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Sex estimation from morphometry of lumbar vertebrae (L4-L5): A machine learning approach
Busra Gul Ayturk1, Ali Keles2, Usame Omer Osmanoglu3
1The Institute of Health Sciences, Department of Anatomy, Karamanoglu Mehmetbey University, Karaman, 70200, Türkiye, Turkey. ayturkbusragul@gmail.com.
International Journal of Legal Medicine
|July 4, 2026
Summary
Forensic sex estimation using machine learning on Turkish lumbar vertebrae shows high accuracy. The fourth and fifth lumbar vertebrae can reliably determine biological sex, aiding anthropologists and clinicians.
Area of Science:
- Forensic anthropology
- Bioinformatics
- Medical imaging
Background:
- Sex estimation is crucial for biological identity in forensic investigations.
- Pelvic and cranial bones are standard for sex estimation, but vertebrae are used when these are unavailable.
- This study investigates the utility of fourth and fifth lumbar vertebrae for sex identification in the Turkish population.
Purpose of the Study:
- To evaluate the effectiveness of fourth and fifth lumbar vertebrae in sex estimation using machine learning.
- To identify key morphometric parameters for sex determination in these vertebrae.
- To assess the applicability of these methods within the Turkish population.
Main Methods:
- Retrospective analysis of computed tomography (CT) images from 540 individuals (aged 18-79).
- Collection of eight specific measurements from the fourth and fifth lumbar vertebrae.
- Application of eight distinct machine learning algorithms for sex estimation.
Main Results:
- Logistic regression achieved the highest accuracy: 91.3% for the fourth lumbar vertebra and 90.7% for the fifth.
- Vertebral Body Anterior-Posterior Diameter and Vertebral Body Anterior Height were the most significant parameters for sex estimation.
- The study confirms sexual dimorphism in the fourth and fifth lumbar vertebrae.
Conclusions:
- Fourth and fifth lumbar vertebrae are viable for sex estimation, particularly in the Turkish population.
- Machine learning models, especially logistic regression, demonstrate high accuracy.
- Findings support the use of lumbar vertebrae morphometry in forensic anthropology and clinical practice.

