Cone Beam Computed Tomography Based Sex Estimation by Volume of Odontoid Process of The Second Cervical Vertebra

Authors

  • André Luiz Ferreira Costa UNICSUL - SP
  • Ana Amelia Barbieri
  • Bianca Costa Gonçalves
  • Camila Felisbino Silva
  • Celso Massahiro Ogawa
  • Cristiane de Almeida Baldini Cardoso
  • Karolina Aparecida Castilho Fardim
  • Sérgio Lucio Pereira de Castro Lopes UNESP - São José dos Campos

DOI:

https://doi.org/10.14295/bds.2021.v24i3.2538

Abstract

Objective: The aim of this study was to evaluate whether the volume of odontoid process of the second cervical vertebra on CBCT images can be used for sex estimation. Material and Methods: The volume of odontoid process on CBCT images of 138 subjects was measured. In addition, the patients were classified into five age groups. The comparisons between the groups in relation to sex and age were performed by using Mann-Whitney’s test and Kruskal-Wallis’ test, respectively. The ROC curve was used to assess the sensitivity and specificity of the volume to determine the sex.  Results: No statistically significant difference was observed between age and volume. Males had significantly larger volumes than females. Values of volume equal to or greater than 1.254 mm3 have sensitivity of 68.2% and specificity of 68.1% to determine male sex.  Conclusion: The volume of the odontoid process tends to be larger in males than in females and can be used as sex estimation.

KEYWORDS

Cone beam computed tomography; Diagnostic imaging; Sex determination processes; Image processing; Computer-assisted.

References

Albanese J. A method for estimating sex using the clavicle, humerus, radius, and ulna. J Forensic Sci. 2013;58(6):1413-9.

Prabhu S, Acharya AB. Odontometric sex assessment in Indians. Forensic Sci Int. 2009;192(1-3):129 e1-5.

Kharoshah MA, Almadani O, Ghaleb SS, Zaki MK, Fattah YA. Sexual dimorphism of the mandible in a modern Egyptian population. J Forensic Leg Med. 2010;17(4):213-5.

Gomez-Valdes JA, Quinto-Sanchez M, Menendez Garmendia A, Veleminska J, Sanchez-Mejorada G, Bruzek J. Comparison of methods to determine sex by evaluating the greater sciatic notch: Visual, angular and geometric morphometrics. Forensic Sci Int. 2012;221(1-3):156 e1-7.

de Carvalho ABG, Ferreira Costa AL, Fuziy A, de Assis ACS, Castro Veloso JR, Coutinho Manhaes LRJ, et al. Investigation on the relationship of dimensions of the maxillary sinus drainage system with the presence of sinusopathies: a cone beam computed tomography study. Arch Oral Biol. 2018;94:78-83.

Guldner C, Zimmermann AP, Diogo I, Werner JA, Teymoortash A. Age-dependent differences of the anterior skull base. Int J Pediatr Otorhinolaryngol. 2012;76(6):822-8.

Gamba TO, Yamasaki MC, Groppo FC, da Silveira HLD, Boscolo SMA, Sanderink GCH, et al. Validation study of a new method for sexual prediction based on CBCT analysis of maxillary sinus and mandibular canal. Arch Oral Biol. 2017;83:118-23.

Gray H, Standring S, Ellis H, Berkovitz BKB. Gray's anatomy : the anatomical basis of clinical practice. 39th ed. Edinburgh ; New York: Elsevier Churchill Livingstone; 2005.

Bogduk N. Functional anatomy of the spine. Handb Clin Neurol. 2016;136:675-88.

Saini V, Srivastava R, Rai RK, Shamal SN, Singh TB, Tripathi SK. Mandibular ramus: an indicator for sex in fragmentary mandible. J Forensic Sci. 2011;56 Suppl 1:S13-6.

Michel J, Paganelli A, Varoquaux A, Piercecchi-Marti MD, Adalian P, Leonetti G, et al. Determination of sex: interest of frontal sinus 3D reconstructions. J Forensic Sci. 2015;60(2):269-73.

Anuthama K, Shankar S, Ilayaraja V, Kumar GS, Rajmohan M, Vignesh. Determining dental sex dimorphism in South Indians using discriminant function analysis. Forensic Sci Int. 2011;212(1-3):86-9.

Hu KS, Koh KS, Han SH, Shin KJ, Kim HJ. Sex determination using nonmetric characteristics of the mandible in Koreans. J Forensic Sci. 2006;51(6):1376-82.

Rodriguez-Cardenas YA, Casas-Campana M, Arriola-Guillen LE, Aliaga-Del Castillo A, Ruiz-Mora GA, Guerrero ME. Sexual dimorphism of mental foramen position in peruvian subjects: A cone-beam-computed tomography study. Indian J Dent Res. 2020;31(1):103-8.

Alsoleihat F, Al-Omari FA, Al-Sayyed AR, Al-Asmar AA, Khraisat A. The mental foramen: A cone beam CT study of the horizontal location, size and sexual dimorphism amongst living Jordanians. Homo. 2018;69(6):335-9.

Hsu KJ, Tseng YC, Liang SW, Hsiao SY, Chen CM. Dimension and location of the mandibular lingula: comparisons of gender and skeletal patterns using cone-beam computed tomography. Biomed Res Int. 2020;2020:2571534.

Altan Salli G, Ozturkmen Z. Semi-automated three-dimensional volumetric evaluation of mandibular condyles. Oral Radiol. 2020.

Costa EDD, Peyneau PD, Roque-Torres GD, Freitas DQ, Ramirez-Sotelo LR, Ambrosano GMB, et al. The relationship of articular eminence and mandibular fossa morphology to facial profile and gender determined by cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019;128(6):660-6.

Dumbuya A, Gomes AF, Marchini L, Zeng E, Comnick CL, Melo SLS. Bone changes in the temporomandibular joints of older adults: A cone-beam computed tomography study. Spec Care Dentist. 2020;40(1):84-9.

Konig MF, Faller GT. Acute bilateral pseudogout of the temporomandibular joint. Arthritis Rheumatol. 2020.

Jenkins S, Bordes S, Aly I, Jeyamohan S, Ishak B, Iwanaga J, et al. Internal morphology of the odontoid process: anatomic and imaging study with application to c2 fractures. World Neurosurg. 2019;127:e1120-e6.

Manhaes-Caldas D, Oliveira ML, Groppo FC, Haiter-Neto F. Volumetric assessment of the dental crown for sex estimation by means of cone-beam computed tomography. Forensic Sci Int. 2019;303:109920.

Urooge A, Patil BA. Sexual dimorphism of maxillary sinus: a morphometric analysis using cone beam computed tomography. J Clin Diagn Res. 2017;11(3):ZC67-ZC70.

Choi IGG, Duailibi-Neto EF, Beaini TL, da Silva RLB, Chilvarquer I. The Frontal sinus cavity exhibits sexual dimorphism in 3d cone-beam ct images and can be used for sex determination. J Forensic Sci. 2018;63(3):692-8.

Papaioannou VA, Kranioti EF, Joveneaux P, Nathena D, Michalodimitrakis M. Sexual dimorphism of the scapula and the clavicle in a contemporary Greek population: applications in forensic identification. Forensic Sci Int. 2012;217(1-3):231 e1-7.

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— Updated on 2021-07-01

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Clinical or Laboratorial Research