Clinical Importance of Foramen Magnum Measurements for Determining Sex - CT Scan Based Study using Discriminant Function Analysis
DOI:
https://doi.org/10.48165/jiafm.2023.45.3.1Keywords:
Foramen magnum measurements, Computer tomography scan, South Indian population, Sex determination, Discriminant function analysisAbstract
Identification of an individual is one of the important objectives of an autopsy. In forensic practice, partial identification from the bones in the form of sex is possible from the bones or any part of it. Foramen magnum (FM) measurements from skull or Computer Tomography (CT) scan images are useful for determining sex in different populations. The present study was undertaken with an objective to assess the clinical importance of FM measurements for determining sex from CTscan images in a south Indian population. The parameters studied were the length and breadth of foramen magnum, foramen magnum index (FMI) and area of foramen magnum (AFM). The sample size was 384 consisting of 245 males and 139 females of south Indian origin. Independent student t-test showed that all the studied parameters except FMI was significantly different between the two sexes. Discriminant function analysis was used to differentiate sex from the measured parameters by using the split data method. Foramen magnum length (FML) was the best sex differentiating predictor with an accuracy of 70.9%. When all the parameters were taken together the accuracy increased marginally to 71.5%. FM measurements can be used to determine sex from CTscan measurements in a south Indian population but it is better to use it as an adjunct to other methods to increase the precision.
Downloads
References
Iscan MY, Steyn M, Sex. In: Iscan MY, Steyn M, editors. The human skeleton in forensic medicine. Springfield: Charles C Thomas publishers; 2013.p. 143–194.
%.
Gapert R, Black S, Last J. Sex determination from foramen
In another Indian study using CT scan, the overall accuracy rate of all the FM parameters and AFM (Teixeira) was found to be 66.4%. In the same study the best parameter for sex
determination was AFM. One Iraqi study did helical CT scanning of 88 patients which included 43 males and 45 females and concluded that FM circumference and area were the best parameters for sex determination with an accuracy of 67 and 69.3% respectively. Multivariate analysis could correctly determine sex from FM measurements of males and females in 8 90.7% and 73.3% respectively. Sexual dimorphism from FM of the Saudi population was studied retrospectively by analysing 200 CT scans. The study scrutinized seven measurements, oriented around the dimensions of occipital condyles. They are length of right occipital condyle (LROC), length of left occipital condyle (LLOC), width of right occipital condyle (WROC), width of left occipital condyle (WLOC), length of foramen
magnum: discriminant function analysis in an 18th and 19th century British sample. Int J Leg Med. 2009;123(1):25–33.
Galdames ICS, Russo PP, Matamala DAZ, Smith RL. Sexual dimorphism in the foramen magnum dimensions. Int J Morphol. 2009;27(1):21–23.
Gunay Y, Altinkok M. The value of the size of foramen magnum in sex determination. J Clin Forensic Med. 2000;7(3):147–149.
Radinsky L. Relative brain size – a new measure. Science. 1967;155:836–838.
Teixeira WRG. Sex identification utilizing the size of the foramen magnum. Am J Forensic Med Pathol. 1982;3 (3):203–206.
Babu YPR, Kanchan T, Attiku Y, Dixit PN, Kotian MS. Sex
estimation from foramen magnum dimensions in an Indian population. J Forensic Leg Med. 2012;19:162–167.
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.
Tambawala SS, Karjodkar FR, Sansare K, Prakash N, Dora AC. Sexual dimorphism of foramen magnum using Cone Beam Computed Tomography. J Forensic Leg Med. 2016; 44:29–34.
Madadin M, Menezes RG, Al Saif HS, Alola HA, Al Muhanna A, Gullenpet AH et al. Morphometric evaluation of the foramen magnum for sex determination: A study from Saudi Arabia. J Forensic Leg Med. 2017;46:66–71.
Toneva D, Nikolova S, Harizanov S, Georgiev I, Zlatareva D, Hadjidekov V et al. Sex estimation by size and shape of foramen magnum based on CT scanning. Leg Med. 2018;35: 50–60.