使用多层计算机断层扫描技术对埃及成年人样本进行胸部测量以确定性别。

Sex determination from chest measurements in a sample of Egyptian adults using Multislice Computed Tomography.

作者信息

Darwish Ragaa T, Abdel-Aziz Manal H, El Nekiedy Abdel-Aziz M, Sobh Zahraa K

机构信息

Department of Forensic Medicine & Clinical Toxicology, Faculty of Medicine, Alexandria University, Egypt.

Department of Forensic Medicine & Clinical Toxicology, Faculty of Medicine, Alexandria University, Egypt.

出版信息

J Forensic Leg Med. 2017 Nov;52:154-158. doi: 10.1016/j.jflm.2017.09.006. Epub 2017 Sep 11.

Abstract

BACKGROUND

In forensic sciences to determine one's sex is quite important during the identity defining stage. The reliability of sex determination depends on the completeness of the remains and the degree of sexual dimorphism inherent in the population. Computed Tomography is the imaging modality of choice for two- and three-dimensional documentation and analysis of many autopsy findings.

OBJECTIVE

The aim of the present work was to assess the reliability of Three-dimensional Multislice Computed Tomography (3D MSCT) to determine sexual dimorphism from certain chest measurements; sternum and fourth rib using the 3D MSCT and to develop equations for sex determination from these bones among adult Egyptians sample.

SUBJECTS AND METHODS

The present study was performed on 60 adult Egyptians. Their age ranged from 21 up to 74 years and they were equally divided between both sexes. Sixty virtual chests (reconstructed Multislice Computed Tomography 3D images) were examined for detection of Sternal measurements; Manubrium length (ML), Sternal body length (BL), Manubrium width (MW), Sternal body widths(BWa&BWb), Sternal area (SA) [(ML + BL) × (MW + BWa + BWb)/3]and Fourth rib width (FRW).

RESULTS

All the studied measurements were significantly higher in males than in females. Multiple regression analysis was used to and three significant regression equations were developed for predicting sex using the different studied chest measurements; the sternal measurements, the sternal area and the widths of the right and left fourth ribs with their accuracies 96.67%.95.0%.72.68% respectively.

CONCLUSION

Sterunm and fourth rib width revealed significant metric sex differences with the use of Multislice Computed Tomography 3D images thus provide a great advantage in the analysis of skeletal remains and badly decomposed bodies.

摘要

背景

在法医学中,在身份鉴定阶段确定性别非常重要。性别的确定可靠性取决于遗骸的完整性以及人群中固有的性二态性程度。计算机断层扫描是用于二维和三维记录及分析许多尸检结果的首选成像方式。

目的

本研究的目的是评估三维多层计算机断层扫描(3D MSCT)从某些胸部测量值确定性二态性的可靠性;使用3D MSCT测量胸骨和第四肋骨,并在成年埃及样本中根据这些骨骼建立性别确定方程。

对象与方法

本研究对60名成年埃及人进行。他们的年龄在21岁至74岁之间,男女各半。对60个虚拟胸部(重建的多层计算机断层扫描3D图像)进行检查,以检测胸骨测量值;胸骨柄长度(ML)、胸骨体长(BL)、胸骨柄宽度(MW)、胸骨体宽度(BWa和BWb)、胸骨面积(SA)[(ML + BL)×(MW + BWa + BWb)/3]和第四肋骨宽度(FRW)。

结果

所有研究的测量值在男性中均显著高于女性。使用多元回归分析,并根据不同的研究胸部测量值建立了三个用于预测性别的显著回归方程;胸骨测量值、胸骨面积以及左右第四肋骨的宽度,其准确率分别为96.67%、95.0%、72.68%。

结论

使用多层计算机断层扫描3D图像显示,胸骨和第四肋骨宽度存在显著的性别差异,因此在分析骨骼遗骸和严重腐烂的尸体方面具有很大优势。

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