Association of quantitative growth plate uptake parameters on bone scintigraphy with growth velocity in children

Ki Jin Jung1, Sun-Pyo Hong2, Ik Dong Yoo2

  • 1Departments of Orthopaedic Surgery.

Insights

Quantitative bone scintigraphy parameters correlate with children's growth velocity. These uptake measurements may predict growth, aiding in pediatric assessments.

Area of Science:

  • Pediatric imaging
  • Nuclear medicine
  • Skeletal growth assessment

Background:

  • Bone scintigraphy is used in pediatric imaging.
  • Assessing skeletal growth velocity is crucial for monitoring child development.

Purpose of the Study:

  • To investigate the association between quantitative growth plate uptake parameters from bone scintigraphy and children's growth velocity.

Main Methods:

  • Retrospective analysis of 30 pediatric patients (ages 3-15).
  • Calculation of growth plate uptake to diaphyseal uptake ratios (GPmax/D, GPmean/D) from planar bone scintigraphy.
  • Correlation and regression analyses with age and growth velocity.

Main Results:

  • Anterior GPmax/D showed the highest correlation with growth velocity (r=0.409, P=0.034).
  • Anterior GPmax/D also negatively correlated with age (r=-0.373, P=0.042).
  • Multiple regression models including left GPmean/D (R2=0.786) and anterior GPmax/D (R2=0.734) predicted growth velocity.

Conclusions:

  • Quantitative growth plate uptake parameters on distal femur bone scintigraphy are significantly associated with growth velocity.
  • Bone scintigraphy uptake parameters show potential as predictive markers for pediatric growth.
Abstract