Sexual dimorphism from osteometric analysis of sternum and ribs using Computed Tomography (CT) in the South Indian population
Keywords:
Sexual dimorphism; Osteometric analysis; Sternum; Fourth rib; CT scan; Sex determinationAbstract
Sexual dimorphism in bones is essential in identifying unidentified bodies from skeletal remains. The manubrium and sternum have a high rate of recovery (over 59%), which makes these bones particularly useful. The accuracy of sex deter mination can be increased by taking measurements such as the width of various ribs into account. Our primary objective was to correlate the sexual dimorphism of the sternum and fourth, fifth and sixth ribs with osteometric measurements and sternal index in the South Indian population. A total of 214 patients, consisting of 107 males and 107 females, were included in the study. The left fourth rib superior-inferior height (SIH) was the best predictor for sex determination, fol lowed by the sternal area, right fourth rib SIH and the combined length of the manubrium and sternal body. Among ster nal measurements, the sternal area (SA) showed the highest degree of sexual dimorphism, correctly classifying 84.11% of males and 90.65% of females, and the overall correct classification rate was 87.38%. The combined manubrium and sternal body length (CL) were also correctly classified in 85.05% of males and 88.79% of males, and the overall classifica tion accuracy rate is 86.92%. Analysis revealed that the left fourth rib superior-inferior height (SIH) exhibited a correct classification rate of 92.52% for males and 84.11% for females at a cut-off value of 1.39 cm. The overall classification rate was found to be 88.32%.
Downloads
References
Shepherd R, Cheung AS, Pang K, Saffery R, Novakovic B. Sexual dimorphism in innate immunity: The role of sex hormones and epigenetics. Front Immunol. 2021;11:604000.
Torimitsu S, Makino Y, Saitoh H, Sakuma A, Ishii N, Inokuchi G, Motomura A, Chiba F, Hoshioka Y, Iwase H. Estimation of sex in Japanese cadavers based on sternal measurements using multidetector computed tomography. Leg Med (Tokyo). 2015;17(4):226–231.
Darwish RT, Abdel-Aziz MH, El Nekiedy AM, Sobh ZK. Sex determination from chest measurements in a sample of Egyptian adults using multislice computed tomography. J Forensic Leg Med. 2017;52:154–158.
Macaluso PJ Jr, Rico A, Santos M, Lucena J. Osteometric sex discrimination from the sternal extremity of the fourth rib in a recent forensic sample from Southwestern Spain. Forensic Sci Int. 2012;223(1-3):375.e1–375.e5.
Peleg S, Pelleg Kallevag R, Dar G, Steinberg N, Masharawi Y, May H. New methods for sex estimation using sternum and rib morphology. Int J Legal Med. 2020;134(4):1519–1530.
Chandrakanth HV, Kanchan T, Krishan K. Osteometric analysis for sexing of modern sternum - an autopsy study from South India. Leg Med (Tokyo). 2014;16(6):350–356.
Ramadan SU, Türkmen N, Dolgun NA, Gökharman D, Menezes RG, Kacar M, Koşar U. Sex determination from measurements of the sternum and fourth rib using multislice computed tomography of the chest. Forensic Sci Int. 2010;197(1-3):120.e1–120.e5.
Koçak A, Ozgür Aktas E, Ertürk S, Aktas S, Yemisçigil A. Sex determination from the sternal end of the rib by osteometric analysis. Leg Med (Tokyo). 2003;5(2):100–104.
Singh J, Pathak RK. Morphometric sexual dimorphism of human sternum in a North Indian autopsy sample: Sexing efficacy of different statistical techniques and a comparison with other sexing methods. Forensic Sci Int. 2013;228(1-3):174.e1–174.e10.
Ahmed AA, Alshammari FO, Alrafiaah AS, Almohaisani AA, Al-Mohrej OA, Alkubaidan FO. Estimation of sex in a contemporary Saudi population based on sternal measurements using multidetector computed tomography. Homo. 2017;68(6):411–421.
Zhang K, Luo YZ, Chen XG, Deng ZH. Sexual dimorphism of sternum using computed tomography-volume rendering technique images of Western Chinese. Aust J Forensic Sci. 2015;48(3):297–304.
Hunnargi SA, Menezes RG, Kanchan T, Lobo SW, Binu VS, Uysal S, Kumar HR, Baral P, Herekar NG, Garg RK. Sexual dimorphism of the human sternum in a Maharashtrian population of India: A morphometric analysis. Leg Med (Tokyo). 2008;10(1):6–10.
Ghorbanlou M, Moradi F, Asgari HR. Morphometric study of sternum by computed tomography in an Iranian population: A method to discriminate between male and female. Forensic Imaging. 2022;28:200501.
Koşar Mİ, Gençer CU, Tetiker H, Yeniçeri İÖ, Çullu N. Sex and stature estimation based on multidetector computed tomography imaging measurements of the sternum in Turkish population. Forensic Imaging. 2022;28:200495.
Ali MI, Mosallam W, Mostafa EM, Aly SM, Ali NM. Sternum as an indicator for sex and age estimation using multidetector computed tomography in an Egyptian population. Forensic Imaging. 2021;26:200457.
García-Parra P, Pérez Fernández Á, Djorojevic M, Botella M, Alemán I. Sexual dimorphism of human sternum in a contemporary Spanish population. Forensic Sci Int. 2014;244:313.e1–313.e9.
Muñoz A, Maestro N, Benito M, Sánchez JA, Márquez-Grant N, Trejo D, Ríos L. Sex and age at death estimation from the sternal end of the fourth rib. Does Işcan’s method really work? Leg Med (Tokyo). 2018;31:24–29.
Singh M, Siddamsetty AK, Sreenivas M, Naagar S. Sexual dimorphism from morphometry of sternal end of 4th rib at autopsy. J Indian Acad Forensic Med. 2022;44(2):62–66.
Karagiorgou I, Anastopoulou I, Karakostis FA, Kranioti E, Moraitis K. Sexing the sternal rib end in modern Greeks: A virtual osteometric approach using high-resolution 3D surface models. Homo. 2022;73(1):69–76.
Tsubaki S, Morishita J, Usumoto Y, Sakaguchi K, Matsunobu Y, Kawazoe Y, Okumura M, Ikeda N. Sex determination based on thoracic vertebra and ribs evaluation using clinical chest radiography. Leg Med (Tokyo). 2017;27:19–24.
Işcan MY. Osteometric analysis of sexual dimorphism in the sternal end of the rib. J Forensic Sci. 1985;30(4):1090–1099.
Ahmed AA, Koko AO, Elsayed MM. Multi-detector computed tomography for the estimation of sex from sternal medullary cavity measurements in Sudanese individuals. Forensic Sci Int Rep. 2021;4:100244.

