Sex Estimation from Computed Tomography of Os Coxae—Validation of the Diagnose Sexuelle Probabiliste (DSP) Software in the Romanian Population

Abstract

This study aimed to evaluate the DSP method’s applicability to Romania’s contemporary population and to assess the accuracy and reliability of variables derived from CT images. A total of 80 pelvic CT scans were analyzed. Participants ranged from 22 to 93 years, with a mean age of 59.51 ± 22.7 years. All variables measured from the CT scans were analyzed using DSP software. The study found that sex estimation was possible in 71.25% of cases overall, with varying rates between males (57.50%) and females (85%). Despite encountering undetermined specimens comprising 42.5% males and 15% females, only one misclassification occurred. Regarding accuracy, the overall rate remained notably high at 98.24%. All female specimens that could be estimated were correctly classified (100% accuracy), while for males, the accuracy rate was 95.65%. Undetermined cases were noted to potentially impact the accuracy of sex classification, underscoring the critical role of precision in forensic contexts. In conclusion, the study highlights the importance of accuracy in forensic sex estimation. It emphasizes the confidence with which DSP software can be utilized, if not the only method, at least as a preliminary or adjuvantly accurate technique for sex estimation in forensic anthropology.