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Deep learning for gender estimation using hand radiographs: a comparative evaluation of CNN models
Hilal Er Ulubaba1, İpek Atik2, Rukiye Çiftçi3
1Department of Radiology, Inonu University, Malatya, Türkiye.
BMC Medical Imaging
|July 2, 2025
Summary
Deep learning models can accurately predict gender from hand X-rays, offering a reliable forensic tool. ResNet-50 achieved 93.2% accuracy, aiding identification in challenging cases.
Area of Science:
- Forensic Science
- Medical Imaging
- Artificial Intelligence
Background:
- Accurate gender estimation is vital in forensic identification, particularly with fragmented remains.
- Traditional methods are often unavailable in mass disasters or decomposed cases.
- Hand radiographs offer a potential source for objective gender classification.
Purpose of the Study:
- To develop and evaluate a deep learning model for gender classification using hand radiographs.
- To provide a rapid and objective alternative to conventional forensic identification techniques.
Main Methods:
- Analysis of 470 adult left-hand X-ray images (ages 18-65).
- Utilized four Convolutional Neural Network (CNN) architectures: ResNet-18, ResNet-50, InceptionV3, and EfficientNet-B0.
- Applied image preprocessing and data augmentation (rotation, flipping, brightness) for model generalization.
Main Results:
- ResNet-50 achieved the highest accuracy (93.2%), with precision (92.4%), recall (93.3%), and F1 score (92.5%).
- CNNs demonstrated the ability to extract sexually dimorphic features from hand radiographs.
- ResNet-50 consistently outperformed other tested models.
Conclusions:
- Deep learning, specifically ResNet-50, offers a robust solution for gender prediction from hand X-rays.
- This method is valuable for forensic scenarios requiring speed and reliability.
- Future research should focus on diverse population validation and explainable AI.

