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. 2025 Nov 6;39(4):3054–3067. doi: 10.1007/s10278-025-01714-0

Table 3.

Summarized selected traditional and novel approaches for age estimation compared to the present study. AAD: Age at Death; LA: Living Age; CBCT: Cone Beam Computed Tomography; DXA: Dual-Energy X-Ray Absorptiometry

Ref Skeletal element Task Study type and approach Analysis Results and performance
Traditional approaches [1] Pubic symphysis AAD

Dry bone;

Qualitative (macroscopic) evaluation

Linear Regression on original sample Classification into 1 of 6 phases corresponding to age ranges of approximately 10–50 years (age ranges increasing with increasing phase)
[3] Auricular surface AAD

Dry bone;

Qualitative (macroscopic) evaluation

Component scoring system, Linear Regression for composite score and age Composite scores corresponding to 7 age stages with age ranges of 3 to approximately 50 years (age ranges increasing with increasing score)
[4] Sternal end of 4th rib AAD

Dry bone;

Qualitative (macroscopic) evaluation

Component scoring system, Cross-tabulation analysis Composite scores corresponding to age ranges of up to approximately 40 years (age ranges increasing with increasing score)
Novel approaches Present study Proximal femur AAD

PMCT;

Quantitative;

Automatic Segmentation;

Radiomics analysis

Random Forest Regression Best performing models producing MAE of approximately 10.8 years and RMSE of approximately 12.8 years
[9] Proximal femur AAD

Plain radiographs of dry bone;

Quantitative;

Manual Segmentation;

Appearance-based model through eigenvectors

Principal Component Analysis, K-Nearest Neighbor Search MAE of 13.47 years in pooled sample, 11.08 years in male sample with RMSE of 14.06 years
[68] Proximal femur AAD

Plain radiographs of dry bone;

Quantitative;

Sum of pixel values for 5 manually selected ROIs

Linear Regression Analysis RMSE of 11.85 years for males, 12.56 years for females, and 12.67 years for the pooled sample
[44] Pelvis LA

Clinical CT;

Quantitative;

Semi-automatic Segmentation;

Radiomics analysis

Linear Regression Analysis MAE of 8.025 and 8.7 years in training and testing samples respectively
[46] Mandibular condyles LA

Clinical CBCT;

Quantitative,

Semi-automatic segmentation;

Radiomics Analysis

Random Forest Classification analysis Classification accuracy ranging between 72.22–100%
[69] Cranium and femur AAD

DXA of dry bone;

Quantitative;

Bone Mineral Density

Loess Regression Analysis RMSE of 13 years