儿童和青少年的基于超声波的骨年龄评估:一个迷你回顾
Yixuan Zhang1, Xiao Yang1, Li Zhang1
1Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Frontiers in pediatrics
|September 8, 2025
概括
超声波骨年龄评估为评估儿童骨成熟度提供了无辐射的X射线替代方案. 目前的方法看起来很有前途,与放射性标准相对应,但需要进一步标准化和验证.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 医学成像医学成像
- 骨生物学 骨生物学
背景情况:
- 骨龄评估对于儿科生长监测和临床决策至关重要.
- 传统的方法 (Greulich-Pyle,Tanner-Whitehouse) 使用电离辐射.
- 辐射问题引发了对超声波等替代性,非侵入性技术的兴趣.
研究的目的:
- 审查目前关于超声波骨龄评估的证据.
- 突出其作为无辐射替代放射学的潜力.
- 确定该领域的进展,挑战和未来方向.
主要方法:
- 文献综述综合了关于超声波骨龄评估的当前研究.
- 分析标准化评分系统,骨化比率和声学测量.
- 评估与已建立的放射学方法的相关性.
主要成果:
- 超声波骨年龄评估显示与放射性标准有很强的相关性.
- 进步包括标准化评分,骨化比率和声学测量,提高可靠性.
- 在标准化,人口变化和运营商依赖性方面仍然存在挑战.
结论:
- 超声波骨年龄评估是评估骨成熟度的有希望的无辐射工具.
- 对大规模数据库,共识指南和人工智能集成需要进一步的研究.
- 改进对于解决局限性和确保广泛的临床适用性至关重要.
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