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    Estimation of Adult Skeletal Age-at-Death Using theSugeno Fuzzy Integral

    Melissa F. Anderson,1

    * Derek T. Anderson,2

    and Daniel J. WescottAQ11,3

    1Department of Anthropology, University of Missouri, Columbia, MO 652112Department of Electrical and Computer Engineering, University of Missouri, Columbia, MO 652113Department of Anthropology, Florida Atlantic University, Boca Raton, FL 33431

    KEY WORDS age methodology; multifactorial; forensic anthropology; paleodemography;fuzzy integral

    ABSTRACT Age-at-death estimation of an individ-ual skeleton is important to forensic and biologicalanthropologists for identification and demographic anal-ysis, but it has been shown that the current aging

    methods are often unreliable because of skeletal varia-tion and taphonomic factors. Multifactorial methodshave been shown to produce better results when deter-mining age-at-death than single indicator methods.However, multifactorial methods are difficult to applyto single or poorly preserved skeletons, and they rarelyprovide the investigator with information about thereliability of the estimate. The goal of this research isto examine the validity of the Sugeno fuzzy integral asa multifactorial method for modeling age-at-death of an

    individual skeleton. This approach is novel because itproduces an informed decision of age-at-death utilizingmultiple age indicators while also taking into consider-ation the accuracies of the methods and the condition

    of the bone being examined. Additionally, the Sugenofuzzy integral does not require the use of a populationand it qualitatively produces easily interpreted graphi-cal results. Examples are presented applying threecommonly used aging methods on a known-age skeletalsample from the Terry Anatomical Collection. Thismethod produces results that are more accurate andwith smaller intervals than single indicator methods.

    Am J Phys Anthropol 000:000000, 2009. VVC 2009 Wiley-Liss, Inc.

    Accurate age-at-death prediction is vital for thedescription and analysis of skeletal remains by biologicalanthropologists, especially in a medicolegal setting(Lovejoy et al., 1985b). Forensic investigators rely on the

    accuracy of age indicators for personal identification pur-poses, whereas biological anthropologists generally havea broader area of applicability for accurate age estima-tion, such as paleodemographic studies (Schmitt et al.,2002). Although accurate age estimation from skeletalremains is essential, it has been shown that currentaging methods are subject to skeletal variation thatreduces accurate estimation of age-at-death (Schmittet al., 2002). As a result, it is necessary to explore differ-ent ways to account for this inherent inaccuracy in theaging methods when determining age.

    Most of the skeletal aging methods are based on collec-tions with known aged individuals, such as the Terry

    Anatomical Collection (Trotter, 1981; Hunt and Alba-nese, 2005). This collection contains mainly black andwhite adult skeletons with dates of birth ranging from1822 to 1943. However, populations frequently vary inthe timing of their progression through age indicators,especially ones based on stages (Hoppa, 2000; Schmittet al., 2002). Other factors (e.g., age, genetic variation,environmental factors, diet, disease, activity levels, andtaphonomic processes) also affect the accuracy and preci-sion of skeletal age-at-death determination (Meindlet al., 1985; Hoppa, 2000; Boldsen et al., 2002; Hoppaand Vaupel, 2002). Because of the progressive develop-ment of bones, skeletally immature and young adultindividuals are likely to be aged more precisely thanolder adult individuals. The skeletal developments ofsubadults are better documented and include factors

    such as tooth development and eruption and epiphysealclosure. Adult bones are in a continual process of changeas well, but these changes are usually degenerative andinfluenced by the habitual activities and health of the

    individual as well as the age of the individual.Another factor that contributes to uncertainty with

    age estimation is the age class categories or age rangesused to subdivide age in each method. Skeletal ageassessment does not provide an exact age, such as 20years, but is instead broken up into age classes orranges, such as 2025 years or 3040 years. Segmentingsuch a continuum into intervals leads to imprecision(Konigsberg et al., 2008). In addition, age ranges are notconsistent with the number of years included. There issome inclusion and exclusion of numbers with eachrange or it may include a 10-year age range for youngerindividuals and a 501 years age range for older individ-uals. This is apparent within an aging method as well asbetween aging methods. This inconsistent segmenting is

    a cause for non-crisp boundaries and, therefore, a spe-cific single age based on these methods cannot bereached. The variation present in aging techniques formiddle aged or older adults does not necessarily indicatethat the techniques need to be perfected as it reinforces

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    NOTE TO AUTHORS: This will be your only chance to review this proof.Once an article appears online, even as an EarlyView article, no additional corrections will be made.

    *Correspondence to: Melissa Anderson, 5107 Granite Drive,Columbia, MO 65202, USA.E-mail: [email protected]

    Received 4 February 2009; accepted 24 August 2009

    DOI 10.1002/ajpa.21190Published online in Wiley InterScience

    (www.interscience.wiley.com).

    VVC 2009 WILEY-LISS, INC.

    AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 000:000000 (2009)

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    that aging is an inconsistent process and the variationin the rates of aging increases over a life span (Kle-pinger, 2006).

    A novel approach to account for inaccuracy in agingmethods is to use the fuzzy integral to produce a confi-dence in skeletal age-at-death. Herein, the term confi-dence is not a probabilistic concept but instead it isrelated to fuzzy set theory and can be interpreted in thecontext of the fuzzy integral as the support or strengthregarding an age-at-death. The fuzzy integral is a multi-factorial way to analyze skeletal age-at-death that takes

    into account as much information as possible to reach adecision about a hypothesis. Other multifactorial agingmethods (e.g., Acsadi and Nemeskeri, 1970; Lovejoyet al., 1985a; Boldsen et al., 2002) cannot account for asmuch information as the fuzzy integral. In the examplesused in this article, the fuzzy integral takes into accountthe variable accuracies associated with each methodalong with the weathering or quality of the skeletalelement. However, the fuzzy integral allows investigatorsto account for any variable that can be quantified. Inaddition, the goal of using the fuzzy integral is not tomodel a population or to produce likelihood estimates,but rather to produce results for assessing the age of anindividual skeleton without the use of any knowledgeabout the population from which the method was devel-oped. Finally, the fuzzy integral is not rigid and can eas-ily be structured to meet the needs of individualresearchers. Nearly any age-at-death estimation methodcan be incorporated and numerous variables known or

    observed about a particular skeleton can be taken intoaccount.

    MATERIALS AND METHODS

    Data source

    The morphological age data used here was collected asa part of another study by Lyle Konigsberg, NicholasHerrmann, and Daniel Wescott and made available byLyle Konigsberg (http://konig.la.utk.edu/paleod.htm,2009). Skeletal remains of known age from the Terry

    Collection were scored for pubic symphysis morphology(Todd, 1920), auricular surface morphology (Lovejoy etal., 1985b), and ectocranial suture closure (Meindl andLovejoy, 1985). Sample sizes by sex and decade of lifeare shown in Table T11. There are more males thanfemales, with the greatest number of individuals beingmiddle to old age adults. Each of these aging methodshas an age range associated with each phase (Table T22),which are used in the Sugeno integral.

    Fuzzy integral

    Fuzzy set theory provides a powerful framework inwhich to model the uncertainty present in age determi-nation. Fuzzy integrals, while new to anthropologicalinvestigations, have been used for hand writing recogni-tion (Gader et al., 1996), computer vision (Tahani andKeller, 1990), face recognition (Keun-Chang and Pedrycz,

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    TABLE 1. Terry collection sample categorized by sex and age group

    Age group (years)

    Pubic symphysis Auricular surface Cranial suture

    Male Female Total Male Female Total Male Female Total

    09 0 0 0 0 0 0 0 0 01019 4 4 8 5 7 12 7 7 142029 67 44 111 71 48 119 70 49 1193039 86 54 140 86 55 141 87 55 1424049 83 56 139 81 60 141 84 59 1435059 80 60 140 81 66 147 80 67 1476069 51 42 93 51 46 97 50 45 957079 28 29 57 27 32 59 30 31 618089 21 30 51 21 32 53 22 33 559099 2 11 13 2 13 15 2 13 15

    100109 0 2 2 0 2 2 0 2 2

    TABLE 2. Morphological stages and age ranges for pubic symphysis, auricular surface, and cranial suture closure

    Pubic symphysisa Auricular surfacebEctocranial lateral-anterior

    suture closurecEctocranial vault

    suture closurec

    StageAge range

    (years) StageAge range

    (years)Composite

    score Age range (years)Composite

    scoreAge range

    (years)

    1 1819 1 2024 0 \50 0 \492 2021 2 2529 1 1948 1,2 18453 2224 3 3034 2 2549 3,4,5,6 22484 2526 4 3539 3,4,5 2368 7,8,9,10,11 24605 2730 5 4044 6 2363 12,13,14,15 24756 3035 6 4549 7,8 3265 16,17,18 30717 3539 7 5059 9,10 3376 19,20 23768 3944 8 601 11,12,13,14 3468 21 Closed (402)9 4550 15 Closed

    10 501

    a

    Todd 1920.b Lovejoy et al. 1985b.c Meindl and Lovejoy 1985.

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    2004), machinery fault diagnosis (Xiaofeng et al., 2006),and linguistic fuzzy integrals (Auephanwiriyakul andKeller, 2001). Because age determination methods arenot intended to be a rigid set of typological standardsbut rather describe modal age changes, uncertainty is in-herent in skeletal age determination (Meindl et al.,1985). In addition depending on the preservation andquality of the traits, each skeleton has its own degree oferror or precision (Boldsen et al., 2002), which can beincorporated into the fuzzy integral model.

    When there is a complex decision to be made, manytimes there are multiple sources of information available.Fuzzy measures produce a value of worth for each sub-set of information sources relative to answering a partic-ular question. For example, when a leader of a country isfaced with a complex decision, she relies on her advisors.She takes into account what the advisors or informationsources are telling her and how much trust she has in

    each. That is, each information source provides a confi-dence in the goodness of a particular decision, and theleader can fuse those confidences with their value. Wheneach advisor is independent, a weighted average may beappropriate. Conversely, if certain groups of advisors arestrongly confident in their decisions, their combinedworth can be greater than just the sum of the individualpeople. For example, the leader may judge that advisors

    A and B both have an individual worth of 0.3. If advisorsA and B agree on a decision, however, the leader mayjudge their combined advice as worth 1.0, independent ofwhat the others say. This is clearly not probabilisticbecause of the additivity property of probability theory.Fuzzy measures can be used to produce a value ofworth for each subset of information sources, and each

    information source will provide a confidence for a hypoth-esis. That is, the fuzzy integral is a mechanism to fusethese two quite different types of evidence.

    There are two fuzzy integrals: the Sugeno integral(Sugeno, 1977) and the Choquet integral (Murofushi andSugeno, 1991). The Sugeno integral is used in this arti-cle because its internals are easier to conceptualize.

    Additionally, there are no perceived advantages in usingthe Choquet over the Sugeno integral for the approachtaken in this article. The differentiable form of the Cho-quet integral is not needed because no procedures areused here for learning the algorithm parameters and nooptimizations are attempted through minimization ormaximization by differentiation. The Sugeno integral isdefined with respect to a fuzzy measure (Wang and Klir,1992). A fuzzy measure, g, is a real valued functiondefined on the power set of X (the universe of discourse),2X, with range [0,1], satisfying the following properties.Let A and B be two subsets from X.

    1. Boundary conditionsg(X) 5 1 and g(/) 5 0, where / is the empty set

    2. Monotonicityg(A) g(B) if A ( B

    3. ContinuityIf {Ai} is an increasing subsequence of subsets of X,

    then

    gS1i1Ai limi!1gAi

    Property 3 is not applicable when X is a finite set, asit is for this application. A fuzzy measure specifies the

    opinion of the worth or goodness of each subset ofinformation sources in evaluating a particular hypoth-esis. Each information source gives a belief or confi-dence in the hypothesis and the measure lets youknow how to weight that belief or confidence. A fuzzymeasure g is called a Sugeno k-fuzzy measure if itadditionally satisfies the following property.

    4. For all A, B ( X, with A | B 5 /

    g A [B g A g B kg A g B

    for some k[21

    If k equals zero, then rule 4 shows that g is a probabil-ity measure. For a fuzzy measure g, let gi 5 g({xi}). Themapping xi ? g

    xi is called a fuzzy density function. IfX 5 {x1,. . .,xN}, we sometimes write g

    i to mean gxi. Thefuzzy density value, gi, is interpreted as the (possiblysubjective) importance of the single information source xiin determining the evaluation of a hypothesis. If g is aSugeno k-fuzzy measure (Sugeno 1974), then only thedensities must be provided, where k is found by solvingfor

    k 1 YN

    i 1

    1 kgi

    :

    When the total number of subsets is relatively small,the g function can be specified where the provided valuessatisfy properties 13 earlier. Depending on the selectionof g, many familiar statistics can be recovered, such asthe average, median, and even an ordered weighted av-

    erage (Keller et al., 1994).Once k is found, assuming the use of the Sugeno k

    fuzzy measure, the Sugeno integral can be calculated.The Sugeno integral, in its discrete form, is defined as:

    Ih g _

    N

    i1hxi ^g x1; . . . ;xi

    where xi is the ith information source (age indicator),h(xi) is the support of the hypothesis from the standpointof xi (the strength in the hypothesis that the skeleton isa particular age according to a single source), N is thenumber of age indicators used, and x(i) is the ith sortedsource, which are sorted in decreasing order according to

    the h(xi) values. The h(xi) values are a function of thequality, a value between 0 and 1, and if the agingmethod indicates that the age being tested falls withinthe age interval, either a 0 for false or 1 for true. For-mally, it is the minimum of these two numbers. The ^ inthe Sugeno integral is a t-conorm and the ^ is a t-norm(Zadeh, 1965). These are generally picked to be themaximum and minimum, respectively, for the Sugenointegral.

    Several methods for combining evidence produced bymultiple sources include Bayesian reasoning, Dempster-Shafer belief theory, and fuzzy logic. The fuzzy integraldiffers from the prior in that objective evidence from theindividual sources, the experts, and the expected worthof subsets of these sources is considered in the fusionprocedure. The result of the fuzzy integral is the supportin the hypothesis being tested. The term support shouldnot be confused with the probabilistic concept of the nat-ural log of a likelihood ratio. Support, as used here, is

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    the strength of the hypothesis acquired by fusing thesetwo distinct different sources of information. One inter-

    pretation of the Sugeno integral is that it is the searchfor the maximum grade of agreement between the objec-tive evidence, what the sources (experts) are saying, andthe expectations, assigned worth given to subset of sour-ces (Tahani and Keller, 1990).

    Accuracy and quality indices

    There is a large amount of information that can beunknown about a skeleton in an archaeological or foren-sic setting, such as the age-at-death of the individual,the amount of exposure to various unknown elements,and cause and timing of death. Therefore, it is importantto include as much known or observable information aspossible about the skeleton so that all factors availablecan be taken into consideration when determining skele-tal age-at-death. The accuracy of the methods and condi-tion or quality of the skeleton becomes importantbecause they are related to the overall assessment of theskeleton.

    Accuracy index. Accuracy in age estimation is definedas how well the estimated or biological age conforms tothe real chronological age, and relies on how stronglycorrelated the biological and chronological ages are toeach other. The accuracy value used in this article is thecorrelation coefficient of the chronological and biologicalage indicator that is associated with each aging method(Katz and Suchey, 1985; Meindl and Lovejoy, 1985;Meindl et al., 1985). There are biases with using correla-tion coefficients; such as the use of overlapping phases

    with intervals containing variable lengths and samplebiases because of the differences in when individualsenter and exit stages, but it is a commonly used notionof accuracy with respect to the aging methods (Kemkes-Grottenthaler, 2002). Furthermore, the correlations areused here simply because they are understood by mostbiological anthropologists and readily available. The cor-relation coefficient, when considering the relationshipbetween chronological and biological age, can range from0 to 1, with accuracy increasing as the correlation coeffi-cient approaches one. The correlation coefficient canrange from 21 to 1, but if there is ever a negative corre-lation the accuracy is set to 0. The correlation coefficientvalue is usually published with the descriptions of themethods or in articles examining the validity of themethods. Males and females differ in their relationshipbetween biological and chronological age, and thereforethe correlation coefficients can be valued differently foreach sex, but this is not always the case. Population dif-

    ferences in the relationship between biological andchronological age could also be a potential problem but

    were not considered here. Table T33 provides a list of somecommonly used age indicators and their correlationcoefficients.

    Quality. Bone quality is an additional piece of informa-tion that can be taken into consideration when analyzinga skeleton. Because the condition of the skeleton is de-pendent on environmental factors, the quality of a skele-ton affects determining age-at-death. A metric isrequired to describe or determine these variations seenon the bony elements under consideration. In this arti-cle, bone quality was evaluated and scored using a modi-fied version of Behrensmeyer (1978) weathering stagesprovided in Standards (Buikstra and Ubelaker, 1994),but with a stage 6 added to take into account the ab-sence of an age indicator. The weathering stages describe

    the bones surface texture that may be altered by heat,plant roots, worms, soil/sediment characteristics, scav-engers, and human activity (Buikstra and Ubelaker,1994, 97). The phases take into account the taphonomicprocesses that may have affected the bones of an individ-ual and, in this case, a bones age indicator. Efremov(1940) described taphonomy as the study of the geologi-cal and biological processes that affect organic remainsas they pass from the biosphere to the lithosphere. Itcan also be defined as the postmortem processes whichaffect (1) the preservation, observation, or recovery ofdead organisms, (2) the reconstruction of their biology orecology, or (3) the reconstruction of the circumstances oftheir death (Haglund and Sorg, 1997, 13). Weatheringrepresents the bones response to the immediate environ-

    ment (Ubelaker, 1997). As used here, the weatheringstages do not represent the passage of time; rather, theyrepresent the condition of the bone. Systems otherthan the Behrensmeyer (1978) weathering stagescould be used, but it is important to take taphonomyinto consideration because it can have differential effectson the bony element under consideration when assessingage.

    Quality values are assigned, based on the weatheringstages, and are associated specifically with the part ofthe skeleton for which the aging methods are beingapplied. If the bone is deteriorated but can still be used,the aging method will still be applied but the decisionreached will respectively be associated with a lower sup-port value. The quality indices are ordinal and arbitra-rily assigned values. They must be decreasing valuesand no greater than one and no less than 0. They wereassigned in this manner to indicate the least weatheringas producing the best results (1) and the most weather-

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    TABLE 3. List of commonly used coefficients of correlation between age indicators and age-at-death

    Indicator Female Male Both sexes Reference

    Endocranial sutures 0.35 0.51 Ascadi and Nemeskeri (1970)Ectocranial sutures 0.34 0.59 0.56 Meindl and Lovejoy (1985)Ectocranial sutures 0.57 (L)a 0.5 (V)b Meindl and Lovejoy (1985)Sternal rib ends 0.75 Dudar et al. (1993)Proximal humerus 0.34 0.44 Ascadi and Nemeskeri (1970)Proximal femur 0.58 0.56 Ascadi and Nemeskeri (1970)Pubic symphysis 0.64 0.57 0.57 Meindl et al. (1985)Auricular surface 0.72 Lovejoy et al. (1985b)Dental wear 0.7 Lovejoy (1985)

    a Lateral.b Vault.

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    ing as producing poor or no results (0). A score of 0 isassigned if the bone is not present. For this article,Stage 0 is assigned a quality value of 1.0, Stage 1 is 0.8,Stage 2 is 0.6, Stage 3 is 0.4, Stage 4 is 0.2, Stage 5 is0.1, and Stage 6 is determined to be a value of 0. How-ever, the data used in this study were collected on mu-seum specimens and therefore the quality index does notvary considerably.

    Age-graph construction

    The method proposed here is for obtaining skeletalage-at-death. It can be used by biological or forensicanthropologists to improve their analysis of the age-at-death of an adult skeleton. It may also serve as an excel-lent figure for the forensic anthropologist at trial. One ofthe main benefits of this approach is that only one skele-

    ton needs to be present to produce the desired results.Age range of the aging method, quality, and accuracy, allof which are collected from a skeleton, can be enteredinto a chart. Aging methods generally provide ageranges for each phase.

    Once the age, accuracy, and quality indices are col-lected, a hypothesis is tested. The hypothesis is theskeleton is age _____ (a specific age, not range). TheSugeno integral, as defined earlier, is repeatedly appliedonce for each possible age using the accuracy, range,and quality information. Every age, in discrete 1 yearincrements from 1 to 110, is tested and the age indica-tors provide input based on if the age being tested is intheir respective interval range. Although infants and

    juveniles are not included in the test sample, the pro-

    posed approach can be applied to them without anymodification of the technique by using the appropriateaging methods. Therefore, the best known or reliableaging methods can be used when they are most applica-ble, depending on if the skeleton is an adult, infant, or

    juvenile. The result of the Sugeno integral, one for eachindividual age tested, is the maximum of the minimumsof g and h at each x-axis unit. The idea behind the min-imum calculations are that they are a pessimistic opera-tion, where h is the confidence in the decision from theith sorted source and g is how much confidence we havein a subset of sources (the first sorted source to the ith)therefore, there should only be as much confidence inthe decision as the belief in the sources. If g is lessthan h, there is less confidence in the decision than

    what the source is telling us. If g is greater than orequal to h, then we are confident in what the source istelling us. The best pessimistic agreement, what theSugeno integral produces, is shown by the dashed circlein FigureF1 1.

    The Sugeno integral fuses together h and g, where g isaccuracy (confidences in subsets of sources) and h iswhat the sources are telling us, which is the minimumof the quality index value and the {0,1} age test, whichtests if the age indicator says that the skeleton is theage being tested. The following is a synthetic example ofhow the Sugeno integral is calculated. The hypothesisbeing tested is that the skeleton is of age 28. For thisexample, the three arbitrary aging methods used indi-cate that the skeleton could be of age 28, but differentbone weathering values are present.

    1. First, the h and g values are reported and k is calcu-lated using the g values.

    h(x1) 5 0.6 g(x1) 5 0.6h(x2) 5 0.9 g(x2) 5 0.7h(x3) 5 0.2 g(x3) 5 0.3k 5 20.8543

    2. Next, sort the sources in decreasing order accordingto their h values.

    h(x(1)) 5 h(x2) 5 0.9h(x(2)) 5 h(x1) 5 0.6h(x(3)) 5 h(x3) 5 0.2

    3. Calculate the required g subset values.g calculations: g(A|B) 5 g(A) 1 g(B) 1 kg(A)g(B)g(x(1)) 5 0.7g(x(1), x(2)) 5 (0.7 1 0.6 1 (20.8543 3 0.7 3 0.6))5 0.9412

    g({x(1), x(2)}, x(3)) 5 (0.9412 1 0.3 1 (20.8543 30.9412 3 0.3)) 1

    4. Calculate the Sugeno integral. From i 5 1 to N, takethe minimum of the h value of the ith sorted source

    and the g value of the first sorted source to the ithsorted source (this is a subset). Take the maximum ofthe N values.

    Sugeno integral 5 max(min(h(x(1)), g(x(1))),min(h(x(2)), g(x(1),x(2))), min(h(x(3)), g({x(1), x(2)}, x(3))))5 max(min(0.9, 0.7), min(0.6, 0.9412), min(0.2, 1))Maximum of the minimums 5 (0.7, 0.6, 0.2) 5 0.7

    For this example, the best pessimistic agreement, orthe support in the hypothesis, is 0.7 for the skeletonaged 28. The support in the hypothesis is the best (maxi-mum) pessimistic (minimum) agreement. This process isrepeated and each age from 1 to 110 is tested.

    Age-graph categoriesOnce all of the possible individual age hypotheses

    have been tested, the numbers produced by the Sugenointegral are used to form a graph that simplifies the sub-sequent analysis phase. As illustrated in Figure F22, atleast four different potential graph cases are possible:specific (Fig. 2, Graph A), interval (Fig. 2, Graph B),reconsideration (Fig. 2, Graph C), and inconclusive (Fig.2, Graph D).

    A graph is classified into one of the four prior men-tioned categories according to the characteristics of itsintervals. In this work, an interval is defined to be a setof consecutive ages in which all of the ages have thesame support in the hypothesis value. Specifically, theintervals of interest are those that have the maximum

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    Fig. 1. The best pessimistic agreement between g and h inthe Sugeno integral. The dotted circle is the maximum of theminimums of g and h at each x-axis unit.

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    width, cardinality, i.e., the value before the left endpointand the value after the right endpoint have differentsupport values from that of the interval. A plateau inter-val is defined here to be an interval such that the inter-val directly before it and the interval directly after ithave smaller support in the hypothesis values. The fol-lowing tests, analyzed in the order specified below, areused to determine the type of graph. Each test is a yesor no question.

    Test 1: Is the length of the maximum plateau intervalgreater than or equal to 30 years? If the answer is yes,then the graph is placed in the category inconclusive,if not, then the next test is conducted.

    Test 2: Is there a single plateau interval and is itslength equal to one? If yes, the result is specific age.

    Test 3: Is there a single plateau interval and isits length 29 or less years? If yes, the result is ageinterval.

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    Fig. 2. Illustration of potential graph categories for the Sugeno integral results (see text for explanation of each graph).

    Fig. 3. Graph of Sugeno integral age range for Terry Skeleton 208 illustrating a specific age type graph. The dashed verticalline in the graph indicates the chronological age and the intervals in the table represent input of age range for each aging method.

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    In the case that the graph does not pass one ofthe above three tests then it is labeled as typereconsideration.

    The proposed four categories are based on observablecharacteristics and they model the different desires tointerpret applicable results. Technically, there are onlytwo fundamental categories based on intervals.Either there is a single plateau interval, graph types

    specific and interval, or there are multiple plateau inter-vals, such as type reconsideration. Type inconclusive canfit into either of these two categories. Type specific isincluded to capture the ideal age-at-death classificationscenario and type inconclusive expresses the notionthat in some cases the maximum plateau interval is toolarge to make any valuable assessment. The 30 yearslong plateau used in Test 1 is used here for illustrativepurposes. The investigators can modify the length of theplateau to meet their specific needs. Other types ofgraphs, which increase the degree of specificity for thesetwo main interval-based categories, can be modeled ifdesired.

    Program and output

    The implementation of the fuzzy integral and allgraphs produced are generated in MATLAB, which is atechnical computing language and interactive environ-ment that allows for data visualization, analysis,and numeric computation (http://www.mathworks.com/products/matlab/description1.html, 2007). MATLAB isused in many domains such as image processing, patternrecognition, and bioinformatics.

    The type of graph, the support in the hypothesis valuefor the maximum plateau interval, and a sorted list ofall intervals and the ages included in them are provided.The reason for reporting the maximum plateau intervalis to let the researcher know where the greatest strengthis regarding the age-of-death. In the case of reconsidera-tion, a sorted list, in decreasing order, is produced fromthe top k intervals. A k of 2 is chosen here; therefore thetop two intervals are reported. Two was selected because

    with this data set there are only one or two maximumintervals present.

    RESULTS AND DISCUSSION

    Examples of selected graphs from Terrycollection skeletons

    The aging methods, skeletal quality, and accuracyindices are used by the Sugeno integral to produce aconfidence that the skeleton is an age (best pessimisticagreement), which are assembled together to producegraphical results. These graphs are classified, by a com-puter program, according to specific, interval, reconsid-eration, and inconclusive. The accuracy values for thisdata set are the correlation coefficients that are pub-lished with or about the aging methods. Because theTerry Collection contains skeletons that are from a mu-seum collection and are in good condition, a quality of1.0 was assigned to all skeletons. From the data set, 735skeletons (412 male and 323 female) have all age indica-tors present and produced classifiable graphs. As men-tioned, there are four possible graph types. Figures 36

    are some examples from the data collected from theTerry Collection for specific age, interval, reconsidera-tion, and inconclusive. Terry skeleton 208 (see Fig. F33)provides an example of a specific age type graph wherethe chronological and biological ages are in agreement.Figure F44 illustrates an interval type graph where thechronological age of Terry 635 falls within the intervalwith the greatest support. The graph of the Sugenointerval for Terry 25R (see Fig. F55) illustrates and exam-ple of a reconsideration type graph. Here there aretwo peaks indicating two age ranges. Finally, the Sugenointerval for Terry 779R (see Fig. F66) illustrates an incon-clusive type graph where there is little support for anyreasonable age range.

    Theoretical range of the Sugeno fuzzy integralBecause of the preservation and currently available in-

    formation collected from the Terry Collection, the range

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    Fig. 4. Graph of Sugeno integral age range for Terry Skeleton 635 illustrating an interval type graph. The dashed verticalline in the graph indicates the chronological age and the intervals in the table represent input of age range for each aging method.

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    of the Sugeno integral cannot be fully understood for dif-ferent situations of age-at-death determination of a skel-eton. Because the data collected did not contain informa-tion for more than three age indicators nor varying skel-etal quality, the following theoretical range scenarios areprovided to demonstrate the cases that are not presentin the collected data. The scenarios are (1) a skeletonwith all methods in agreement on a specific age with aquality of 1.0, (2) the same example as Case 1 with vary-ing qualities, (3) one skeleton from the existing data sethas its qualities varied, and (4) a skeleton with disagree-ment among all of the aging methods. These cases dem-onstrate the range of the Sugeno integral for this specificproblem of determining skeletal age-at-death. The accu-

    racy indices reported in Table 3 are used in the theoreti-cal scenarios.

    Case 1: All methods in agreement on a specificage with a quality of 1.0

    A theoretical 38-year-old male with a quality of 1.0and data for eight aging methods (pubic symphysis, au-ricular surface, ectocranial suture closure, endocranialsuture closure, sternal rib end morphology, proximal hu-merus, and proximal femur) that are in agreement isillustrated the first scenario (see Fig. F77). The Sugenointerval includes the chronological age and has an agerange where the highest confidence is 3739 years. This

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    Fig. 5. Graph of Sugeno integral age ranges for Terry Skeleton 25R illustrating a reconsideration type graph. The vertical linein the graph indicates the chronological age, whereas the two peaks indicate potential age ranges 1 and 2. The intervals in the tablerepresent input of age range for each aging method.

    Fig. 6. Graph of Sugeno integral age ranges for Terry Skeleton 779R illustrating an inconclusive type graph. The dashed ver-

    tical line in the graph indicates the chronological age, whereas the two peaks indicate potential age ranges 1 and 2. The intervalsin the table represent input of age range for each of the aging methods.

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    case represents the best possible scenario because of theskeleton being of the highest quality and all of the meth-ods being in agreement. The results produce an agerange that includes the age-at-death.

    Case 2: All methods in agreement on a specificage with varying bone quality

    Theoretical Case 2 has the same input or age rangesas Case 1 (see Fig. 7) but the qualities are varied (seeFig.F8 8). These qualities were chosen at random. Theinterval 3539 years has the highest confidence and stillcontains the 3739 years interval from Case 1. However,the age range is less precise now. The age-at-death ofthe skeleton can still be determined although the skele-tal quality is low for certain age indicators.

    Case 3: One skeleton from the existing data sethas its qualities varied

    To further demonstrate how bone quality could affectthe outcome, the bone qualities for one individual arechanged from the original value of 1.0 to 0.6 for the pu-bic symphsis, 0.4 for the auricular surface, and 0.8 forthe ectocranial sutures. These quantities are chosen atrandom for the purpose of this exercise. The results ofthe original data with a quality value of 1.0 wereincluded in the prior section (see Fig. 3). The chronolog-ical age for skeleton 208 is 30 years. The age rangefound by the Sugeno integral is 2730 years (seeFig.

    F99). Although skeleton 208 is classified as a specific

    age graph with a quality of 1.0, the different qualitiesproduced an interval age that still includes thechronological age. This demonstrates that different

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    Fig. 7. Sugeno interval graph of Case 1 with aging method inputs. The dashed vertical line indicates chronological age and thepeak indicates the maximum Sugeno age range. The resulting maximum plateau interval is 3739 years.

    Fig. 8. Result graph of Case 2 with aging method inputs. The dashed vertical line indicates chronological age and the peak isthe maximum Sugeno integral plateau interval. The resulting maximum plateau interval is 3539 years.

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    qualities could play an important role for age at deathdetermination.

    Case 4: Disagreement among all of the agingmethods

    A theoretical 27-year-old female with a quality indexof 1.0 is used in Case 4 to show the results when all theage methods used are not in agreement. As can be seenfrom the graph produced (see Fig.F10 10), there are toomany intervals created to make a conclusion about age-at-death. By setting the quality at a 1.0, the importanceof the accuracies of the age indicators can be seen. Themethods with the greatest accuracies have the largestimpact, such as the sternal rib ends with an accuracy of0.75 producing the maximum plateau interval of 3336

    years. There is some overlap among the age indicators,but they do not agree overall. This is an extreme exam-ple, but it demonstrates a case of the inconclusive graphtype. When this occurs, it is an indication to the ob-server that the data needs to be reanalyzed or somethingis not typical about the skeleton.

    Distance between chronological and biologicalage-at-death

    A biological age-at-death metric is used to understandhow well the graphs correspond with chronological age-at-death. If the true chronological age falls within themaximum Sugeno integral interval, then it is classifiedas In Interval. If it falls outside of this interval, then theabsolute value of the difference between the chronologi-

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    Fig. 9. Results of Case 3 for Terry Skeleton 208 with aging method inputs. The dashed vertical line indicates chronological age.The Sugeno age ranges are indicated by the peak on the graph with a resulting maximum plateau interval of 2730 years.

    Fig. 10. Results of Case 4 with aging method inputs. The dashed vertical line indicates chronological age and the multiplepeaks are the Sugeno age ranges.

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    cal age and the endpoint of the nearest maximum inter-val is used. If this value is less than or equal to 5 years,it is classified as 15, else if it is less than or equal to 10

    years it is classified as 610, and else if it is greaterthan 10 years it is labeled[10. As can be seen in Figure

    F11 11, there are 182 skeletons classified as In Interval and252 classified as 15 years. These are considered to bethe best categories for classification and together makeup 59% of the data. Therefore, over half of the data fellwithin 5 years of the maximum interval. For the case ofreconsideration, the top two intervals are used.

    Comparison of Sugeno integral to individualaging methods

    The Sugeno integral results are classified into graphcategories. Through the use of maximum intervals, it

    produces smaller intervals containing the chronologicalage-at-death than the individual aging methods. A singleaging method, which is the pubic symphysis, auricularsurface, and the ectocranial sutures for this case, isdetermined to have found the correct biological age-at-death if the chronological age falls into the aging meth-ods interval. The ectocranial sutures are not included inthis comparison because all of the age ranges are largerthan 10 years and, therefore, they do not produce inter-vals with a comparable width of acceptable accuracy,e.g., less than 10 years. The following measures howmany skeletons chronological ages fall into the Sugenointegrals maximum interval, or the top two for reconsid-eration, verses each individual aging method. The widthof the interval that the age fell into is recorded and usedto classify the results into 05, 610, and[10 categories.This is a measure of precision. The Sugeno integral pro-duces better results than the single aging methods forall cases except for greater 10 (TableT4 4). This is desired

    because it indicates that the Sugeno integral is findingmore accurate, smaller interval results.

    The next analysis, Table T55, uses the distance of thechronological age-at-death to the nearest maximum

    interval endpoint. The results are grouped into the cate-gories of 05, 610, and [10 and are separated accord-ing to the width of the interval. For the category repre-senting the most accurate scenario, 05 years, theSugeno integral has a higher percentage of correctlyaged skeletons. This demonstrates that the Sugeno inte-gral finds results where the chronological and biologicalage-at-death is close to one another and the interval issmall, i.e., more precise results. In the case of 610years, the Sugeno integral and individual aging methodsproduce similar results. Lastly, in the greater than 10category the individual aging methods classify moreskeletons than the Sugeno integral. However, this is theleast accurate classification category and because theSugeno integral was more accurate in the 05 years cat-

    egory and was similar in the 610 years category, thereare less skeletons for the Sugeno integral to classify.

    CONCLUSIONS

    Multifactorial age methods have been shown to providemore reliable age-at-death estimations than single ageestimation methods, and this is the case for the Sugenointerval. Although it is not possible to directly test the ac-curacy of the Sugeno fuzzy interval to other multifacto-rial methods, it does have several advantages over otherpublished methods. First, the Sugeno interval can beused for a single skeleton, which is useful especially toforensic anthropologists. Second, the method can be cus-tomized to meet the specific needs of the investigator.

    That is, the age methods can be changed and observableinformation from the skeleton (quality, sex, and othervariables) can be incorporated into the hypothesis test.

    Given the difficulty of accurate age-at-death analysisfor an individual skeleton, such as the inaccuracies anddiscrepancies observed among the various aging meth-ods, the results found by using the Sugeno integral areencouraging. The Sugeno integral produces results thatare used to answer inquiries such as: what is the mostconfident age-at-death estimation, what is the most con-fident age interval, and what type of age-at-death graphis this skeleton based on a pre-defined set of user speci-fied graph types? Here we demonstrated the usefulnessof the Sugeno interval as a multifactorial age methodusing a limited amount of readily available information(three aging methods and a fixed quality of 1.0) gatheredfrom the Terry collection. However, the results presentedhere are not far from what would be expected when look-ing at the overlap from the input age ranges from each

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    Fig. 11. Distance between biological and chronologicalage-at-death for the data set.

    TABLE 4. Sugeno integral results compared with the individualaging methods with respect to the category In the Interval and

    the width of the interval

    In the interval

    Width of interval

    05 610 [10

    Sugeno results 119 58 5% 16.00% 8.00% 0.70%Pubic symphysis 52 37 88% 7.00% 5% 12%Auricular surface 87 45 82% 12% 6% 11%

    TABLE 5. Percentage of skeletons that are 05, 610, and >10years from the maximum intervals and width of that interval

    Distance

    05 yearsWidth ofinterval

    610 yearsWidth ofinterval

    [

    10 yearsWidth ofinterval

    Method 05 610 [10 05 610 [10 05 610 [10Sugeno

    integral35% 19% 5% 10% 5% 2% 16% 9% 1%

    Pubicsymphysis

    22% 1 5% 1 3% 9% 7% 1% 18% 13% 2%

    Auricularsurface

    30% 1 4% 1 4% 10% 4% 2% 14% 9% 3%

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    aging method in the typical forensic anthropologicalcase. The most common discrepancy among the graphscan be attributed to the three methods not finding thesame age within 10 years of each other. It is possiblethat this could be corrected by accounting for biases inthe methods used. Finally, we also illustrate several sce-narios that demonstrate the theoretical range of theSugeno integral by using additional age indicators andtheir accuracies and ranging qualities.

    The results reinforce the already known notion thatinaccuracies are present in the age indicators to deter-mine age-at-death of a skeleton. Not every age-at-deathwill be reached with any amount of information becauseof the inherent flaws in the aging methods, such as overaging younger individuals and under aging older individ-uals. In general, the classifications of the graphs areencouraging. There are very few inconclusive, with themajority of the graphs being classified as interval. This

    is promising because of the fact that the inputs of theaging methods are in the form of age ranges/intervals.

    As Ubelaker (2000) describes, the scientific progressin the estimation of age at death involves greater aware-ness of the variation involved, new techniques availablefor different structures, and greater appreciation of theimportance of regional and temporal variation in theaging process. The Sugeno integral provides the initialframework to take into account the various and varyingprocesses involved with skeletal age-at-death analysis.

    As a result, the use of the Sugeno integral has signifi-cant potential in age-at-death estimations in forensicand bioarchaeological investigations.

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