A comparative analysis of sphenoid and frontal sinuses using cone beam computed tomography for sex determination

Objectives: This study aimed to evaluate linear measurements of the frontal sinus (FS) and sphenoid sinus (SS) for sex identification on cone beam computed tomography (CBCT) images. Methods: A comparative CBCT analysis was conducted on 200 full field of view (FOV) scans taken as part of routine dent...

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Main Authors: Junaid Ahmed, Namrata, Nanditha Sujir, Nandita Shenoy, Srikant Natarajan, Archana Muralidharan, Ashwin C. Shetty
Format: Article
Language:English
Published: Elsevier 2024-07-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426824000794
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author Junaid Ahmed
Namrata
Nanditha Sujir
Nandita Shenoy
Srikant Natarajan
Archana Muralidharan
Ashwin C. Shetty
author_facet Junaid Ahmed
Namrata
Nanditha Sujir
Nandita Shenoy
Srikant Natarajan
Archana Muralidharan
Ashwin C. Shetty
author_sort Junaid Ahmed
collection DOAJ
description Objectives: This study aimed to evaluate linear measurements of the frontal sinus (FS) and sphenoid sinus (SS) for sex identification on cone beam computed tomography (CBCT) images. Methods: A comparative CBCT analysis was conducted on 200 full field of view (FOV) scans taken as part of routine dental investigations. Dimensions of the bilateral frontal and sphenoid sinuses were measured. Intra- and interobserver reliability were calculated. Independent t tests were used to compare the various parameters between sexes. Stepwise discriminant function analysis was used to determine sex. Additionally, the receiver operating characteristic (ROC) curve, area under the curve (AUC), sensitivity, and specificity were also determined. A p value < 0.05 was considered significant. Results: A total of 200 CBCT scans were included in the study. The mean age (±SD) among males was 25.66 (±7.11) and that among females was 24.64 (±5.12). The ROC curve revealed that the right length of the frontal sinus showed the greatest accuracy in sex identification in comparison to other linear measurements of the FS and SS. The results of our study indicated that the equation obtained from stepwise discriminant function analysis can aid in sex determination with an accuracy of 76.5 %. Conclusion: Our findings support the sexual dimorphism of linear measurements of FS and SS. There was an improvement in the accuracy of sex prediction when the linear measurements of FS and SS were considered in combination rather than in isolation. The derived equation can be an adjunctive tool for sex identification for the representative population.
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spelling doaj-art-624911ed93634fa5a6bd2b5e1a46be522025-01-24T04:45:04ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682024-07-01144478483A comparative analysis of sphenoid and frontal sinuses using cone beam computed tomography for sex determinationJunaid Ahmed0 Namrata1Nanditha Sujir2Nandita Shenoy3Srikant Natarajan4Archana Muralidharan5Ashwin C. Shetty6Department of Oral Medicine and Radiology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Oral Medicine and Radiology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Oral Medicine and Radiology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India; Corresponding author.Department of Oral Medicine and Radiology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Oral Pathology &amp; Microbiology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Oral Medicine and Radiology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, IndiaDepartment of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaObjectives: This study aimed to evaluate linear measurements of the frontal sinus (FS) and sphenoid sinus (SS) for sex identification on cone beam computed tomography (CBCT) images. Methods: A comparative CBCT analysis was conducted on 200 full field of view (FOV) scans taken as part of routine dental investigations. Dimensions of the bilateral frontal and sphenoid sinuses were measured. Intra- and interobserver reliability were calculated. Independent t tests were used to compare the various parameters between sexes. Stepwise discriminant function analysis was used to determine sex. Additionally, the receiver operating characteristic (ROC) curve, area under the curve (AUC), sensitivity, and specificity were also determined. A p value < 0.05 was considered significant. Results: A total of 200 CBCT scans were included in the study. The mean age (±SD) among males was 25.66 (±7.11) and that among females was 24.64 (±5.12). The ROC curve revealed that the right length of the frontal sinus showed the greatest accuracy in sex identification in comparison to other linear measurements of the FS and SS. The results of our study indicated that the equation obtained from stepwise discriminant function analysis can aid in sex determination with an accuracy of 76.5 %. Conclusion: Our findings support the sexual dimorphism of linear measurements of FS and SS. There was an improvement in the accuracy of sex prediction when the linear measurements of FS and SS were considered in combination rather than in isolation. The derived equation can be an adjunctive tool for sex identification for the representative population.http://www.sciencedirect.com/science/article/pii/S2212426824000794Cone beam computed tomographySinus frontalSinus sphenoidForensic radiology3D imagingAnalysis
spellingShingle Junaid Ahmed
Namrata
Nanditha Sujir
Nandita Shenoy
Srikant Natarajan
Archana Muralidharan
Ashwin C. Shetty
A comparative analysis of sphenoid and frontal sinuses using cone beam computed tomography for sex determination
Journal of Oral Biology and Craniofacial Research
Cone beam computed tomography
Sinus frontal
Sinus sphenoid
Forensic radiology
3D imaging
Analysis
title A comparative analysis of sphenoid and frontal sinuses using cone beam computed tomography for sex determination
title_full A comparative analysis of sphenoid and frontal sinuses using cone beam computed tomography for sex determination
title_fullStr A comparative analysis of sphenoid and frontal sinuses using cone beam computed tomography for sex determination
title_full_unstemmed A comparative analysis of sphenoid and frontal sinuses using cone beam computed tomography for sex determination
title_short A comparative analysis of sphenoid and frontal sinuses using cone beam computed tomography for sex determination
title_sort comparative analysis of sphenoid and frontal sinuses using cone beam computed tomography for sex determination
topic Cone beam computed tomography
Sinus frontal
Sinus sphenoid
Forensic radiology
3D imaging
Analysis
url http://www.sciencedirect.com/science/article/pii/S2212426824000794
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