Evaluation of standards for sex estimation using measurements obtained from reconstructed computed tomography images of the femur of contemporary Black South Africans.

Dimensions of the pelvic and skull bones are known to be sexually dimorphic in various population groups. The recovery of these bones is potentially beneficial in estimating the sex in forensic cases. Since both bones are not always available for forensic analysis, standards for sex estimation must be established for other bones of the postcranial skeleton. Previous studies have reported that postcranial skeletal elements (e.g. femur) perform like the pelvis and better than the cranium in sex estimation. Thus, this study explored the potential of CT-derived femoral measurements in sex estimation in a South African population. The sample consisted of 280 contemporary Black South Africans (50% sex ratio) whose scan reports are stored in the Radiology Department of Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa. The Xiris and IntelliSpace software was used to reconstruct the images into 3D formats from which measurements were taken. Previously derived sex estimation equations of the femur were tested using data from the current study and these equations presented low average classification accuracies. Using discriminant function and logistic regression analyses, new sex estimation equations were formulated, and these new equations yielded average sex estimation classification accuracies of between 82.5 and 91.4% (by multivariable logistic regression) and 79.3-84.3% (by multivariable discriminant function). The results indicate that population-specific femoral measurements obtained by CT are more reliable than those obtained by direct osteometry and that the femur has a high sexual dimorphism with relevant forensic applications.