Determination of the umbilicus position in Japanese children

Isamu Saeki1, Sho Kurihara1, Masato Kojima1

  • 1Department of Pediatric Surgery, Hiroshima University Hospital, Hiroshima, Japan.

Insights

The anterior superior iliac spine to umbilicus (AU) angle, measured via CT scans, is a reliable indicator for determining umbilical position in children. This method offers greater accuracy than surface measurements.

Area of Science:

  • Anatomy
  • Medical Imaging
  • Pediatrics

Background:

  • Traditional umbilical position measurements rely on external landmarks, potentially lacking precision.
  • Accurate anatomical reference points are crucial for pediatric assessments and surgical planning.

Purpose of the Study:

  • To establish a precise method for determining the normal umbilical position in children using computed tomography (CT).
  • To evaluate specific angular measurements as predictors of umbilical location.

Main Methods:

  • Retrospective analysis of CT scans from 120 Japanese children (60 boys, 60 girls).
  • Measurement of the anterior superior iliac spine to umbilicus (AU) angle, iliac crest to umbilicus (IU) angle, and umbilical-pubic symphysis length ratios.
  • Statistical analysis to identify significant differences and variations.

Main Results:

  • The AU angle demonstrated the least data variation (mean 33.7° ± 5.1°).
  • A statistically significant difference in AU angle was observed between boys and girls (p=0.04).
  • Defining the umbilicus position by AU angle (33° for boys, 35° for girls) accurately located 95.8% of children within ±10°.

Conclusions:

  • The AU angle is identified as the most reliable predictor for the normal umbilical position in children.
  • CT-based AU angle measurements provide a more accurate and consistent assessment compared to surface-based methods.
Abstract

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