Use of Lateral Teleradiography in Sex Estimation for Forensic Purposes: a Systematic Review.

IF 1.8 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Acta Stomatologica Croatica Pub Date : 2025-09-01 DOI:10.15644/asc59/3/7

Isabela Dos Santos Moreira, Ana Elisa Martins Parreira Chaves, Paulo Henrique Viana Pinto, Ricardo Henrique Alves da Silva

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引用次数: 0

Abstract

Background: Methods that use lateral teleradiography for sex estimation need to be discussed considering their feasibility and applicability in forensic cases.

Purpose: The aim of this study was to conduct a systematic review about the use of lateral teleradiography for sex estimation in adults.

Methods: A search was conducted on Embase, PubMed/MEDLINE, Scopus, Lilacs, Scielo, and Web of Science databases. The search results were exported to Rayyan (https://www.rayyan.ai/). Subsequently, two independent reviewers applied eligibility criteria to select studies related to the topic, resulting in nine studies. Regarding the risk of bias, the checklist recommended by The Joanna Briggs Institute was applied. The risk of bias in all selected studies was considered low.

Results: However, a meta-analysis could not be performed, as there was no standardization in the way the data were presented. Regarding the included studies, it was noted that the samples came from six countries and that the studies presented methodological discrepancies regarding the measurements used in the analyses. As a result, the accuracy rates varied from 56.3% to 99.0%.

Conclusion: It is concluded that lateral cephalometric radiography can support sex estimation in adults, especially in settings with limited resources. However, due to variations in measurement methods and landmarks across studies, future research should adopt standardized and more rigorous methodologies to strengthen its scientific validity.

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侧位放射学在法医性别鉴定中的应用：系统综述。

背景：考虑到其在法医案件中的可行性和适用性，需要讨论使用侧位放射成像进行性别估计的方法。目的：本研究的目的是对成人使用侧位放射成像进行性别估计进行系统回顾。方法：检索Embase、PubMed/MEDLINE、Scopus、Lilacs、Scielo和Web of Science数据库。搜索结果导出到Rayyan （https://www.rayyan.ai/）。随后，两名独立的审稿人应用资格标准选择与该主题相关的研究，最终获得9项研究。关于偏倚风险，采用了the Joanna Briggs Institute推荐的检查表。所有入选研究的偏倚风险均被认为较低。结果：然而，由于数据呈现方式没有标准化，因此无法进行荟萃分析。关于纳入的研究，有人指出，样本来自六个国家，这些研究在分析中使用的测量方法上存在差异。结果，准确率从56.3%到99.0%不等。结论：侧位头颅x线摄影可以支持成人的性别估计，特别是在资源有限的情况下。然而，由于不同研究的测量方法和里程碑存在差异，未来的研究应采用标准化和更严格的方法，以加强其科学有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Stomatologica Croatica DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.40

自引率

28.60%

发文量

审稿时长

12 weeks

期刊介绍： The Acta Stomatologica Croatica (ASCRO) is a leading scientific non-profit journal in the field of dental, oral and cranio-facial sciences during the past 44 years in Croatia. ASCRO publishes original scientific and clinical papers, preliminary communications, case reports, book reviews, letters to the editor and news. Review articles are published by invitation from the Editor-in-Chief by acclaimed professionals in distinct fields of dental medicine. All manuscripts are subjected to peer review process.