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验证中央峰值高度方法对长腿X射线图的最终成年人身高预测
Marco Brenneis1, Niklas Thewes1, Jana Holder1,2
1Department of Orthopedics (Friedrichsheim), University Hospital, Goethe University Frankfurt, Frankfurt, Germany.
Bone & joint open
|October 9, 2023
概括
中央峰值高度 (CPH) 方法并不能提高成年人身高预测的准确性,仅限于时间上的年龄. 目前的方法,包括CPH,高估了最终的高度,表明需要更好的预测工具在儿科骨科.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科 儿科 儿科
- 放射学 放射学是一门学科.
背景情况:
- 准确的骨年龄和最终成年人身高预测在儿科骨科中对于增长指导干预至关重要.
- 目前的方法对于管理各种疾病和尽量减少治疗并发症至关重要.
研究的目的:
- 用中央峰值高度 (CPH) 方法评估最终成年人身高预测的准确性.
- 为了进行高度预测,比较四个不同的乘法表 (Bayley和Pinneau,Paley等人,Sanders - Greulich和Pyle (SGP) 和Sanders - 峰值高度速度 (PHV)).
主要方法:
- 包括31名患者,这些患者因腿部形而接受了临时的半身生理治疗.
- 骨年龄使用CPH方法评估,使用长腿X射线图.
- 用四个乘法表来比较使用骨年龄与时间年龄的最终身高预测准确度.
主要成果:
- 所有方法都高估了真正的最终成年人身高 (FHTRUE).
- 在SGP表中显示了最低的高估值和绝对偏差.
- 使用SGP和PHV的基于年龄的时间预测与基于骨年龄的预测相比,与FHTRUE的相关性更高.
结论:
- 与单独的时间年龄相比,CPH方法在成年人身高预测准确度上没有显著的改善.
- 对于使用CPH来确定骨年龄而不是时间年龄,没有常规优势.
- 需要更准确的方法来预测当前儿科人口的最终成年人身高.
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