Bone age assessment practices in infants and older children among Society for Pediatric Radiology members.
Background: Numerous bone age estimation techniques exist, but little is known about what methods radiologists use in clinical practice.Objective: To determine which methods pediatric radiologists use to assess bone age in children, and their confidence in these methods.Materials and Methods: Societ...
| Published in: | Pediatric Radiology Vol. 46; no. 9; pp. 1269 - 1275 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Published: |
Springer Nature
Aug2016
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116792137&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 116792137 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03010449 O03 jtl: Pediatric Radiology issn: 03010449 maglogo: N pubinfo: dt: Aug2016 vid: 46 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 116792137 116792137 NLM27173981 10.1007/s00247-016-3618-7 NLM27173981 116792137 ppf: 1269 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Bone age assessment practices in infants and older children among Society for Pediatric Radiology members. aug: au: Breen, Micheál Tsai, Andy Stamm, Aymeric Kleinman, Paul Breen, Micheál A Kleinman, Paul K affil: Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave. Boston 02115 USA sug: subj: Age Determination by Skeleton Methods Child, Preschool Child Female Adolescence Medical Organizations Male Infant Impact of Events Scale Scales Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Infant: 1-23 months Female Male ab: Background: Numerous bone age estimation techniques exist, but little is known about what methods radiologists use in clinical practice.Objective: To determine which methods pediatric radiologists use to assess bone age in children, and their confidence in these methods.Materials and Methods: Society for Pediatric Radiology (SPR) members were invited to complete an online survey regarding bone age assessment. Respondents were asked to identify the methods used and their confidence with their technique for the following groups: Infants (<1 year old), 1- to 3-year-olds and 3- to 18-year-olds.Results: Of the 937 SPR members invited, 441 responded (47%). For infants, 70% of respondents use the hand/wrist method of Greulich and Pyle, 27% use a hemiskeleton method (e.g., Sontag or Elgenmark), and 14.4% use the knee method of Pyle and Hoerr. Of these respondents, 34% were not confident with their technique. For 1- to 3-year-olds, 86% used Greulich and Pyle, and 19% used a hemiskeleton method; 21% were not confident with their technique in this age group. For 3- to 18-year-olds, 97% used Greulich and Pyle, and only 6% of respondents were not confident with their technique in this category. A logistic regression analysis demonstrated that the chronological age of the patient had the greatest impact on reader confidence, with the odds ratios for confidence being 4 times greater in the 3- to 18-year-olds category compared to the younger groups.Conclusion: For children older than 3 years, the majority of pediatric radiologists are very confident in their use of Greulich and Pyle for bone age assessment. However a variety of methodologies are used when assessing bone age in infants and younger children, and pediatric radiologists are less confident assessing bone age in these children. This survey highlights the need for a consensus protocol on bone age assessment of younger children and infants that provides readers with a higher degree of confidence. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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