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RELIABILITY OF SEX ESTIMATION BY LATERAL ANGLE METHOD AND METRIC ANALYSIS OF REGION OF THE FORAMEN MAGNUM Petra Panenková (1), Radoslav Beňuš (1), Soňa Masnicová (2), Dalibor Hojsík (3), Stanislav Katina (4) (1) Department of Anthropology; Comenius University; Bratislava; Slovak Republic (2) Department of Criminalistics and Forensic Sciences; Academy of Police Forces; Bratislava; Slovak Republic (3) Institute of Forensic Medicine; Comenius University; Bratislava; Slovak Republic (4) Department of Applied Mathematics and Statistics; Comenius University; Bratislava; Slovak Republic Introduction Estimation of sex, age, ethnicity and stature forms basic pillars of forensic anthropology. Even if it is necessary to gain as much relevant information as it is possible; it has to be bear in mind that even if complete skeletal remains are available, biological profile is possible to be estimated and not determined. In the field of forensic investigation, fragmentary skeletal human remains demand special approach to be handled. Incompleteness of material induced subsequent osteological studies dealing with sexual dimorphism of different parts of bones, especially those, which usually survive also bad condition of burial or taphonomical process in relatively good state. It is necessary to test already published methods because a set of variables, which are discriminant in one population, may not be as discriminating when applied to a different population due to the interpopulation variation in sexual dimorphism. Test of accuracy of sex estimation by Lateral angle method In terms of preservation, the petrous part of temporal bone is one of the densest structures in the human skeleton. Petrous portion may be usually found also in mechanically damaged or even cremated remains. This resistance induced several studies to consider significance of exhibited sexual dimorphism in petrous portion (Wahl 1981; Norén et al. 2005; Graw et al. 2005, Akansel et al. 2008). For testing the sexual dimorphism the lateral angle (LA) of meatus acousticus internus was selected, which denotes the angle of internal acoustic canal in relation to the medial surface of the petrous bone (Figure 2). Sample and methods Figure 2.Lateral angle is denoted by two lines. The first line g to the anterior and posterior lips of the meatus. is tangent The second line is tangent to the anterior wall of the internal acoustic canal. mean x Left LA - 0,153 43,3 y Right LA 0,024 43,7 ♂ Sectioning point LDs ♀ 0,092 b WFM -0,127 31,9 c LRC -0,128 22,5 A1-A2 – LRC - length of right occipital condyle; C1-C2 – WRC - width of right occipital condyle; Figure 3 and 4: Parameters measured onn foramen magnum region (modified from Uyasal et al. 2008) 37,1 d LLC 0,321 22,3 e WRC 0,454 10,9 f WLC -0,107 11,0 g MBD 0,045 51,6 h MnID 0 397 0,397 98 9,8 ♀ Graph 1: Boxplots of LA values in degrees for females and males showing wide overlapping of values mean LFM Sectioning point 0 >0 A1-A2 – LFM - length of foramen magnum; B1-B2 – WFM - width of foramen magnum; C1-C2 – MBD - maximum bicondylar distance; D1-D2 – MnID - minimum intercondylar distance a ♂ <0 Probability of correct sex classification 0,568 The parameters of foramen magnum region were measured in a total of 75 patients. Sample comprises 38 females (age range: 15-80 years) and 37 males (age range: 19-86 years). The parameters of foramen magnum were measured as follows: length (LC; LRC – right; LLC - left) and width (WC; WRC – right; WLC left) of occipital condyle, minimum intercondylar distance (MnID), maximum bicondylar distance ((MBD), ), length g ((LFM)) and width ((WFM)) of foramen magnum. Results Results LDs Test of accuracy of sex estimation by metric analysis of foramen magnum region Another skeletal part which is usually well preserved is foramen magnum region. The basis of cranium is protected by large soft ti tissue mass comprises i muscle, l ttendon d and d ligaments. As such, the occipital region may prove useful of sex estimation in cases of significantly fragmented remains. Sample and methods Data were obtained by using CT scanner Siemens – Somatome Volume Zoom on Radiodiagnostic ward FNsP Ružinov in Bratislava. The sample comprises 125 patients who underwent CT scanning of paranasal sinuses for diagnostic purposes. There were sixty-four females (age range: 15-85 years) and sixty-one males (age range: 19-61 years). The LA was measured on axial images of head using method modified from cadaveric studies (Norén et al. 2005). Figure 1. In the field of forensic anthropology findings of fragmentary and commingled skeletal remains are not uncommon. (Photo reproduced from !!) >0 0 <0 Probability of correct sex classification 0,8 Table 2: Linear discriminants for sex estimation using foramen magnum region The resultant formula for linear discriminant function analysis follows: sex = [a–mean (a)]*LD(a) + [b–mean (b)]*LD(b) + [c–mean (c)]*LD(c) + [d–mean (d)]*LD(d) + [e–mean (e)]*LD(e) + [f–mean (f)]*LD(f) + [g–mean (g)]*LD(g) + [h–mean (h)]*LD(h) Table 1: Linear discriminants for sex estimation by LA The formula for linear discriminant function analysis follows: sex = [x–mean (x)]*LD(x) + [y–mean (y)]*LD(y) Discussion: Using linear discriminant analysis the probability of correct classification of sex by using Lateral angle method is only 0.568. The blind trials of previously published studies revealed varying percentage (66% to 83.2%) of correctly assigned sex (Norén et al. 2005; Graw et al. 2005). Akansel et al. (2008) pointed out that using extreme value characteristic for one sex will exclude the majority of opposite. Nevertheless the practical applicability of this principle is difficult, because the selected extreme point was common neither for females nor for males. The higher probability of correctly classified sex of fragmentary remains is when the foramen magnum is considered 0.8. In previously pubished studies percentage of correctly assigned sex varied from 69.2 and 81% (Holland 1986; Uyasal et al. 2008;Gappert et al. 2009). Our results are in concordance with them. The diagnostic value of LA still remains vague, overlap of LA values is very considerable. References: AKANSEL, G., INAN, N., KURTAS, O., TAHSIN SARISOY, H., ARSLAN, A., DEMIRCI, A., 2008: Gender and lateral angle of the internal acoustic canal meatus as measured on computer tomography of the temporal bone. Forensic Sci Int. 178:93–95 GAPPERT, R., BLACK, S., LAST, J., 2009: Sex Determination from the Occipital Condyle: Discriminant Function Analysis in an Eighteen and Nineteenth Century British Sample. Am J Phys Anthropol.138: 384 - 394 GRAW, M., WAHL, J., AHLBRECHT, M., 2005: Course of the meatus acusticus internus as criterion for sex differentiation. Forensic Sci Int. 147: 113–117 HOLLAND, T.D., 1986: Sex determination of fragmentary crania by analysis of the cranial base. Am J Phys Anthropol 70:203-208 NORÉN, A., LYNNERUP, N., CZARNETZKI, A., GRAW, M., 2005: Lateral Angle: A Method for Sexing Using the Petrous Bone. Am. J. Phys. Anthropology. 128: 318–323 UYASAL, S., GOKHARMAN, D., KACAR, M., TUNCBILEK, I., KOSAR, U., 2005: Estimation of Sex by 3D CT Measurements of the Foramen Magnum. J Forensic Sci. 50 (6): 1-5 WAHL, J., 1981: Ein Beitrag zur metrischen Geschlechtsdiagnose verbrannter und unverbrannter menschlicher Knochenreste – ausgearbeit an der Pars petrosa ossis temporalis. Z. Rechtsmed. 86: 79–101