Hyoid bone-based sex discrimination among Egyptians using a multidetector computed tomography: discriminant function analysis, meta-analysis, and artificial intelligence-assisted study.

Journal: Scientific reports
PMID:

Abstract

The hyoid bone has been identified as sexually dimorphic in various populations. The current study is a forerunner analysis that used three-dimensional multidetector computed tomography (3D MDCT) images of the hyoid bone to examine sexual dimorphism in the Egyptian population. A total of 300 subjects underwent neck CT imaging, with an additional 60 subjects randomly selected for model validation. Ten hyoid variables were measured. Initially, the dataset was subjected to discriminant analysis to predict sex and the critical variables associated with sexual dimorphism. Subsequently, machine learning approaches were employed to enhance the accuracy of sex determination. The results indicated that all measured dimensions of the hyoid bone were substantially larger in males confront to females. Discriminant functions combining four measurements (major and minor axes of the hyoid body, the distance between the lesser horns, and hyoid bone length) achieved a higher accuracy of sex prediction compared to univariate functions. The accuracies of machine learning models ranged from 0.8667 to 0.933 with precision, recall, and F1-scores also showing improvements. These findings underscore the robustness and reliability of hyoid bone in sex discrimination among Egyptians, supported by both traditional statistical methods and machine learning approaches, and could prove invaluable in forensic cases.

Authors

  • Afaf Abdelkader
    Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Benha University, Benha, 13518, Egypt. afaf.abdelkader@fmed.bu.edu.eg.
  • Susan A Ali
    Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University, Cairo, 11591, Egypt.
  • Ahmed Abdeen
    Department of Forensic Medicine and Toxicology, Faculty of Veterinary Medicine, Benha University, Toukh, Egypt.
  • Ehab S Taher
    Department of Basic and Clinical Medical Sciences, Faculty of Dentistry, Zarqa University, Zarqa, 13110, Jordan.
  • Asmaa Y A Hussein
    Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Benha University, Benha, 13518, Egypt.
  • Mamdouh Eldesoqui
    Department of Basic Medical Sciences, College of Medicine, AlMaarefa University, Riyadh, Saudi Arabia.
  • Mohamed Abdo
    Department of Animal Histology and Anatomy, School of Veterinary Medicine, Badr University in Cairo (BUC), Badr City, 32897, Egypt.
  • Liana Fericean
    Department of Biology and Plant Protection, Faculty of Agriculture, University of Life Sciences "King Michael I" from Timișoara, Calea Aradului 119, CUI 3487181, Timisoara, Romania.
  • Bănăţean-Dunea Ioan
    Department of Biology and Plant Protection, Faculty of Agriculture, University of Life Sciences "King Michael I" from Timișoara, Calea Aradului 119, CUI 3487181, Timisoara, Romania. ioan_banatean@usvt.ro.
  • Samah F Ibrahim
    Department of Internal Medicine, College of Medicine, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh, 11671, Saudi Arabia.
  • Ashraf M Said
    Biomedical Engineering Program, Department of Electrical Engineering, Benha University, Benha, 13518, Egypt.
  • Darine Amin
    Department of Biological Anthropology, Medical Research and Clinical Studies Institute, National Research Center, Giza, 12622, Egypt.
  • Elturabi E Ebrahim
    Department of Medical-Surgical Nursing, College of Nursing, Prince Sattam bin Abdulaziz University, Al-Kharj, 11942, Saudi Arabia.
  • Amany M Allam
    Department of Anatomy and Embryology, Faculty of Medicine, Benha University, Benha, 13518, Egypt.
  • Mihaela Ostan
    Department of Biology, University of Life Sciences "King Michael I" from Timisoara, Calea Aradului, Timisoara, Romania.
  • Khaled A Bayoumi
    Department of Pathology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
  • Tabinda Hasan
    Department of Anatomy, College of Medicine, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh, 11671, Saudi Arabia.
  • Ekramy M Elmorsy
    Center for Health Research, Northern Border University, Arar, 91431, Saudi Arabia.