Visual diagnosis of pectus excavatum: An inter-observer and intra-observer agreement analysis

Daemen, Jean H. T.; Loos, Erik R. de; Geraedts, Tessa C.M.; Veer, Hans Van; Huijstee, Pieter J. Van; Elenbaas, Ted W.O.; Hulsewé, Karel W. E.; Vissers, Yvonne L. J.

doi:10.1016/j.jpedsurg.2021.06.003

Cited by 7 publications

(5 citation statements)

References 23 publications

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“…The surface analysis tool demonstrated to be accurate and reproducible, overcoming the limitations of visual assessment and qualitative description of features by surgeons that is prone to inter-and intra-observer variability. 6 It may, moreover, guide and objectify clinical decision making and evaluation of treatments by providing quantitative assessment of the pectus morphology without the exposure to radiation from a CT.…”

Section: Discussionmentioning

confidence: 99%

“…The classification of Cartoski et al was developed by categorization of visual pectus excavatum features. Yet, such a classification requires observers to classify the deformity based on visual examination that is prone to inter-observer and intra-observer differences, 6 especially if the deformity is not pronounced or on the border between categories. This disadvantage may be overcome by the developed surface analysis tool that is able to automatically quantify phenotypical pectus excavatum features.…”

Section: Discussionmentioning

confidence: 99%

“…Attempts to qualitatively describe and characterize variations in pectus morphology have led to the utilization of descriptive subtypes, for example trench-, saucer-and cup-shaped types. 4,5 Unfortunately, this qualitative classification is inherently related to inter-observer and intra-observer variability, 6 in contrast to a more objective quantitative assessment.…”

Section: Introductionmentioning

confidence: 99%

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The Automatic Quantification of Morphological Features of Pectus Excavatum Based on Three-Dimensional Images

Coorens

Daemen²,

Slump

et al. 2022

Seminars in Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Automatic Quantification of Morphological Features of Pectus Excavatum Based on Three-Dimensional Images

Coorens

Daemen²,

Slump

et al. 2022

Seminars in Thoracic and Cardiovascular Surgery

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“…Asymmetric pectus excavatum may be further subdivided based on the relationship between the center of the sternum and the point of maximum depression, namely: eccentric [i.e., focal, broad-flat, long canal (Grand Canyon type)], unbalanced, or combined ( 123 ). However, classification into morphologic subtypes or degree of (a)symmetry is subject to considerable inter- and intra-observer disagreements due to the visual examination aspect ( 125 ).…”

Section: Pectus Excavatummentioning

confidence: 99%

Pectus excavatum and carinatum: a narrative review of epidemiology, etiopathogenesis, clinical features, and classification

Janssen,

Coorens,

Franssen

et al. 2024

J Thorac Dis

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Background and Objective A wide variety of congenital chest wall deformities that manifest in infants, children and adolescents exists, among which are pectus excavatum and pectus carinatum. Numerous studies have been conducted over the years aiming to better understand these deformities. This report provides a brief overview of what is currently known about the epidemiology, etiopathogenesis, clinical presentation, and classification of these deformities, and highlights the gaps in knowledge. Methods A search was conducted for all the above-described domains in the PubMed and Embase databases. Key Content and Findings A total of 147 articles were included in this narrative review. Estimation of the true incidence and prevalence of pectus excavatum and carinatum is challenging due to lacking consensus on a definition of both deformities. Nowadays, several theories for the development of pectus excavatum and carinatum have been suggested which focus on intrinsic or extrinsic pathogenic factors, with the leading hypothesis focusing on overgrowth or growth disturbance of costal cartilages. Furthermore, genetic predisposition to the deformities is likely to exist. Pectus excavatum is frequently associated with cardiopulmonary symptoms, while pectus carinatum patients mostly present with cosmetic complaints. Both deformities are classified based on the shape or severity of the deformity. However, each classification system has its limitations. Conclusions Substantial progress has been made in the past few decades in understanding the development and symptomatology of pectus excavatum and carinatum. Current hypotheses on the etiology of the deformities should be confirmed by biomedical and genetic studies. For clinical purposes, the establishment of a clear definition and classification system for both deformities based on objective morphologic features is eagerly anticipated.

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“…Своєчасне коригування деформації грудної клітки дає змогу зупинити розвиток патологічних вад серця. У період консервативного ко-ригування деформації грудної клітки, а також після її закінчення діти продовжують бути під контролем лікаря і кардіолога для запобігання редициву [3].…”

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The use of vacuum bell therapy for the treatment of pectus excavatum in children of the younger group: the dynamics of changes in echocardiography

Yaroslavska,

Kryvopustov,

Saltykova

et al. 2024

UJPP

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Pectus excavatum (PE) si common disease among children, which in most cases manifests during the period of intensive growth. Children with PE may have asymptomatic changes in the heart and may not cause concern for some time. Purpose - to evaluate of the dynamics of echocardiography changes during conservative treatment of PE by vacuum bell therapy. Materials and methods. An evaluation of 28 patients with an average age of 6.4±1.2, who underwent conservative treatment of PE, was carried out. Cardiac ultrasound data before and after treatment were processed statistically. Results. After treatment, signs of mitral valve prolapse in children remained, that is, there were no qualitative changes. But the overall level of prolapse decreased statistically significantly (p=0.042) from 1.97±0.87 mmHg. to 1.73±0.69 mm Hg. Paradoxical movement of the interventricular membrane was not a frequent defect and before treatment was observed only in 5 (17.9%) children. After treatment, this defect was not noted. Myocardial function in all children was normal (>60%) both before treatment (69.86±8.21%) and after (68.54±2.67%). Conclusions. In pediatric population disturbances in the work of the heart with PE are often in a compensated or subcompensated state, but in the future they can lead to functional disorders.Screening use of echocardiography is recommended for all children with manifestations of funnel-shaped chest deformity. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the institution mentioned in the work. Informed consent of the patients was obtained for the research. No conflict of interests was declared by the authors.

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Visual diagnosis of pectus excavatum: An inter-observer and intra-observer agreement analysis

Cited by 7 publications

References 23 publications

The Automatic Quantification of Morphological Features of Pectus Excavatum Based on Three-Dimensional Images

The Automatic Quantification of Morphological Features of Pectus Excavatum Based on Three-Dimensional Images

Pectus excavatum and carinatum: a narrative review of epidemiology, etiopathogenesis, clinical features, and classification

The use of vacuum bell therapy for the treatment of pectus excavatum in children of the younger group: the dynamics of changes in echocardiography

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