Sex determination using image processing reveals elliptical features of the female pelvic inlet

Yasin Etli1, Erhan Kartal2, Uğur Demir3

  • 1Department of Forensic Medicine, Faculty of Medicine, Van Yuzuncu Yil University, Van, Turkey. yasinetli@yyu.edu.tr.

Scientific Reports
|September 30, 2025
PubMed

Insights

The female pelvic inlet is more elliptical than the male pelvic inlet, impacting fetal head passage. This shape difference was identified using computed tomography (CT) scans and advanced imaging analysis.

Area of Science:

  • Anatomy
  • Anthropology
  • Radiology

Background:

  • The pelvic inlet is a critical anatomical structure influencing childbirth.
  • Understanding pelvic inlet morphology is essential for obstetrics and forensic anthropology.
  • Previous research suggests potential sex-based differences in pelvic shape.

Purpose of the Study:

  • To test the hypothesis that the female pelvic inlet exhibits greater ellipticity than the male pelvic inlet.
  • To quantify sex-based differences in pelvic inlet shape using advanced imaging techniques.
  • To assess the utility of pelvic inlet shape measures for sex determination.

Main Methods:

  • Analysis of abdomino-pelvic computed tomography (CT) images from 600 individuals (300 males, 300 females).
  • Utilized 3D reconstruction, image processing, ellipse fitting, and a genetic algorithm to measure pelvic inlet ellipticity.
  • Employed discriminant analysis to evaluate sex determination accuracy based on derived shape parameters.

Main Results:

  • Significant differences in pelvic inlet ellipticity were observed between males and females across all proposed measures.
  • Discriminant analysis achieved a maximum sex determination accuracy of 79.7% using these morphometric parameters.
  • The findings support the hypothesis of a more elliptical female pelvic inlet.

Conclusions:

  • The female pelvic inlet shape is significantly more elliptical compared to the male pelvic inlet.
  • Pelvic inlet morphology, specifically ellipticity, shows potential for sex determination in forensic and anthropological contexts.
  • Further validation in diverse populations is recommended to solidify these findings on pelvic inlet evolution and sexual dimorphism.