ISSN: 2074-8132
ISSN: 2074-8132
En Ru
Modern Methods of Sex Estimation from Human Postcranial Bones. A Critical Review

Modern Methods of Sex Estimation from Human Postcranial Bones. A Critical Review

Recieved: 12/02/2025

Accepted: 12/09/2025

Published: 02/18/2026

Keywords: sex estimation; postcranial skeleton; osteometry; sexual dimorphism; machine learning

Available online: 13.02.2026

To cite this article

Kolyasnikova Anna S. Modern Methods of Sex Estimation from Human Postcranial Bones. A Critical Review. // Lomonosov Journal of Anthropology 2026. Issue 1. 104-111 https://doi.org/10.55959/MSU2074-8132-26-1-8.

This work is licensed under a Creative Commons: Attribution 4.0 International (CC BY 4.0). (CC BY 4.0). (https://creativecommons.org/licenses/by/4.0/deed.ru)
Issue 1, 2026

Abstract

Introduction. Sex determination of individuals fr om postcranial skeletal bones is a significant task in paleoanthropology and forensic medicine, particularly when skull and pelvic bones are fragmented or absent. The traditional osteometric approach, based on sexual dimorphism in size characteristics, requires consideration of population specificity and is continuously being refined. The aim of this review is to systematize and analyze modern methods for sex determination based on osteometric data from postcranial skeletal bones.

Materials and Methods. This review analyzes contemporary scientific publications dedicated to methods of sex determination from the postcranial skeleton. Three main methodological approaches are considered: methods based on univariate statistics (analysis of individual metric traits), methods of multivariate statistics (discriminant analysis, logistic regression), as well as modern technologies, including the use of computed tomography (CT) data for 3D reconstructions and the application of machine learning algorithms (specifically, deep learning) for bone image analysis.

Results and discussion. Univariate methods retain practical value due to their simplicity of application and suitability for working with fragmented material, although their accuracy is typically lower than that of multivariate methods. Multivariate statistical models, which account for a complex of interrelated traits, ensure higher accuracy in sex determination. A key factor influencing the reliability of any method is its population specificity—applying models developed for one population to another leads to a significant reduction in accuracy. The integration of CT data and artificial intelligence methods opens new prospects for automation, increased objectivity, and the discovery of new diagnostic features.

Conclusion. Modern methods for sex determination from the postcranial skeleton constitute an evolving toolkit, wh ere traditional univariate approaches are effectively complemented by complex multivariate models and innovative technologies. To ensure high result reliability, the development and validation of population-specific standards are necessary. The future of the field is linked to the further integration of 3D visualization and machine learning methods, which will enhance the accuracy, speed, and objectivity of expert identification.

Acknowledgements. The study was conducted under the state assignment of Lomonosov Moscow State University.

References

Chandrakanth H.V., Kanchan T., Krishan K., Arun M., Kumar G.N. Estimation of age from human sternum: an autopsy study on a sample from South India. Int. J. Legal Med., 2012, 126 (6), pp. 863–868.

Ekizoglu O., Hocaoglu E., Inci E., Karaman G., Garcia-Donas J. et al. Virtual morphometric method using seven cervical vertebrae for sex estimation on the Turkish population. Int. J. Legal Med., 2021, 135 (5), pp. 1953–1964. https://doi.org/10.1007/s00414-021-02510-5

Garoufi N., Bertsatos A., Chovalopoulou M.E., Vlachodimitropoulos D., Villa Ch. Forensic sex estimation using the vertebrae: an evaluation on two European populations. Int. J. Legal Med., 2020, 134, pp. 2307–2318. https://doi.org/ 10.1007/s00414-020-02430-w

He K., Zhang X., Ren S., Sun J. Deep residual learning for image recognition. In: IEEE Conference on Computer Vision and Pattern Recognition (CVPR), 2016, pp. 770–778.

Iskan M.Y., Miller-Shaivitz P. Determination of sex from the tibia. Am. J. Phys. Anthropol., 1984, 63, pp. 54–57.

Jeong Y. H., Koo H. N., Kim Y. S., Lee B., Kim S., Shim Y. Using 3D images of Korean's mastoid process to estimate sex: A metric study. Forensic Imaging, 2022, 31, 200527.

Khan M., Gul H., Mansor Nizami S. Determination of Gender from Various Measurements of the Humerus. Cureus, 2020, 12 (1), e6598. https://doi.org/10.7759/cureus.6598

Kim D.I., Lee U.Y., Park S.O., Kwak D.S., Han S.H. Identification using frontal sinus by three-dimensional reconstruction from computed tomography. J. Forensic Sci., 2013, 58 (1), pp. 5–12.

Martos R., Ibáñez O., Mesejo P. Artificial intelligence in forensic anthropology: State of the art and Skeleton-ID project. Methodological and Technological Advances in Death Investigations, 2024, 83–153.

Pashkova V.I. Essays on Forensic Osteology. Determination of Sex, Age and Height from Human Skeletal Bones. Moscow, Medgiz Publ., 1963,156 p. (In Russ.).

Peleg S., Pelleg Kallevag R., Dar G., Steinberg N., Masharawi Y., et al. New methods for sex estimation using sternum and rib morphology. Int. J. Legal Med., 2020, 134, pp. 1519–1530. https://doi.org/10.1007/s00414-020-02266-4

Santarelli C., Argenti F., Uccheddu F., Alparone L., Carfagni M. Volumetric interpolation of tomographic sequences for accurate 3D reconstruction of anatomical parts. Comput. Methods Programs Biomed., 2020, 194, 105525. https://doi.org/10.1016/j.cmpb.2020.105525

Selvaraju R.R., Cogswell M., Das A., Vedantam R., Parikh D. et al. Grad-cam: visual explanations from deep networks via gradient-based localization. In: IEEE International Conference on Computer Vision (ICCV), 2017, pp. 618–626.

Shim Y.T., Kim W.K., Hyun J.Y., Choi S. et al. Sex estimation using humerus volume in a Korean population with varying bone preservation. Sci. Rep., 2025, 15, 29485.

Shim Y.T., Jeong Y.H., Kim Y.S., Aum N., Choi S.G. et al. Estimation of forensic sex based on three–dimensional reconstruction of skull in Korean: non–metric study. Korean J. Leg. Med., 2021, 45 (3), pp. 79–86.

Smirnov A.V. Sex determination by osteometric features of skeletonized clavicles. Health and Education in the XXI Century, 2017, 12 (19)? pp. 272–276. (In Russ.).

Venema J., Peula D., Irurita J., Mesejo P. Employing deep learning for sex estimation of adult individuals using 2D images of the humerus. Neural Comput. & Applic., 2023, 35, pp. 5987–5998. https://doi.org/10.1007/s00521-022-07981-0

Williams, Belcher R.L., Armelagos G.J. Forensic Misclassification of Ancient Nubian Crania: Implications for Assumptions about Human Variation. Curr. Anthropol., 2005, 46 (2), pp. 340–346.