open access

Vol 82, No 3 (2023)
Original article
Submitted: 2022-03-24
Accepted: 2022-05-11
Published online: 2022-05-20
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Sex prediction with morphometric measurements of first and fifth metatarsal and phalanx obtained from X-ray images by using machine learning algorithms

D. Senol1, F. Bodur1, Y. Secgın2, R. S. Bakıcı2, N. E. Sahin2, S. Toy2, S. Öner3, Z. Oner4
·
Pubmed: 35607870
·
Folia Morphol 2023;82(3):704-711.
Affiliations
  1. Department of Anatomy, Faculty of Medicine, Düzce University, Düzce, Turkey
  2. Department of Anatomy, Faculty of Medicine, Karabük University, Karabük, Turkey
  3. Department of Radiology, Faculty of Medicine, İzmir Bakırçay University, İzmir, Turkey
  4. Department of Anatomy, Faculty of Medicine, İzmir Bakırçay University, İzmir, Turkey

open access

Vol 82, No 3 (2023)
ORIGINAL ARTICLES
Submitted: 2022-03-24
Accepted: 2022-05-11
Published online: 2022-05-20

Abstract

Background: The aim of this study is to predict sex with machine learning (ML)
algorithms by making morphometric measurements on radiological images of the
first and fifth metatarsal and phalanx bones.
Materials and methods: In this study, radiologic images of 263 individuals (135
female, 128 male) between the ages of 27 and 60 were analysed retrospectively.
The images in digital imaging and communications in medicine (DICOM) format
were transferred to personal workstation Radiant DICOM Viewer programme.
Length and width measurements of the first and fifth metatarsal and foot phalanx
bones were performed on the transferred images. In addition, the ratios of the
total length of the first proximal and distal phalanx and length of the first metatarsal
and total length of fifth proximal, middle, and distal phalanx and maximum
length of fifth metatarsal were calculated.
Results: As a result of machine learning algorithms, highest accuracy, specificity,
sensitivity, and Matthews correlation coefficient values were found as 0.85, 0.86,
0.85, and 0.71, respectively with decision tree algorithm. It was found that accuracy
rates of other algorithms varied between 0.74 and 0.83.
Conclusions: As a result of our study, it was found that sex estimation was made
with high accuracy rate by using machine learning algorithms on X-ray images
of the first and fifth metatarsal and foot phalanx. We think that in cases when
pelvis, cranium and long bones are harmed and examination is difficult, bones
of the first and fifth metatarsal and foot phalanx can be used for sex estimation.

Abstract

Background: The aim of this study is to predict sex with machine learning (ML)
algorithms by making morphometric measurements on radiological images of the
first and fifth metatarsal and phalanx bones.
Materials and methods: In this study, radiologic images of 263 individuals (135
female, 128 male) between the ages of 27 and 60 were analysed retrospectively.
The images in digital imaging and communications in medicine (DICOM) format
were transferred to personal workstation Radiant DICOM Viewer programme.
Length and width measurements of the first and fifth metatarsal and foot phalanx
bones were performed on the transferred images. In addition, the ratios of the
total length of the first proximal and distal phalanx and length of the first metatarsal
and total length of fifth proximal, middle, and distal phalanx and maximum
length of fifth metatarsal were calculated.
Results: As a result of machine learning algorithms, highest accuracy, specificity,
sensitivity, and Matthews correlation coefficient values were found as 0.85, 0.86,
0.85, and 0.71, respectively with decision tree algorithm. It was found that accuracy
rates of other algorithms varied between 0.74 and 0.83.
Conclusions: As a result of our study, it was found that sex estimation was made
with high accuracy rate by using machine learning algorithms on X-ray images
of the first and fifth metatarsal and foot phalanx. We think that in cases when
pelvis, cranium and long bones are harmed and examination is difficult, bones
of the first and fifth metatarsal and foot phalanx can be used for sex estimation.

Get Citation

Keywords

decision tree, machine learning algorithms, metatarsus, phalanx, radiography, sex prediction, X-ray

About this article
Title

Sex prediction with morphometric measurements of first and fifth metatarsal and phalanx obtained from X-ray images by using machine learning algorithms

Journal

Folia Morphologica

Issue

Vol 82, No 3 (2023)

Article type

Original article

Pages

704-711

Published online

2022-05-20

Page views

1296

Article views/downloads

866

DOI

10.5603/FM.a2022.0052

Pubmed

35607870

Bibliographic record

Folia Morphol 2023;82(3):704-711.

Keywords

decision tree
machine learning algorithms
metatarsus
phalanx
radiography
sex prediction
X-ray

Authors

D. Senol
F. Bodur
Y. Secgın
R. S. Bakıcı
N. E. Sahin
S. Toy
S. Öner
Z. Oner

References (38)
  1. Akhlaghi M, Bakhtavar K, Bakhshandeh H, et al. Sex determination based on radiographic examination of metatarsal bones in Iranian population. Int J Med Toxicol Forensic Med. 2017; 7(4): 203–208.
  2. Ariu D, Giacinto G, Roli F. Machine learning in computer forensics (and the lessons learned from machine learning in computer security). Proceedings of the 4th ACM workshop on Security and artificial intelligence. 2011.
  3. Awais M, Naeem F, Rasool N, et al. Identification of sex from footprint dimensions using machine learning: a study on population of Punjab in Pakistan. Egypt J Forensic Sci. 2018; 8(1): 72.
  4. Best KC, Garvin HM, Cabo LL. An investigation into the relationship between human cranial and pelvic sexual dimorphism. J Forensic Sci. 2018; 63(4): 990–1000.
  5. Bhardwaj R, Nambiar A, Dutta D. A study of machine learning in healthcare. 2017 IEEE 41st Annual Computer Software and Applications Conference (COMPSAC). 2017; 2: 236–241.
  6. Bidmos MA, Adebesin AA, Mazengenya P, et al. Estimation of sex from metatarsals using discriminant function and logistic regression analyses. Australian J Forensic Sci. 2020; 53(5): 543–556.
  7. Case DT, Ross AH. Sex determination from hand and foot bone lengths. J Forensic Sci. 2007; 52(2): 264–270.
  8. Colman KL, Janssen MCL, Stull KE, et al. Dutch population specific sex estimation formulae using the proximal femur. Forensic Sci Int. 2018; 286: 268.e1–268.e8.
  9. Cordeiro C, Muñoz-Barús JI, Wasterlain S, et al. Predicting adult stature from metatarsal length in a Portuguese population. Forensic Sci Int. 2009; 193(1-3): 131.e1–131.e4.
  10. Domínguez-Maldonado G, Munuera-Martinez PV, Castillo-López JM, et al. Normal values of metatarsal parabola arch in male and female feet. Sci World J. 2014; 2014: 505736.
  11. Eshak GA, Ahmed HM, Abdel Gawad EAM. Gender determination from hand bones length and volume using multidetector computed tomography: a study in Egyptian people. J Forensic Leg Med. 2011; 18(6): 246–252.
  12. Fasemore MD, Bidmos MA, Mokoena P, et al. Dimensions around the nutrient foramina of the tibia and fibula in the estimation of sex. Forensic Sci Int. 2018; 287: 222.e1–222.e7.
  13. Funayama M, Aoki Y, Kudo T, et al. Sex determination of the human skull based upon line drawing from roentgen cephalograms. Tohoku J Exp Med. 1986; 149(4): 407–416.
  14. Giurazza F, Schena E, Del Vescovo R, et al. Sex determination from scapular length measurements by CT scans images in a Caucasian population. Annu Int Conf IEEE Eng Med Biol Soc. 2013; 2013: 1632–1635.
  15. Iscan MY, Steyn M. The human skeleton in forensic medicine. Charles C Thomas Publisher, Springfield, IL 2013.
  16. Issa S, Khanfour A, Kharoshah M. A model for stature estimation and sex prediction using percutaneous ulnar and radial lengths in autopsied adult Egyptians. Egypt J Forensic Sci. 2016; 6(2): 84–89.
  17. Kanchan T, Krishan K, Sharma A, et al. A study of correlation of hand and foot dimensions for personal identification in mass disasters. Forensic Sci Int. 2010; 199(1-3): 112.e1–112.e6.
  18. Karslı ÖB. Makine Öğrenme Algoritmaları ile Karaciğer Hastalığının Teşhisi. Turkish Studies-Information Technologies and Applied Sciences. 2020; 15(1): 75–83.
  19. Khan MA, Gul H, Mansor Nizami S. Determination of gender from various measurements of the humerus. Cureus. 2020; 12(1): e6598.
  20. Kim W, Kim YM, Yun MH. Estimation of stature from hand and foot dimensions in a Korean population. J Forensic Leg Med. 2018; 55: 87–92.
  21. Krems RV. Bayesian machine learning for quantum molecular dynamics. Phys Chem Chem Phys. 2019; 21(25): 13392–13410.
  22. Krishan K. Determination of stature from foot and its segments in a north Indian population. Am J Forensic Med Pathol. 2008; 29(4): 297–303.
  23. Lee YC, Wang MJ. Taiwanese adult foot shape classification using 3D scanning data. Ergonomics. 2015; 58(3): 513–523.
  24. MacLaughlin SM, Oldale KN. Vertebral body diameters and sex prediction. Ann Hum Biol. 1992; 19(3): 285–292.
  25. Moneim WMA, Hady RHA, Maaboud RMA, et al. Identification of sex depending on radiological examination of foot and patella. Am J Forensic Med Pathol. 2008; 29(2): 136–140.
  26. Mountrakis C, Eliopoulos C, Koilias CG, et al. Sex determination using metatarsal osteometrics from the Athens collection. Forensic Sci Int. 2010; 200(1-3): 178.e1–178.e7.
  27. Oner S, Turan M, Oner Z. Estimation of gender by using decision tree, a machine learning algorithm, with patellar measurements obtained from MDCT images. Med Rec. 2021; 3(1): 1–9.
  28. Oner Z, Turan MK, Oner S, et al. Sex estimation using sternum part lenghts by means of artificial neural networks. Forensic Sci Int. 2019; 301: 6–11.
  29. Ozden H, Balci Y, Demirüstü C, et al. Stature and sex estimate using foot and shoe dimensions. Forensic Sci Int. 2005; 147(2-3): 181–184.
  30. Pedregosa F, Varoquaux G, Gramfort A, et al. Scikit-learn: machine learning in python. J Mach Learn Res. 2011; 12: 2825–2830.
  31. Pellico LG, Camacho FF. Biometry of the anterior border of the human hip bone: normal values and their use in sex determination. J Anat. 1992; 181(Pt 3): 417.
  32. Robling AG, Ubelaker DH. Sex estimation from the metatarsals. J Forensic Sci. 1997; 42(6): 1062–1069.
  33. Rogers TL. Determining the sex of human remains through cranial morphology. J Forensic Sci. 2005; 50(3): 1–8.
  34. Secgin Y, Oner Z, Turan M, et al. Gender prediction with parameters obtained from pelvis computed tomography images and decision tree algorithm. Med Sci | Int Med J. 2021; 10(2): 356–361.
  35. Spradley MK, Jantz RL. Sex estimation in forensic anthropology: skull versus postcranial elements. J Forensic Sci. 2011; 56(2): 289–296.
  36. Torres G, Garmendia AM, Sánchez-Mejorada G, et al. Estimation of gender from metacarpals and metatarsals in a Mexican population. Span J Leg Med. 2020; 46(1): 12–19.
  37. Toy S, Secgin Y, Oner Z, et al. A study on sex estimation by using machine learning algorithms with parameters obtained from computerized tomography images of the cranium. Sci Rep. 2022; 12(1): 4278.
  38. Turan MK, Oner Z, Secgin Y, et al. A trial on artificial neural networks in predicting sex through bone length measurements on the first and fifth phalanges and metatarsals. Comput Biol Med. 2019; 115: 103490.

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