Beatriz Nogueira Leite, João Vitor Nogueira Rubez, Carlos Alberto Arruda Soufen, Bruna Zanetti Pereira, Marcos Vinicius Felix Santana, Eiffel Tsuyoshi Dobashi
{"title":"评估 Sauvegrain 法与 Greulich 和 Pyle 法之间的骨龄一致性。","authors":"Beatriz Nogueira Leite, João Vitor Nogueira Rubez, Carlos Alberto Arruda Soufen, Bruna Zanetti Pereira, Marcos Vinicius Felix Santana, Eiffel Tsuyoshi Dobashi","doi":"10.1590/1413-785220243204e278912","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the intra and inter observer agreement of the Sauvegrain, Greulich and Pyle methods.</p><p><strong>Material and methods: </strong>This is an observational, retrospective and cross-sectional study ethically approved by opinion 6,192,391. 100 radiographic images of the elbow and 100 of the left wrist and hand were collected from children whose images were selected by a researcher who did not carry out the evaluations. The Sauvegrain, Greulich and Pyle methods were used to determine bone age. We provided a detailed explanation of each method and the evaluators received a file with the study images. After three weeks, the exams were randomized and the radiograms were reevaluated. Of the 100 patients in group A, 61 (61%) were boys and 39 (39%) were girls. In group B, 67 (67%) were boys and 33 (33%) were girls.</p><p><strong>Four statistical analyzes were used: </strong>correlation; intraclass correlation; analysis using the Bland-Altman graph; differences between groups.</p><p><strong>Results: </strong>Intra and interobserver agreement between groups was considered excellent.</p><p><strong>Conclusions: </strong>Despite the excellent agreement, group A presented a significantly better value than B. Biological ages show a greater difference compared to chronological ages in group A. In group B, skeletal and chronological ages do not show statistical difference according to the accuracy test. <b><i>Level of Evidence III, Cross-Sectional Observational Study.</i></b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460657/pdf/","citationCount":"0","resultStr":"{\"title\":\"ASSESSEMENT OF BONE AGE AGREEMENT BETWEEN THE SAUVEGRAIN AND GREULICH AND PYLE METHODS.\",\"authors\":\"Beatriz Nogueira Leite, João Vitor Nogueira Rubez, Carlos Alberto Arruda Soufen, Bruna Zanetti Pereira, Marcos Vinicius Felix Santana, Eiffel Tsuyoshi Dobashi\",\"doi\":\"10.1590/1413-785220243204e278912\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the intra and inter observer agreement of the Sauvegrain, Greulich and Pyle methods.</p><p><strong>Material and methods: </strong>This is an observational, retrospective and cross-sectional study ethically approved by opinion 6,192,391. 100 radiographic images of the elbow and 100 of the left wrist and hand were collected from children whose images were selected by a researcher who did not carry out the evaluations. The Sauvegrain, Greulich and Pyle methods were used to determine bone age. We provided a detailed explanation of each method and the evaluators received a file with the study images. After three weeks, the exams were randomized and the radiograms were reevaluated. Of the 100 patients in group A, 61 (61%) were boys and 39 (39%) were girls. In group B, 67 (67%) were boys and 33 (33%) were girls.</p><p><strong>Four statistical analyzes were used: </strong>correlation; intraclass correlation; analysis using the Bland-Altman graph; differences between groups.</p><p><strong>Results: </strong>Intra and interobserver agreement between groups was considered excellent.</p><p><strong>Conclusions: </strong>Despite the excellent agreement, group A presented a significantly better value than B. Biological ages show a greater difference compared to chronological ages in group A. In group B, skeletal and chronological ages do not show statistical difference according to the accuracy test. <b><i>Level of Evidence III, Cross-Sectional Observational Study.</i></b></p>\",\"PeriodicalId\":55563,\"journal\":{\"name\":\"Acta Ortopedica Brasileira\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2024-10-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460657/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Ortopedica Brasileira\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1590/1413-785220243204e278912\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Ortopedica Brasileira","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1413-785220243204e278912","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
ASSESSEMENT OF BONE AGE AGREEMENT BETWEEN THE SAUVEGRAIN AND GREULICH AND PYLE METHODS.
Objective: To evaluate the intra and inter observer agreement of the Sauvegrain, Greulich and Pyle methods.
Material and methods: This is an observational, retrospective and cross-sectional study ethically approved by opinion 6,192,391. 100 radiographic images of the elbow and 100 of the left wrist and hand were collected from children whose images were selected by a researcher who did not carry out the evaluations. The Sauvegrain, Greulich and Pyle methods were used to determine bone age. We provided a detailed explanation of each method and the evaluators received a file with the study images. After three weeks, the exams were randomized and the radiograms were reevaluated. Of the 100 patients in group A, 61 (61%) were boys and 39 (39%) were girls. In group B, 67 (67%) were boys and 33 (33%) were girls.
Four statistical analyzes were used: correlation; intraclass correlation; analysis using the Bland-Altman graph; differences between groups.
Results: Intra and interobserver agreement between groups was considered excellent.
Conclusions: Despite the excellent agreement, group A presented a significantly better value than B. Biological ages show a greater difference compared to chronological ages in group A. In group B, skeletal and chronological ages do not show statistical difference according to the accuracy test. Level of Evidence III, Cross-Sectional Observational Study.
期刊介绍:
A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.