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Machine learning methods for sex estimation of sub-adults using cranial computed tomography images
Sharifah Nabilah Syed Mohd Hamdan1, Erma Rahayu Mohd Faizal Abdullah2, Khor Jia Wen2
1Department of Oral and Craniofacial Sciences, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia.
Summary
Random Forest (RF) machine learning models achieved the highest accuracy (73%) for sex estimation in sub-adults using cranial CT scans. This AI approach offers a novel method for forensic anthropology and developmental studies.
Area of Science:
- Forensic Anthropology
- Medical Imaging
- Machine Learning
Background:
- Accurate sex estimation is crucial in forensic anthropology and developmental studies.
- Cranial computed tomography (CCT) provides detailed anatomical information for analysis.
- Machine learning (ML) offers potential for automating complex classification tasks.
Purpose of the Study:
- To compare the classification accuracy of three ML methods (Random Forest, Support Vector Machines, Linear Discriminant Analysis) for sex estimation in sub-adults.
- To evaluate the performance of ML models using craniometric parameters derived from CCT scans.
- To introduce the first AI-based classification model for sex estimation in sub-adults using CCT data.
Main Methods:
- Analysis of 521 CCT scans from Malaysian sub-adults (0-20 years) using Mimics software.
- Measurement of 14 craniometric parameters via a plane-to-plane protocol.
- Development and optimization of RF, SVM, and LDA classification models using GridSearchCV.
Main Results:
- Random Forest (RF) achieved the highest testing accuracy of 73% with optimal hyperparameters.
- Support Vector Machines (SVM) obtained 67% accuracy, and Linear Discriminant Analysis (LDA) achieved 65% accuracy.
- RF demonstrated superior performance compared to SVM and LDA for sex estimation in this cohort.
Conclusions:
- Random Forest (RF) is the most effective ML method among those tested for sex estimation in sub-adults using CCT scans.
- This study presents a novel AI-based approach for sex estimation in sub-adults, with implications for forensic and clinical applications.
- Further research can explore larger datasets and diverse populations to refine these ML models.

