八个综合性骨成熟系统之间的相关性在一个现代的青春期儿科人口中
Kallie J Chen1, Amog Mysore2, Ryan J Furdock1
1Department of Orthopaedics, University Hospital Cleveland Medical Center.
Journal of pediatric orthopedics
|September 28, 2023
概括
骨成熟度系统在评估儿科骨年龄时表现出不同的精度. 修改后的Fels膝盖系统是最精确的,而单参数系统与其他系统的一致性较低.
科学领域:
- 儿科放射学 儿科放射学
- 骨的发展 骨的发展
- 生物识别信息 生物识别信息
背景情况:
- 准确的骨年龄评估在儿科中至关重要.
- 现有的骨成熟度系统可能会产生差异.
- 需要比较系统协议和历史趋势.
研究的目的:
- 为了比较8个骨成熟度系统在现代儿科患者中的一致性.
- 分析现代和历史儿童之间的差异趋势.
主要方法:
- 对来自350名现代患者的700张X射线图的回顾性分析 (2000-2022年).
- 包括8个骨成熟系统:PHOS,OAOSS,侧肘,费尔斯手腕,桑德斯手,牛津部,费尔斯膝盖,CAOSS.
- 与历史队列进行比较;计算骨年龄差异平均值 (SEM) 的标准误差.
主要成果:
- 在现代患者中,PHOS,桑德斯手和CAOSS显示出最大的差异 (SEM:0.28y,0.26y,0.25y).
- 修改后的Fels膝盖系统的变异最小 (SEM:0.20y).
- 历史儿童对PHOS,OAOSS和CAOSS (SEM:0.20y) 的准确度最低.
结论:
- 骨成熟系统的精度因解剖区域而异.
- 单参数系统可能与多参数系统的相关性较低.
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