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Papers by Nur Damia Iwani Zulkiflee

Research paper thumbnail of Morphological changes of the frontal sinus with age: A two-dimensional geometric morphometric study

Research paper thumbnail of Sex estimation on thoracic vertebrae: A systematic review

Translational Research in Anatomy

Research paper thumbnail of Distribution of frontal sinus pattern amongst Malaysian population: a skull radiograph study

Anatomy & Cell Biology

Frontal sinus has unique anatomical features that are distinct to every population. However, the ... more Frontal sinus has unique anatomical features that are distinct to every population. However, the distribution of frontal sinus patterns has yet to be explored in the Malaysian population. This study aimed to describe the distribution of frontal sinus patterns among adult Malaysians. 409 adult Malaysian posteroanterior skull radiographs, consisting of 200 males and 209 females of Malay, Chinese, and Indian races aged between 20-69 years old, were included in the study. The frontal sinus patterns were classified according to total and percentage of presence or absence of frontal sinus, symmetry or asymmetrical (right or left dominant), unilateral absence (right or left), bilateral absence, and lobulation. The findings showed that bilateral presence of frontal sinus is common, in 95.4% of individuals and bilateral absence was noted in 2.7% individuals. Unilateral absence was found in 2.0% of individuals. Asymmetrical frontal sinus was observed in 54.5% of population meanwhile 40.8% showed symmetrical frontal sinus. The majority of individuals, regardless of sex, race, and age, possessed 1 to 3 lobes on both sides of the frontal sinus. The findings suggest that the frontal sinus is highly asymmetric, and the absence of the frontal sinus is rare. This morphological variation provides an insight into the landmarking placement for measurement during forensic application and assists neurosurgeons in surgical procedure to avoid breaching of the frontal sinus.

Research paper thumbnail of Distribution of frontal sinus pattern amongst Malaysian population: a skull radiograph study

Frontal sinus has unique anatomical features that are distinct to every population. However, the ... more Frontal sinus has unique anatomical features that are distinct to every population. However, the distribution of frontal sinus patterns has yet to be explored in the Malaysian population. This study aimed to describe the distribution of frontal sinus patterns among adult Malaysians. 409 adult Malaysian posteroanterior skull radiographs, consisting of 200 males and 209 females of Malay, Chinese, and Indian races aged between 20-69 years old, were included in the study. The frontal sinus patterns were classified according to total and percentage of presence or absence of frontal sinus, symmetry or asymmetrical (right or left dominant), unilateral absence (right or left), bilateral absence, and lobulation. The findings showed that bilateral presence of frontal sinus is common, in 95.4% of individuals and bilateral absence was noted in 2.7% individuals. Unilateral absence was found in 2.0% of individuals. Asymmetrical frontal sinus was observed in 54.5% of population meanwhile 40.8% showed symmetrical frontal sinus. The majority of individuals, regardless of sex, race, and age, possessed 1 to 3 lobes on both sides of the frontal sinus. The findings suggest that the frontal sinus is highly asymmetric, and the absence of the frontal sinus is rare. This morphological variation provides an insight into the landmarking placement for measurement during forensic application and assists neurosurgeons in surgical procedure to avoid breaching of the frontal sinus.

Research paper thumbnail of Sexual Dimorphism of Frontal Sinus: A 2-Dimensional Geometric Morphometric Analysis on Lateral Skull Radiographs

Forensic Imaging, 2022

Sex identification is vital in establishing biological identity of unknown remains. In cases of f... more Sex identification is vital in establishing biological identity of unknown remains. In cases of fragmented skeletons, the resiliency of the frontal sinus suggests its potential in establishing biological identity. The traditionally used linear measurement has low reliability and is size-oriented, whereas geometric morphometrics is efficient as being reliable in characterising the shape. However, the frontal sinus approach for sex identification among Malaysians is yet to be explored. Objective: This study aims to evaluate sexual dimorphism of frontal sinus among Malaysians using the twodimensional (2D) geometric morphometrics method. Methods: Lateral skull radiographs of 453 adult Malaysian, comprising 228 males and 225 females, were retrieved retrospectively. Eight 2D landmarks were applied to the lateral skull radiographs using TPSDig2 software. 2D geometric morphometric analysis was performed by MorphoJ software. Results: The Principal Component Analysis (PCA) showed that the first three Principal Component (PCs) exhibit 83.0% of the total variance of the frontal sinus shape. Procrustes analysis of variance (ANOVA) revealed significant differences in centroid size and shape (p-value < 0.05) of frontal sinus between sexes. Discriminant Function Analysis (DFA) after cross-validation demonstrated a classification accuracy of 78.5% in males and 82.7% in females, with an average of 80.6%. Conclusion: High classification accuracy suggests that frontal sinus is a valuable tool for sex identification using 2D geometric morphometrics. The significant sexual dimorphism of the frontal sinus shape indicates its capability to aid in forensic investigation. To the best of our knowledge, this is the first study which showed such findings among Malaysian population.

Research paper thumbnail of An Investigation of Exposure to the Eyes and Thyroid of Personnel Near to Patient in Abdominal Radiography: A Phantom Study

Asian Journal of Medicine and Biomedicine, 2021

Abdominal radiography is beneficial in a variety of clinical situations. Prior to the introductio... more Abdominal radiography is beneficial in a variety of clinical situations. Prior to the introduction of multiplanar imaging, it was considered as the main examination for gastrointestinal pathology. However, the radiation dose received is considered high since it is equivalent to the dose of at least 75 chest radiographs. Personnel including staff or relatives may be required to assist patients in many conditions, increasing unnecessary radiation and the likelihood of radiation-induced cancer. The purpose of this study was to determine the radiation dose received by personnel when eyes and thyroid are exposed during abdominal radiography. The Rando and body phantoms were used to represent personnel and patients in this experimental approach. The dose was measured as entrance surface dose (ESD) by using TLD-100, which was positioned at the Rando phantom's eyes and thyroid. The study included a total of twenty exposures, five times at each of four distinct sites. The mean doses (eye...

Conference Presentations by Nur Damia Iwani Zulkiflee

Research paper thumbnail of THE NOVEL METHOD OF 2-DIMENSIONAL GEOMETRIC MORPHOMETRIC ON FRONTAL SINUS FOR SEX ESTIMATION IN FORENSIC ANTHROPOLOGY

INNOCOM III 2022 e-PROCEEDING, 2022

Research paper thumbnail of Morphological changes of the frontal sinus with age: A two-dimensional geometric morphometric study

Research paper thumbnail of Sex estimation on thoracic vertebrae: A systematic review

Translational Research in Anatomy

Research paper thumbnail of Distribution of frontal sinus pattern amongst Malaysian population: a skull radiograph study

Anatomy & Cell Biology

Frontal sinus has unique anatomical features that are distinct to every population. However, the ... more Frontal sinus has unique anatomical features that are distinct to every population. However, the distribution of frontal sinus patterns has yet to be explored in the Malaysian population. This study aimed to describe the distribution of frontal sinus patterns among adult Malaysians. 409 adult Malaysian posteroanterior skull radiographs, consisting of 200 males and 209 females of Malay, Chinese, and Indian races aged between 20-69 years old, were included in the study. The frontal sinus patterns were classified according to total and percentage of presence or absence of frontal sinus, symmetry or asymmetrical (right or left dominant), unilateral absence (right or left), bilateral absence, and lobulation. The findings showed that bilateral presence of frontal sinus is common, in 95.4% of individuals and bilateral absence was noted in 2.7% individuals. Unilateral absence was found in 2.0% of individuals. Asymmetrical frontal sinus was observed in 54.5% of population meanwhile 40.8% showed symmetrical frontal sinus. The majority of individuals, regardless of sex, race, and age, possessed 1 to 3 lobes on both sides of the frontal sinus. The findings suggest that the frontal sinus is highly asymmetric, and the absence of the frontal sinus is rare. This morphological variation provides an insight into the landmarking placement for measurement during forensic application and assists neurosurgeons in surgical procedure to avoid breaching of the frontal sinus.

Research paper thumbnail of Distribution of frontal sinus pattern amongst Malaysian population: a skull radiograph study

Frontal sinus has unique anatomical features that are distinct to every population. However, the ... more Frontal sinus has unique anatomical features that are distinct to every population. However, the distribution of frontal sinus patterns has yet to be explored in the Malaysian population. This study aimed to describe the distribution of frontal sinus patterns among adult Malaysians. 409 adult Malaysian posteroanterior skull radiographs, consisting of 200 males and 209 females of Malay, Chinese, and Indian races aged between 20-69 years old, were included in the study. The frontal sinus patterns were classified according to total and percentage of presence or absence of frontal sinus, symmetry or asymmetrical (right or left dominant), unilateral absence (right or left), bilateral absence, and lobulation. The findings showed that bilateral presence of frontal sinus is common, in 95.4% of individuals and bilateral absence was noted in 2.7% individuals. Unilateral absence was found in 2.0% of individuals. Asymmetrical frontal sinus was observed in 54.5% of population meanwhile 40.8% showed symmetrical frontal sinus. The majority of individuals, regardless of sex, race, and age, possessed 1 to 3 lobes on both sides of the frontal sinus. The findings suggest that the frontal sinus is highly asymmetric, and the absence of the frontal sinus is rare. This morphological variation provides an insight into the landmarking placement for measurement during forensic application and assists neurosurgeons in surgical procedure to avoid breaching of the frontal sinus.

Research paper thumbnail of Sexual Dimorphism of Frontal Sinus: A 2-Dimensional Geometric Morphometric Analysis on Lateral Skull Radiographs

Forensic Imaging, 2022

Sex identification is vital in establishing biological identity of unknown remains. In cases of f... more Sex identification is vital in establishing biological identity of unknown remains. In cases of fragmented skeletons, the resiliency of the frontal sinus suggests its potential in establishing biological identity. The traditionally used linear measurement has low reliability and is size-oriented, whereas geometric morphometrics is efficient as being reliable in characterising the shape. However, the frontal sinus approach for sex identification among Malaysians is yet to be explored. Objective: This study aims to evaluate sexual dimorphism of frontal sinus among Malaysians using the twodimensional (2D) geometric morphometrics method. Methods: Lateral skull radiographs of 453 adult Malaysian, comprising 228 males and 225 females, were retrieved retrospectively. Eight 2D landmarks were applied to the lateral skull radiographs using TPSDig2 software. 2D geometric morphometric analysis was performed by MorphoJ software. Results: The Principal Component Analysis (PCA) showed that the first three Principal Component (PCs) exhibit 83.0% of the total variance of the frontal sinus shape. Procrustes analysis of variance (ANOVA) revealed significant differences in centroid size and shape (p-value < 0.05) of frontal sinus between sexes. Discriminant Function Analysis (DFA) after cross-validation demonstrated a classification accuracy of 78.5% in males and 82.7% in females, with an average of 80.6%. Conclusion: High classification accuracy suggests that frontal sinus is a valuable tool for sex identification using 2D geometric morphometrics. The significant sexual dimorphism of the frontal sinus shape indicates its capability to aid in forensic investigation. To the best of our knowledge, this is the first study which showed such findings among Malaysian population.

Research paper thumbnail of An Investigation of Exposure to the Eyes and Thyroid of Personnel Near to Patient in Abdominal Radiography: A Phantom Study

Asian Journal of Medicine and Biomedicine, 2021

Abdominal radiography is beneficial in a variety of clinical situations. Prior to the introductio... more Abdominal radiography is beneficial in a variety of clinical situations. Prior to the introduction of multiplanar imaging, it was considered as the main examination for gastrointestinal pathology. However, the radiation dose received is considered high since it is equivalent to the dose of at least 75 chest radiographs. Personnel including staff or relatives may be required to assist patients in many conditions, increasing unnecessary radiation and the likelihood of radiation-induced cancer. The purpose of this study was to determine the radiation dose received by personnel when eyes and thyroid are exposed during abdominal radiography. The Rando and body phantoms were used to represent personnel and patients in this experimental approach. The dose was measured as entrance surface dose (ESD) by using TLD-100, which was positioned at the Rando phantom's eyes and thyroid. The study included a total of twenty exposures, five times at each of four distinct sites. The mean doses (eye...

Research paper thumbnail of THE NOVEL METHOD OF 2-DIMENSIONAL GEOMETRIC MORPHOMETRIC ON FRONTAL SINUS FOR SEX ESTIMATION IN FORENSIC ANTHROPOLOGY

INNOCOM III 2022 e-PROCEEDING, 2022