Computed tomography based forensic gender determination by measuring the size and volume of the maxillary sinuses

##plugins.themes.academic_pro.article.main##

Mukul Prabhat
Shalu Rai
Mandeep Kaur
Kanika Prabhat
Puneet Bhatnagar
Sapna Panjwani

Abstract

Purpose: Identification of human body or remains after death is a forensic procedure, which is difficult to perform and is mandatory by law and in compliance with social norms. Sexing the recovered human remains is an integral part of the identification process. Maxillary sinus can be used for gender determination as it remains intact even when the skull and other bones may be badly damaged in casualties where the body is incinerated. Computed tomography (CT) provides an excellent method for examining maxillary sinuses. Materials and Methods: CT images were used to measure the mediolateral, superoinferior, and anteroposterior dimensions and the volume of the maxillary sinuses in 30 patients (15 males and 15 females) to investigate whether these parameters could be used to determine the gender of an individual for forensic identification. The t-test for independent samples was used to compare these values in males and females and the data were subjected to discriminative analysis using SPSS software. Results: Our method was able to predict the gender with an accuracy of 80.0% in males and 86.7% in females, with an overall accuracy rate of 83.3%. Conclusion: The accuracy rate in this study was comparable, if not higher than many other methods that have been used to predict the gender of an individual from skeletal remains. The length, width, height, and volume of the maxillary sinuses together with other bones could be used for gender determination with a fair degree of accuracy when the whole skeleton is not available.

##plugins.themes.academic_pro.article.details##

How to Cite
Mukul Prabhat, Shalu Rai, Mandeep Kaur, Kanika Prabhat, Puneet Bhatnagar, & Sapna Panjwani. (2016). Computed tomography based forensic gender determination by measuring the size and volume of the maxillary sinuses. Journal of Forensic Dental Sciences, 8(1), 40–46. https://doi.org/10.4103/0975-1475.176950

References

  1. Teke HY, Duran S, Canturk N, Canturk G. Determination of gender by measuring the size of the maxillary sinuses in computerized tomography scans. Surg Radiol Anat 2007;29:9-13.
  2. RiepertT, UlmckeD, Schweden F, NafeB. Identification of unknown dead bodies by X-ray image comparison of the skull using the X-ray simulation program FoXSIS. Forensic Sci Int 2001;117:89-98.
  3. Cameriere R, Ferrante L, Mirtella D, Rollo FU, Cingolani M. Frontal sinuses for identification: Quality of classifications, possible error and potential corrections. J Forensic Sci 2005;50:770-3.
  4. Günay Y, Altinkök M, Çagdir S, Kirangil B. Gender determination with skull measurements (in Turkish). J Forensic Med 1997;13:13-9.
  5. Günay Y, Altinkök M, Çagdir S, Sari H. Is foremen magnum size useful for gender determination (in Turkish). Bull Legal Med 1998;3:41-5.
  6. Rogers TL. Determining the sex of human remains through cranial morphology. J Forensic Sci 2005;50:493-500.
  7. Quatrehomme G, Fronty P, Sapanet M, Grévin G, Bailet P, OllierA. Identification by frontal sinus pattern in forensic anthropology. Forensic Sci Int 1996;83:147‑53.
  8. Lerno P. Identification par le sinus maxillaire. Odontol Leg 1983;216:39.
  9. Jovanović S, Jelicić N, Kargovska‑Klisarova A. Postnatal development and anatomical relationship of the maxillary sinus. Acta Anat (Basel) 1984;118:122-8.
  10. Karakas S, KavakliA. Morphometric examination of the paranasal sinuses and mastoid air cells using computed tomography. Ann Saudi Med 2005;25:41-5.
  11. Reichs KJ. Quantified comparison of frontal sinus patterns by means of computed tomography. Forensic Sci Int 1993;61:141‑68.
  12. Wind J. Computerized x‑ray tomography of fosil hominid skulls. Am J Phys Anthropol 1984;63:265‑82.
  13. Wind J, Zonneveld FW. Computed tomography of an Australopithecus skull (Mrs Ples): A new technique. Naturwissenschaften 1989;76:325‑7.
  14. Krishan K, Kanchan T, Sharma A. Sex determination from hand and foot dimensions in North Indian population. J Forensic Sci 2011;56:453‑9.
  15. Gülekon IN, Turgut HB. The external occipital protuberance: Can it be used as a criterion in the determination of sex? J Forensic Sci 2003;48:513‑6.
  16. Uthman AT, Al‑Rawi NH, Al‑Timimi JF. Evaluation of foramen magnum in gender determination using helical CT scanning. Dentomaxillofac Radiol 2012;41:197-202.
  17. KrogmanWM, IscanMY. The Human Skeleton in Forensic Medicine. 2nd ed. Springfield, IL: Charles Thomas Publisher; 1986. p. 189‑243.
  18. Garn SM, Cole PE, Wainwright RL, Guire KE. Sex discriminatory effectiveness using combinations of permanent teeth. J Dent Res 1977;56:697.
  19. Tak J, Gupta N. An adjunct in sex determination. Guident 2011;5:94-5.
  20. Nascimento Correia Lima N, Fortes de Oliveira O, Sassi C, Picapedra A, Francesquini L Jr, Daruge E Jr. Sex determination by linear measurements of palatal bones and skull base. J Forensic Odontostomatol 2012;30:38-44.
  21. BarrierIL, L’Abbé EN. Sex determination from the radius and ulna in modern South African sample. Forensic Sci Int 2008;179:85.e1-7.
  22. Celbis O, Agritmis H. Estimation of stature and determination of sex from radial and ulna bone lengths in a Turkish corpse sample. Forensic Sci Int 2006;158:135‑9.
  23. Eshak GA, Ahmed HM, Abdel Gawad EA. Gender determination from hand bones length and volume using multidetector computed tomography: A study in Egyptian people. J Forensic Leg Med 2011;18:246‑52.
  24. Özaslan A, İşcan MY, Özaslan İ, Tuğcu H, Koç S. El Ölçülerinden Cinsiyet Tespiti (Sex determination from the hand). In: Kitabı Cantürk G, Ağrıtmış H, editors. Yıllık Adli Toplantıları. İstanbul, Adli Tıp Kurumu: Annual Forensic Medicine Meeting Proceeding; 2002. p. 114-8.
  25. Kanchan T, Rastogi P. Sex determination from hand dimensions of North and South Indians. J Forensic Sci 2009;54:546‑50.
  26. Sharma P, Saxena S, Rathod V. Cheiloscopy: The study of lip prints in sex identification. J Forensic Dent Sci 2009;1:24‑7.
  27. Gondivkar SM, Indurkar A, Degwekar S, Bhowate R. Cheiloscopy for sex determination. J Forensic Dent Sci 2009;1:56‑60.
  28. Rai B. Possible identification marker in orthopantomograms: Edentulous. Middle East J Sci Res 2007;2:82-3.
  29. Riepert T, Drechsler T, Schild H, Nafe B, Mattern R. Estimation of sex on the basis of radiographs of the calcaneus. Forensic Sci Int 1996;77:133‑40.
  30. Torwalt CR, Hoppa RD. A test of sex determination from measurements of chest radiographs. J Forensic Sci 2005;50:785-90.
  31. Veyre-Goulet SA, Mercier C, Robin O, Guérin C. Recent human sexual dimorphism study using cephalometric plots on lateral teleradiography and discriminant function analysis. J Forensic Sci 2008;53:786‑9.
  32. Hsiao TH, Chang HP, Liu KM. Sex determination by discriminant function analysis of lateral radiographic cephalometry. J Forensic Sci 1996;41:792‑5.
  33. Upadhyay RB, Upadhyay J, Agarwal P, Rao NN. Analysis of gonial angle in relation to age, gender, and dentition status by radiological and anthropometric methods. J Forensic Dent Sci 2012;4:29-33.
  34. ChandraA, SinghA, BadniM, JaiswalR, AgnihotriA. Determination of sex by radiographic analysis of mental foramen in North Indian population. J Forensic Dent Sci 2013;5:52-5.
  35. Indira AP, Markande A, David MP. Mandibular ramus: An indicator for sex determination-A digital radiographic study. J Forensic Dent sci 2012;4:58‑62.
  36. Sahlstrand‑Johnson P, Jannert M, Strömbeck A, Abul‑Kasim K. Computed tomography measurements of different dimensions of maxillary and frontal sinuses. BMC Med Imaging 2011;11:8.
  37. Ariji Y, Ariji E, Yoshiura K, Kanda S. Computed tomographic indices for maxillary sinus size in comparison with the sinus volume. Dentomaxillofac Radiol 1996;25:19‑24.
  38. Kawarai Y, Fukushima K, Ogawa T, Nishizaki K, Gunduz M, FujimotoM, et al. Volume quantification of healthy paranasal cavity by three-dimensional CT imaging. Acta Otolaryngol Suppl 1999;540:45-9.
  39. Pirner S, Tingelhoff K, Wagner I, Westphal R, Rilk M, Wahl FM, et al. CT-based manual segmentation and evaluation of paranasal sinuses. Eur Arch Otorhinolaryngol 2009;266:507‑18.
  40. Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, et al. Gray’s Anatomy. 38th ed. Edinburgh: Churchill Livingstone; 1995. p. 1637.
  41. Fernandes CL. Volumetric analysis of maxillary sinuses of Zulu and European crania by helical, multislice computed tomography. J Laryngol Otol 2004;118:877-81.
  42. Fernandes CL. Forensic ethnic identification of crania: The role of the maxillary sinus-A new approach. Am J Forensic Med Pathol 2004;25:302-13.
  43. UthmanAT, Al-Rawi NH, Al-NaaimiAS, Al-Timimi JF. Evaluation of maxillary sinus dimensions in gender determination using helical CT scanning. J Forensic Sci 2011;56:403‑8.
  44. Amin MF, Hassan EI. Sex identification in Egyptian population using Multidetector Computed Tomography of the maxillary sinus. J Forensic Leg Med 2012;19:65‑9.