed tomography scans

Cranial sex estimation often relies on visual assessments made by a forensic anthropologist following published standards. However, these methods are prone to human bias and may be less accurate when applied to populations other than those for which they were originally developed with. This study explores an automatic deep learning (DL) framework to enhance sex estimation accuracy and reduce bias. Utilising 200 cranial CT scans of Indonesian individuals, various DL network configurations were evaluated against a human observer. The most accurate DL network, which learned to estimate sex and cranial traits as an auxiliary task, achieved a classification accuracy of 97%, outperforming the human observer at 82%. Grad-CAM visualisations indicated that the DL model appears to focus on certain cranial traits, while also considering overall size and shape. This study demonstrates the potential of using DL to assist forensic anthropologists in providing more accurate and less biased estimations of skeletal sex.