Bone age assessment: comparison of children from two different regions with the Greulich–Pyle method In Turkey

Öztürk, Feral; Karataş, Orhan Hakkı; Mutaf, Hasan İlhan; Babacan, Hasan

doi:10.1080/00450618.2015.1119311

Cited by 7 publications

(9 citation statements)

References 27 publications

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“…[5,9,16,[26][27][28] In another study conducted in Turkey around Sivas province, which also has a high altitude and cold climate, partial retardation was detected in comparison to Malatya which has a lower altitude. [29] Therefore, climate, nutrition and socio-economic factors are thought to play an important role on the growth rate of children. It is also pointed out that warm climate and hot environment cause premature maturation.…”

Section: Discussionmentioning

confidence: 99%

Radiographic evaluation of bone maturations in children and adolescents living in Erzurum using Greulich-Pyle method

Öztürk¹,

Özdikici²,

Diyarbakir³

2019

Anatomy

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Objectives: Bone age (BA) is used in age determination for a number of medico-legal reasons. One of the most commonly used radiographic methods in BA assessment is to compare hand-wrist radiographs with a standard reference. In this study, Greulich-Pyle (GP) method was used to determine the bone maturation values of a population of children and adolescents living in the city of Erzurum, Turkey. Methods: Hand and wrist radiographs of 507 individuals (243 boys and 264 girls) aged between 7-19 years were evaluated and the BA was estimated by a radiologist using the GP method. Difference between estimated BA and chronological age (CA) was analyzed. Results: In boys, except for the ages of 12,13 and 17 years, BA was significantly lower than the chronological age. In girls, BA was significantly lower than CA at 7, 8, 18 and 19 years of age, but not statistically different in the other ages. Conclusion: According to the GP atlas, it is suggested that many factors including high altitude, cold climate, environment, nutrition, genetics, ethnics and socioeconomic diversities might cause differences between BA and CA. Our results obtained in this study suggest that this method can guide the determination of bone age in children living in Erzurum, Turkey. However, in certain age groups for both genders, the GP method significantly underestimated skeletal age.

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Section: Discussionmentioning

confidence: 99%

Radiographic evaluation of bone maturations in children and adolescents living in Erzurum using Greulich-Pyle method

Öztürk¹,

Özdikici²,

Diyarbakir³

2019

Anatomy

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“…Out of the 51 studies, 21 (41.18%) were conducted in different regions of Asia. Specifically, five studies were conducted in India [35][36][37][38][39], four in Turkey [40][41][42][43], three in Pakistan [30,44,45], two each in Saudi Arabia [46,47], China [48,49], and South Korea [50,51], and one each in Taiwan [52], Iran [53], and Israel [54].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Regarding study design, 25 (49.02%) were observational retrospective cohort studies [23,35,40,42,43,48,50,52,54,55,57,58,[61][62][63][64][65][66][67][68][69]76,79,83,84], followed by 19 (37.25%) crosssectional studies [30,[36][37][38][44][45][46]51,53,59,60,[72][73][74][75]77,78,81,82], and 7 (13.73%) observational prospective cohort studies [39,41,55,56,70,71,80].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Additionally, five studies (9.80%) were conducted exclusively in Africa, including two in South Africa [71,72], one in Zimbabwe [73] one in Botswana [74], and one in A total of 30 papers (58.8%) studied the accuracy [23,[35][36][37]40,41,43,45,48,49,[51][52][53]55,57,59,[64][65][66]69,70,[72][73][74][76][77][78][79][80]82], 1 of which also separately calculated the sensitivity and specificity [62]. A total of 27 (52.94%) studies analyzed precision [35,36,42,44,46,47,50,52,[56][57][58][60][61][62]…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The total number of studies conducted in Caucasian children was 23 (45.90%) representing a total of n = 9777 hand-wrist radiographs or panoramic radiography used to estimate BA in this ethnic group [23,40,41,43,[54][55][56][57][58][59][61][62][63][64][65][66][67][68]70,76,77,79,80]. In particular, Spain accounts for a total of 1310 cases (13.39%) among Caucasians and approximately 6.51% of the total number of radiographs [59].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Precision and Accuracy of Radiological Bone Age Assessment in Children among Different Ethnic Groups: A Systematic Review

Martín Pérez,

Vega González

et al. 2023

Diagnostics

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Aim: The aim was to identify, evaluate, and summarize the findings of relevant individual studies on the precision and accuracy of radiological BA assessment procedures among children from different ethnic groups. Materials and Methods: A qualitative systematic review was carried out following the MOOSE statement and previously registered in PROSPERO (CRD42023449512). A search was performed in MEDLINE (PubMed) (n = 561), the Cochrane Library (n = 261), CINAHL (n = 103), Web of Science (WOS) (n = 181), and institutional repositories (n = 37) using MeSH and free terms combined with the Booleans “AND” and “OR”. NOS and ROBINS-E were used to assess the methodological quality and the risk of bias of the included studies, respectively. Results: A total of 51 articles (n = 20,100) on radiological BA assessment procedures were precise in terms of intra-observer and inter-observer reliability for all ethnic groups. In Caucasian and Hispanic children, the Greulich–Pyle Atlas (GPA) was accurate at all ages, but in youths, Tanner–Whitehouse radius–ulna–short bones 3 (TW3-RUS) could be an alternative. In Asian and Arab subjects, GPA and Tanner–Whitehouse 3 (TW3) overestimated the BA in adolescents near adulthood. In African youths, GPA overestimated the BA while TW3 was more accurate. Conclusion: GPA and TW3 radiological BA assessment procedures are both precise but their accuracy in estimating CA among children of different ethnic groups can be altered by racial bias.

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Bone Geopolitics: Bone Age and the Racialization of Growth in UK and US Pediatrics (1940–1980)

Voléry¹,

Julien²

2020

From Measuring Rods to DNA Sequencing

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Bone age assessment: comparison of children from two different regions with the Greulich–Pyle method In Turkey

Cited by 7 publications

References 27 publications

Radiographic evaluation of bone maturations in children and adolescents living in Erzurum using Greulich-Pyle method

Radiographic evaluation of bone maturations in children and adolescents living in Erzurum using Greulich-Pyle method

Precision and Accuracy of Radiological Bone Age Assessment in Children among Different Ethnic Groups: A Systematic Review

Bone Geopolitics: Bone Age and the Racialization of Growth in UK and US Pediatrics (1940–1980)

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