Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Cinsiyet Tayininde Maksillar Sinüs Ölçümlerinin Kullanımı: Pilot Çalışma: Retrospektif Özgün Araştırma
Using Maxillary Sinus Measurements in Sex Determination: Pilot Study: Retrospective Original Research
Zehtiye Füsun YAŞARa , Eylem Gül ATEŞb , Tijen CANKURTARANc , Furkan ŞANa , İlay Nur KIRMAN BANDURa , Cemre KIRIMa , Barbaros Arman ÖZENd , Sena Berfin ENSARİd , Deniz AYKENTd , Beyza Banu BAYRAMd , Şevval DEMİRCİd , Ramazan ATALAYd
aBaşkent Üniversitesi Tıp Fakültesi, Adli Tıp ABD, Ankara, Türkiye
bOrta Doğu Teknik Üniversitesi, Kurumsal Veri Yönetimi Koordinatörlüğü, Ankara, Türkiye
cBaşkent Üniversitesi Tıp Fakültesi, Radyoloji ABD, Ankara, Türkiye
dBaşkent Üniversitesi Tıp Fakültesi, Ankara, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2023;20(3):173-81
doi: 10.5336/forensic.2023-96705
Article Language: TR
Full Text
ÖZET
Amaç: Çalışmamızın amacı, cinsiyet tayininde maksillar sinüs ölçümlerinin kullanılabilirliğini ve özellikle sadece sağlam kafa iskeletinin olduğu kalıntılarda maksillar sinüs ölçümleriyle yapılacak cinsiyet tayini çalışmalarında 'latent class analizi (LCA)' yönteminin güvenilirliğini tartışmaktır. Gereç ve Yöntemler: Çalışma evrenini, Başkent Üniversitesi Ankara Hastanesine 2021 yılında başvuran hastalardan paranazal bilgisayarlı tomografi çekilen, yaşları 20 ve üzeri olan, 40 kadın, 12 erkek oluşturmaktadır. Maksillar sinüslerden derinlik, genişlik ve yükseklik ölçümleri alındı. Sayısal değişkenlerin normal dağılıma uygunluğu Shapiro-Wilk normallik testi ile incelendi. Tanımlayıcı istatistik olarak normal dağılan değişkenler için ortalama±standart sapma, normal dağılmayanlar için medyan (minimum-maksimum) değerleri verildi. Ölçüm değişkenlerinin cinsiyete göre farklılıklarının incelenmesinde Student t-testi ve Mann-Whitney U testi kullanıldı. Maksillar sinüs ölçümlerinin cinsiyet tespitinde kullanılabilirliğini incelemek için LCA kullanıldı. Bulgular: Analizler kadın ve erkeklerdeki maksiller sinüs alan ve hacim ölçümleri arasında istatistiksel olarak anlamlı bir farklılık olduğunu gösterdi. Çalışmanın ikinci aşamasında; LCA ile cinsiyet kestirimi yapıldı. LCA ile cinsiyet kestirimi amacıyla, değişkenlerin farklı kombinasyonlarıyla modeller oluşturuldu ve bu modellerin doğru sınıflama oranları tabloda gösterildi (Tablo 4). Sonuç: LCA modelleri, örneklem genelinde cinsiyetleri doğru sınıflama konusunda başarılı olurken, cinsiyetler açısından değerlendirildiğinde aynı performansı gösteremedi. Bu nedenle LCA yönteminin, büyük ve cinsiyet gruplarının homojen dağıldığı örneklem gruplarında kullanımının daha uygun olacağı sonucuna varıldı.

Anahtar Kelimeler: Adli tıp; latent class analizi; maksillar sinüs; cinsiyet tayini
ABSTRACT
Objective: Our study aims to discuss the usability of maxillary sinus measurements in sex determination and the reliability of the 'latent class analysis (LCA)' method in sex determination studies to be performed with maxillary sinus measurements, especially in remains with only intact cranial skeleton. Material and Methods: The study population consists of paranasal sinus computed tomography images of 40 female and 12 male patients, aged 20 and over, who applied to Başkent University Ankara Hospital in 2021. Depth, width, and height measurements were taken from the maxillary sinuses. The distribution of the numerical variable was examined using the ShapiroWilk normality test. The mean±standard deviation for normally distributed variables and the median value (minimum-maximum) for non-normally distributed variables were given as descriptive statistics. Student's t-test and Mann-Whitney U test were used to analyze the differences in measurement variables according to gender. LCA was used to examine the usability of maxillary sinus measurements in sex determination. Results: Analyzes showed a statistically significant difference between both maxillary sinus area and volume measurements in males and females. For the purpose of sex estimation with LCA, models were constructed with different combinations of variables, and the correct classification rates of these models are given in the table. Conclusion: While LCA models correctly classify the sexes across the sample, they could not perform as well when analyzed in different sex groups. Therefore, it was concluded that the LCA method would be more appropriate to use in large sample groups with homogeneous distribution of gender groups.

Keywords: Forensic medicine; latent class analysis; maxillary sinus; sex determination
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