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Published on: January 29, 2018
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DIFFERENCES IN BONE AGE READINGS BETWEEN PEDIATRIC ENDOCRINOLOGISTS AND RADIOLOGISTS.
Summary
Pediatric endocrinologists (PEs) and radiologists differ in bone age (BA) interpretations, with PEs often reading their own X-rays. Discrepancies were noted in 68% of cases, particularly for precocious puberty (PP) referrals.
Area of Science:
- Pediatric Endocrinology
- Radiology
- Medical Imaging Analysis
Background:
- Pediatric endocrinologists (PEs) traditionally interpret bone age (BA) X-rays, believing radiologists lack accuracy.
- Systematic comparisons of BA interpretations between PEs and radiologists are lacking.
Purpose of the Study:
- To compare BA readings between PEs and radiologists.
- To identify clinical variables associated with discrepancies in BA interpretations.
Main Methods:
- Retrospective chart review of 103 children evaluated for short stature (SS) or precocious puberty (PP).
- Analysis of clinical variables including age, gender, ethnicity, Tanner stage, BMI, referral reason, and radiologist location.
- Bone age readings performed using the Greulich and Pyle method by both PEs and radiologists.
Main Results:
- A significant discrepancy (68%) was observed between PE and radiologist BA readings.
- Discrepancies ranged from -1.5 to 3.5 years, averaging 4 months.
- Patients referred for PP showed greater discrepancies (8.4 months) compared to SS referrals (0.8 months; P = .007).
Conclusions:
- Radiologists' BA interpretations differ from PEs in most cases.
- Potential bias related to referral reason may influence radiologist interpretations, especially in PP cases.
- Findings support the continued practice of independent BA interpretations by PEs.
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