The Credibility of Cephalogram Parameters in Gender Identification From Medico-Legal Relevance Among the Iranian Populatio

Background: Normal cephalogram parameters seem to be gender discriminative and thus applicable in forensic medicine. We assessed validity of cephalogram parameters in gender identification among the Iranian population. Methods: This cross-sectional study was conducted on 75 Iranian men and 75 Ira...

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Main Authors: Azadeh Memarian, Seyed Reza Saadat Mostafavi, Elham Zarei, Shayesteh Ashrafi Esfahani, Behjat Ghorbanzadeh
Format: Article
Language:English
Published: Shaheed Beheshti University of Medical Sciences 2019-01-01
Series:International Journal of Medical Toxicology and Forensic Medicine
Subjects:
Online Access:https://journals.sbmu.ac.ir/ijmtfm/article/view/23016/pdf_1
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author Azadeh Memarian
Seyed Reza Saadat Mostafavi
Elham Zarei
Shayesteh Ashrafi Esfahani
Behjat Ghorbanzadeh
author_facet Azadeh Memarian
Seyed Reza Saadat Mostafavi
Elham Zarei
Shayesteh Ashrafi Esfahani
Behjat Ghorbanzadeh
author_sort Azadeh Memarian
collection DOAJ
description Background: Normal cephalogram parameters seem to be gender discriminative and thus applicable in forensic medicine. We assessed validity of cephalogram parameters in gender identification among the Iranian population. Methods: This cross-sectional study was conducted on 75 Iranian men and 75 Iranian women aged 25 to 54 years. On their first admission, the physicians requested for simple lateral skull X-ray for all participants. Results: Using area under the ROC curve, gonion-gonion index (AUC=0.741) and vertexmention index (AUC=0.697) had a moderate value to discriminate male from female gender, while other parameters lacked enough power to differentiate gender. The best cut-off point in gonion-gonion index for discriminating male from female gender was 103.75 with a sensitivity of 74.7% and a specificity of 65.3%. Also, the best cut-off value for vertex-mention index to differentiate two genders was 244.75 with a sensitivity of 74.7% and a specificity of 62.7%. By considering two parameters of gonion-gonion and vertex-mention, it is possible to differentiate males from females with a sensitivity of 82.6% and a specificity of 71.8%. Conclusion: The two gonion-gonion and vertex-mention indices on cephalogram are applicable for gender discrimination.
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spelling doaj.art-5b7d30f40b424a829c6e13c64e6936bb2022-12-21T19:19:55ZengShaheed Beheshti University of Medical SciencesInternational Journal of Medical Toxicology and Forensic Medicine2251-87622251-87702019-01-0191111610.22037/ijmtfm.v9i1(Winter).23016The Credibility of Cephalogram Parameters in Gender Identification From Medico-Legal Relevance Among the Iranian PopulatioAzadeh Memarian0https://orcid.org/0000-0002-6872-1870Seyed Reza Saadat Mostafavi1https://orcid.org/0000-0002-8217-5191Elham Zarei2https://orcid.org/0000-0002-2130-405XShayesteh Ashrafi Esfahani3https://orcid.org/0000-0002-6919-5155Behjat Ghorbanzadeh4https://orcid.org/0000-0002-1991-9944Department of Forensic Legal Medicine, Hazrat Rasul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.Department of Forensic Legal Medicine, Hazrat Rasul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.Department of Forensic Legal Medicine, Hazrat Rasul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.Background: Normal cephalogram parameters seem to be gender discriminative and thus applicable in forensic medicine. We assessed validity of cephalogram parameters in gender identification among the Iranian population. Methods: This cross-sectional study was conducted on 75 Iranian men and 75 Iranian women aged 25 to 54 years. On their first admission, the physicians requested for simple lateral skull X-ray for all participants. Results: Using area under the ROC curve, gonion-gonion index (AUC=0.741) and vertexmention index (AUC=0.697) had a moderate value to discriminate male from female gender, while other parameters lacked enough power to differentiate gender. The best cut-off point in gonion-gonion index for discriminating male from female gender was 103.75 with a sensitivity of 74.7% and a specificity of 65.3%. Also, the best cut-off value for vertex-mention index to differentiate two genders was 244.75 with a sensitivity of 74.7% and a specificity of 62.7%. By considering two parameters of gonion-gonion and vertex-mention, it is possible to differentiate males from females with a sensitivity of 82.6% and a specificity of 71.8%. Conclusion: The two gonion-gonion and vertex-mention indices on cephalogram are applicable for gender discrimination.https://journals.sbmu.ac.ir/ijmtfm/article/view/23016/pdf_1cephalogramgenderlegal medicine
spellingShingle Azadeh Memarian
Seyed Reza Saadat Mostafavi
Elham Zarei
Shayesteh Ashrafi Esfahani
Behjat Ghorbanzadeh
The Credibility of Cephalogram Parameters in Gender Identification From Medico-Legal Relevance Among the Iranian Populatio
International Journal of Medical Toxicology and Forensic Medicine
cephalogram
gender
legal medicine
title The Credibility of Cephalogram Parameters in Gender Identification From Medico-Legal Relevance Among the Iranian Populatio
title_full The Credibility of Cephalogram Parameters in Gender Identification From Medico-Legal Relevance Among the Iranian Populatio
title_fullStr The Credibility of Cephalogram Parameters in Gender Identification From Medico-Legal Relevance Among the Iranian Populatio
title_full_unstemmed The Credibility of Cephalogram Parameters in Gender Identification From Medico-Legal Relevance Among the Iranian Populatio
title_short The Credibility of Cephalogram Parameters in Gender Identification From Medico-Legal Relevance Among the Iranian Populatio
title_sort credibility of cephalogram parameters in gender identification from medico legal relevance among the iranian populatio
topic cephalogram
gender
legal medicine
url https://journals.sbmu.ac.ir/ijmtfm/article/view/23016/pdf_1
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