Skeletal development of the hand and wrist: digital bone age companion-a suitable alternative to the Greulich and Pyle atlas for bone age assessment?
Purpose: To assess reader performance and subjective workflow experience when reporting bone age studies with a digital bone age reference as compared to the Greulich and Pyle atlas (G&P). We hypothesized that pediatric radiologists would achieve equivalent results with each method while digital wor...
| Published in: | Skeletal Radiology Vol. 46; no. 6; pp. 785 - 794 |
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| Main Authors: | , , , , , , , |
| Format: | diagnostic images pictorial research tables/charts Journal Article |
| Published: |
Springer Nature
Jun2017
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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=122458124&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 122458124 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03642348 O14 jtl: Skeletal Radiology issn: 03642348 maglogo: N pubinfo: dt: Jun2017 vid: 46 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 122458124 122458124 143957134 NLM28343328 122458124 10.1007/s00256-017-2616-7 NLM28343328 122458124 ppf: 785 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Skeletal development of the hand and wrist: digital bone age companion-a suitable alternative to the Greulich and Pyle atlas for bone age assessment? aug: au: Bunch, Paul Altes, Talissa McIlhenny, Joan Patrie, James Gaskin, Cree Bunch, Paul M Altes, Talissa A Gaskin, Cree M affil: Department of Radiology , Massachusetts General Hospital , 55 Francis Street Boston 02114 USA sug: subj: Radiography Methods Hand Anatomy and Histology Age Determination by Skeleton Methods Infant Reproducibility of Results Male Child Adolescence Wrist Child, Preschool Female Wrist Anatomy and Histology Hand Human Infant: 1-23 months Child: 6-12 years Adolescent: 13-18 years Child, Preschool: 2-5 years Male Female ab: Purpose: To assess reader performance and subjective workflow experience when reporting bone age studies with a digital bone age reference as compared to the Greulich and Pyle atlas (G&P). We hypothesized that pediatric radiologists would achieve equivalent results with each method while digital workflow would improve speed, experience, and reporting quality.Materials and Methods: IRB approval was obtained for this HIPAA-compliant study. Two pediatric radiologists performed research interpretations of bone age studies randomized to either the digital (Digital Bone Age Companion, Oxford University Press) or G&P method, generating reports to mimic clinical workflow. Bone age standard selection, interpretation-reporting time, and user preferences were recorded. Reports were reviewed for typographical or speech recognition errors. Comparisons of agreement were conducted by way of Fisher's exact tests. Interpretation-reporting times were analyzed on the natural logarithmic scale via a linear mixed model and transformed to the geometric mean. Subjective workflow experience was compared with an exact binomial test. Report errors were compared via a paired random permutation test.Results: There was no difference in bone age determination between atlases (p = 0.495). The interpretation-reporting time (p < 0.001) was significantly faster with the digital method. The faculty indicated preference for the digital atlas (p < 0.001). Signed reports had fewer errors with the digital atlas (p < 0.001).Conclusions: Bone age study interpretations performed with the digital method were similar to those performed with the Greulich and Pyle atlas. The digital atlas saved time, improved workflow experience, and reduced reporting errors relative to the Greulich and Pyle atlas when integrated into electronic workflow. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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