Version 1
: Received: 31 August 2024 / Approved: 2 September 2024 / Online: 2 September 2024 (10:49:48 CEST)
How to cite:
Martín Pérez, I. M.; Martín Pérez, S. E.; Vega González, J. M.; Molina Suárez, R.; García Hernández, A. M.; Rodríguez Hernández, F.; Herrera Perez, M. Validation of Greulich and Pyle Atlas for Radiological Bone Age Assessment in Pediatric Population from the Canary Islands. Preprints2024, 2024090071. https://doi.org/10.20944/preprints202409.0071.v1
Martín Pérez, I. M.; Martín Pérez, S. E.; Vega González, J. M.; Molina Suárez, R.; García Hernández, A. M.; Rodríguez Hernández, F.; Herrera Perez, M. Validation of Greulich and Pyle Atlas for Radiological Bone Age Assessment in Pediatric Population from the Canary Islands. Preprints 2024, 2024090071. https://doi.org/10.20944/preprints202409.0071.v1
Martín Pérez, I. M.; Martín Pérez, S. E.; Vega González, J. M.; Molina Suárez, R.; García Hernández, A. M.; Rodríguez Hernández, F.; Herrera Perez, M. Validation of Greulich and Pyle Atlas for Radiological Bone Age Assessment in Pediatric Population from the Canary Islands. Preprints2024, 2024090071. https://doi.org/10.20944/preprints202409.0071.v1
APA Style
Martín Pérez, I. M., Martín Pérez, S. E., Vega González, J. M., Molina Suárez, R., García Hernández, A. M., Rodríguez Hernández, F., & Herrera Perez, M. (2024). Validation of Greulich and Pyle Atlas for Radiological Bone Age Assessment in Pediatric Population from the Canary Islands. Preprints. https://doi.org/10.20944/preprints202409.0071.v1
Chicago/Turabian Style
Martín Pérez, I. M., Fidel Rodríguez Hernández and Mario Herrera Perez. 2024 "Validation of Greulich and Pyle Atlas for Radiological Bone Age Assessment in Pediatric Population from the Canary Islands" Preprints. https://doi.org/10.20944/preprints202409.0071.v1
Abstract
Accurate assessment of bone age (BA) is crucial for pediatric clinical practice. This study validated the Radiological Reference Atlas for Bone Age in the Canary Islands Population with a total of 203 anteroposterior left hand and wrist radiographs from healthy children (91 females, 112 males) across preschool, school-age, and adolescent stages. Intra-observer agreement, assessed by intraclass correlation coefficients (BAA1: ICC = 1.000, BAA2: ICC = 0.995, BAA3: ICC = 0.943), showed differing levels of precision among assessors. Inter-observer agreement was high (Pearson’s r = 0.905 - 0.951), suggesting consistent evaluations across different expertise levels. Accuracy analysis revealed significant BA underestimation compared to chronological age (CA) in preschool (MD = -17.036 months, p < 0.001) and school-age (MD = -8.165 months, p < 0.001) groups, but closer agreement in teenagers (MD = -0.33 months, p = 0.550). Furthermore, a relevant underestimation in the teenage stage for girls compared to boys was also noted. These findings underscore the atlas's precision; however, its accuracy for BA assessment in younger children and adolescent girls needs to be approached with caution.
Keywords
diagnostic imaging; radiography; age determination by skeleton; children; Greulich and Pyle Atlas; Canary Islands
Subject
Medicine and Pharmacology, Pediatrics, Perinatology and Child Health
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.