Sex estimation from foramen magnum parameters in adult Turkish population: A computed tomography study

Meral O., Toklu B. B., Meydan R., KAYA A., KARADAYI B., Acar T.

LEGAL MEDICINE, vol.47, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 47
  • Publication Date: 2020
  • Doi Number: 10.1016/j.legalmed.2020.101775
  • Journal Name: LEGAL MEDICINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CINAHL, Criminal Justice Abstracts, EMBASE, MEDLINE
  • Istanbul University Affiliated: No


Identification of skeletal relics is crucial for medicolegal purposes. Sex estimation is one of the critical parts providing the identification of skeletal relics. In forensic practice, sex estimation requires multidisciplinary studies of such as forensic medicine, anatomy, dentistry and radiology. Recently, radiological studies on this subject have been increasing with the developing technology. The objective of this study is to examine the usage of radiological dimensions of foramen magnum for sex estimation in human skulls by developing discriminant functions in Turkish population. We analyzed 600 (300 males and 300 females) Computerized Tomography (CT) images of Turkish individuals aged between 21 and 50. Four measurements were obtained from CT images. All measurements in males were significantly greater than in females, and they provided the higher sex classification accuracy. The area of the foramen magnum calculated by Radinsky's formula was the best measurement for sex estimation with a 75% accuracy rate. In conclusion, the CT images of foramen magnum show sexual dimorphism in our population. To use population specific data would be the most appropriate approach for sex estimation.