Evidence map›Paper›PMID 41136625›Full record

ArticleInternational journal of legal medicine2026

Interpretable machine learning for individualized sex estimation from long bones.

Siam Knecht, Paolo Morandini, Lucie Biehler-Gomez, Yann Ardagna, Marie Perrin, Cristina Cattaneo, Christophe Roman, Pascal Adalian

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Article in International journal of legal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Siam KnechtAix Marseille Univ, CNRS, EFS, ADES, Marseille, France. siam.knecht@univ-amu.fr.ORCID http://orcid.org/0009-0007-8350-3904
Paolo MorandiniLABANOF (Laboratorio di Antropologia e Odontologia Forense), Department of Biomedical Science for Health, University of Milan, Via Mangiagalli 37, Milan, 20133, Italy.
Lucie Biehler-GomezLABANOF (Laboratorio di Antropologia e Odontologia Forense), Department of Biomedical Science for Health, University of Milan, Via Mangiagalli 37, Milan, 20133, Italy.
Yann ArdagnaAix Marseille Univ, CNRS, EFS, ADES, Marseille, France.
Marie PerrinAix Marseille Univ, CNRS, EFS, ADES, Marseille, France.
Cristina CattaneoLABANOF (Laboratorio di Antropologia e Odontologia Forense), Department of Biomedical Science for Health, University of Milan, Via Mangiagalli 37, Milan, 20133, Italy.
Christophe RomanLIS UMR 7020 CNRS, Aix Marseille Université, Marseille, France.
Pascal AdalianAix Marseille Univ, CNRS, EFS, ADES, Marseille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sex estimation is an essential task in forensic anthropology. It is not only crucial for the identification of individuals from skeletal remains, but it is also essential for improving the reliability of other methods of biological profile estimation, such as age and stature, some of which perform better when sex is taken into account. This study investigates the application of machine learning (ML) techniques to sex estimation, with a particular focus on interpretability to address the "black box" challenge inherent in AI models. Using a diverse dataset of long bone measurements from 2,969 individuals, 12 different ML algorithms were evaluated. Missing data were handled using iterative regression imputation, though challenges arising from incomplete datasets underscored the need for improved data handling strategies. Linear Discriminant Analysis (LDA) emerged as the most accurate approach, achieving 95.2% accuracy. A key feature of this study is the integration of SHapley Additive exPlanations (SHAP) values, which provide individualized insights into the factors influencing each prediction. This interpretability framework ensures transparency and addresses legal and scientific concerns about the admissibility of AI-generated evidence in court. Indeed, misclassifications possibilities highlight the importance of clear, understandable models in forensic applications. The study emphasizes the significance of individualized prediction, illustrated by the probability of male or female classification for each individual, as well as the impact of missing values on prediction accuracy. This research demonstrates that ML models can effectively balance accuracy with interpretability, offering personalized, actionable insights for forensic investigations. It paves the way for AI-driven methods that meet both scientific rigor and legal standards, transforming sex estimation in forensic science by providing individualized, defensible evidence suitable for court.

Indexed as

Machine LearningSex Determination by SkeletonAdolescentAdultAgedAlgorithmsDiscriminant AnalysisFemaleForensic AnthropologyHumansMaleMiddle AgedYoung AdultForensic anthropologyLong bonesMachine learningSex estimationSexual dimorphism

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.