Department of Oral Medicine and Radiology, KAHER's KLE Vishwnath Katti Institute of Dental Sciences, Constituent Unit of KLE Academy of Higher Education & Research, Nehru Nagar, Belagavi, Karnataka, 590010, India.
Forensic Sci Med Pathol. 2024 Mar;20(1):268-279. doi: 10.1007/s12024-023-00613-6. Epub 2023 Mar 27.
The objective of this study is to determine whether the morphometric evaluation of the foramen magnum using computed tomography can be used as an accurate tool in estimating the sex of an individual. An extensive search of the databases, PubMed, ProQuest, Google Scholar, and Scopus, was carried out to procure articles that fulfilled the inclusion criteria. The AQUA tool was used to assess the quality of the included studies. A random effects model was used for the meta-analysis of the eligible studies using the STATA software, version 16, 2019 at 95% CI and p ≤ 0.05. Eleven eligible articles that measured the transverse and sagittal diameters of the foramen magnum using computed tomography were included in this study. The sagittal diameter of the foramen magnum was greater than the transverse diameter, and both the diameters were greater in males than in females. Meta-analysis revealed that both transverse and sagittal diameters were more reliable for male sex estimation. Since there is a dimensional variation between the male and female foramen magnum, it can be used for initial sex identification and also as an auxiliary to other advanced methods of sex estimation.
本研究旨在确定使用计算机断层扫描对枕骨大孔进行形态计量评估是否可以作为准确估计个体性别的工具。通过广泛搜索数据库，包括 PubMed、ProQuest、Google Scholar 和 Scopus，以获取符合纳入标准的文章。使用 AQUA 工具评估纳入研究的质量。使用 STATA 软件，在 95%CI 和 p≤0.05 的条件下，对符合条件的研究进行随机效应模型荟萃分析。本研究共纳入了 11 篇使用计算机断层扫描测量枕骨大孔横径和矢状径的文章。枕骨大孔的矢状径大于横径，而且男性的横径和矢状径都大于女性。荟萃分析表明，横径和矢状径都更可靠地用于男性性别估计。由于男性和女性枕骨大孔之间存在尺寸变化，因此可以用于初步的性别识别，也可以作为其他先进性别估计方法的辅助手段。
