Title Sex estimation of Croatian population based on CT scans of the craniums
Title (croatian) Procjena spola na hrvatskoj populaciji s pomoću CT snimaka kranija
Author Carolane Radman
Mentor Ivana Kružić (mentor)
Mentor Željana Bašić (komentor)
Committee member Marija Definis-Gojanović (predsjednik povjerenstva)
Committee member Kristijan Bečić (član povjerenstva)
Committee member Ivana Pavlinac Dodig (član povjerenstva)
Granter University of Split School of Medicine (Forensic medicine) Split
Defense date and country 2020-11-12, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Radiology
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Forensic Medicine
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Basic Medical Sciences Anatomy
Abstract Objectives: The purpose of this study is to determine if it is possible to estimate the sex of skeletal remains in the Croatian population using morphological and osteometric analysis of orbital mesurements from CT imaging. Additionally, this study aims to determine if orbital measurements are accurate and reproducible with virtual representation as well as to compare results from the Croatian population to other populations in order to improve the information in the worldwide database.
Methods: Two hundred CT scans of the craniums of Croatian patients were included, with equal proportion of male and female (each 100) and ages raging from 18 to 92. Intact orbital margins were used for measurements based on a total of six different variables (orbital breadth, orbital height, biorbital breadth, interorbital breadth, bimaxillary breadth, and zygoorbitale breadth) for metric and morphological analysis. Normality of distribution was tested with Shapiro-Wilk test and performed in SPSS with the statistical significance set at P≤0.05. The precision of the discriminant functions and sectioning points was calculated on the basis of standardized and unstandardized coefficients, as well as the structural matrix. The accuracy of the discriminant functions was evaluated in the original and cross-validated sample (only cross-validated results using leave-one-out rule are shown).
Results: Inter-observer error produced values of rTEM and R that caused the exclusion of interorbital breadth, bimaxillary breadth, zygoorbitale breadth, and the left-sided orbital breadth. Weighed Kappa (0.41520) was calculated for inter-observer error morphology and demonstrated a moderate agreement. No significant statistical differences were calculated between the right and the left side of orbital width and height. All measurements tabulated proved to be of significant statistical difference between males and females except for interorbital breadth (P=0.114). Morphology demonstrated high sexual dimorphism (P<0.001) and classification rate (94.5%). The orbital measurements varied in their overall accuracy ranging from 55% (zygoorbital breadth) to 72.5% (biorbital breadth) and 73.5% (left orbital breadth), but with discriminant functions of classification rates 69-70.5%.
Conclusion: The more valuable orbital measurements for sex estimation in the Croatian population are the orbital width and height as well as the biorbital breadth, whereas the interorbital breadth does not show a significant difference in Croatian males and females. However, these measurements provide a classification rate/accuracy with the highest value amongst all of 70.5% which is not sufficiently reliable for the orbit to be used alone in sex determination analysis.
Abstract (croatian) Ciljevi: Svrha ove studije je utvrditi je li moguće procijeniti spol kosturnih ostataka na hrvatskoj populaciji korištenjem morfološke i metričke analize orbitalnih dimenzija s pomoću CT snimaka. Uz to, ova studija ima za cilj utvrditi jesu li mjerenja orbita točna i ponovljiva na virtualnom prikazu, kao i usporedbu rezultata hrvatske populacije s drugim populacijama radi poboljšanja podataka u svjetskoj bazi podataka.
Metode: Uključeno je dvjesto CT snimaka kranija hrvatskih pacijenata, s jednakim udjelom muškaraca i žena (svaki 100) i dobi u dobi od 18 do 92. Netaknuti orbitalni rubovi korištene su za mjerenja na temelju ukupno šest različitih varijabli (orbitalna širina, orbitalna visina, biorbitalna širina, interorbitalna širina, bimaksilarna širina and ziggorbitalna širina) za metričku i morfološku analizu. Normalnost raspodjele ispitana je testom Shapiro-Wilk u SPSS-u sa statističkom značajnošću postavljenom na P≤0.05. Preciznost diskriminantnih funkcija i točaka presjeka izračunata je na temelju standardiziranih i nestandardiziranih koeficijenata, kao i strukturne matrice. Točnost diskriminirajućih funkcija procijenjena je u izvornom i unakrsnom vrednovanom uzorku (prikazani su samo unakrsno vrednovani rezultati korištenjem pravila izostavljanja).
Rezultati: Međumjeriteljska pogreška proizvela je vrijednosti rTEM i R što je uzrokovalo isključenje interorbitalne širine, bimaksilarne širine, ziggorbitalne širine i orbitalne širine lijevo. Za međumjeriteljsku pogrešku izračunana je Kappa (0,41520), koja pokazuje umjereno slaganje. Nije bilo statistički značajne statistička razlike između desne i lijeve strane za mjere orbitalne širine i visine. Sva mjerenja pokazala su značajnu statističku razliku između muškaraca i žena, osim interorbitalne širine (P = 0,114). Morfološke značajke pokazuju visok spolni dimorfizam (P <0,001) i stopu klasifikacije (94,5 %). Orbitalna mjerenja varirala su u njihovoj ukupnoj točnosti u rasponu od 55 % (zigoorbitalna širina) do 72,5 % (biorbitalna širina) i 73,5 % (lijeva orbitalna širina), a s diskriminantnim funkcijama stope klasifikacije 69-70,5 %.
Zaključci: Najbolje mjere za procjenu spola na hrvatskoj populaciji su orbitalna širina i visina, kao i biorbitalna širina, dok interorbitalna širina ne pokazuje značajnu razliku u hrvatskim muškarcima i ženama. Međutim, ove mjere daju stopu / točnost klasifikacije s najviše 70,5 %, što nije dovoljno pouzdano da bi se orbita mogla sama koristiti za procjenu spola.
Keywords
Forensic Anthropology
Sex Determination by Skeleton
Keywords (croatian)
Forenzička antropologija
Određivanje spola pomoću kostura
Language english
URN:NBN urn:nbn:hr:171:299378
Study programme Title: Medical Studies in English Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2020-12-17 10:30:00