Gender Estimation From Dimensions and Morphologic Types of the Crista Galli in the Pediatric Population Using
Zeynep B Aydin1, Altan Güneş2, Hande S Ari3
1Department of Radiology, Faculty of Medicine, Hitit University, Çorum.
The Journal of Craniofacial Surgery
|April 6, 2026
Summary
Crista galli (CG) dimensions can help estimate gender in children. Males typically have larger CGs, and length is a key indicator, with a regression tree model achieving 69.6% accuracy in gender prediction from CT scans.
Area of Science:
- Forensic anthropology
- Pediatric radiology
- Anatomy
Background:
- The crista galli (CG) is a bony structure within the skull.
- Assessing skeletal features for sex estimation is crucial in forensic and anthropological studies.
- Limited research exists on CG morphometrics and its utility in pediatric gender estimation.
Purpose of the Study:
- To analyze the morphometric and morphologic characteristics of the crista galli (CG) in a pediatric population using computed tomography (CT) images.
- To determine if CG dimensions and morphologic types can predict gender in individuals under 18 years old.
Main Methods:
- Computed tomography (CT) scans of 523 pediatric individuals (270 males, 253 females) were retrospectively analyzed.
- Measurements of CG dimensions (length, height, width) were taken.
- Morphologic types were classified based on CG dimensions.
- Statistical analyses, including multivariate binary logistic regression and regression decision tree modeling, were employed to evaluate gender prediction accuracy.
Main Results:
- Males exhibited significantly higher, wider, and longer crista galli compared to females (p<0.001 for length).
- CG length alone predicted sex with 60.8% accuracy, being more accurate for females (62.8%) than males (54.1%).
- A regression tree model utilizing CG dimensions achieved an overall gender estimation accuracy of 69.6%.
Conclusions:
- The crista galli displays sexual dimorphism in length during childhood.
- CG dimensions, particularly length, height, and width, can be utilized for gender determination in pediatric populations from CT images.
- The regression tree model offers a relatively sufficient accuracy rate for estimating gender in children based on CG morphometrics.
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