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Bone age assessment practices in infants and older children among Society for Pediatric Radiology members

Overview of attention for article published in Pediatric Radiology, May 2016
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Title
Bone age assessment practices in infants and older children among Society for Pediatric Radiology members
Published in
Pediatric Radiology, May 2016
DOI 10.1007/s00247-016-3618-7
Pubmed ID
Authors

Micheál A. Breen, Andy Tsai, Aymeric Stamm, Paul K. Kleinman

Abstract

Numerous bone age estimation techniques exist, but little is known about what methods radiologists use in clinical practice. To determine which methods pediatric radiologists use to assess bone age in children, and their confidence in these methods. Society for Pediatric Radiology (SPR) members were invited to complete an online survey regarding bone age assessment. Respondents were asked to identify the methods used and their confidence with their technique for the following groups: Infants (<1 year old), 1- to 3-year-olds and 3- to 18-year-olds. Of the 937 SPR members invited, 441 responded (47%). For infants, 70% of respondents use the hand/wrist method of Greulich and Pyle, 27% use a hemiskeleton method (e.g., Sontag or Elgenmark), and 14.4% use the knee method of Pyle and Hoerr. Of these respondents, 34% were not confident with their technique. For 1- to 3-year-olds, 86% used Greulich and Pyle, and 19% used a hemiskeleton method; 21% were not confident with their technique in this age group. For 3- to 18-year-olds, 97% used Greulich and Pyle, and only 6% of respondents were not confident with their technique in this category. A logistic regression analysis demonstrated that the chronological age of the patient had the greatest impact on reader confidence, with the odds ratios for confidence being 4 times greater in the 3- to 18-year-olds category compared to the younger groups. For children older than 3 years, the majority of pediatric radiologists are very confident in their use of Greulich and Pyle for bone age assessment. However a variety of methodologies are used when assessing bone age in infants and younger children, and pediatric radiologists are less confident assessing bone age in these children. This survey highlights the need for a consensus protocol on bone age assessment of younger children and infants that provides readers with a higher degree of confidence.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 13 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 8%
Unknown 12 92%

Demographic breakdown

Readers by professional status Count As %
Unspecified 2 15%
Researcher 2 15%
Student > Postgraduate 2 15%
Student > Ph. D. Student 2 15%
Student > Master 1 8%
Other 4 31%
Readers by discipline Count As %
Medicine and Dentistry 7 54%
Unspecified 3 23%
Mathematics 1 8%
Psychology 1 8%
Nursing and Health Professions 1 8%
Other 0 0%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 May 2016.
All research outputs
#9,379,593
of 12,226,394 outputs
Outputs from Pediatric Radiology
#738
of 1,096 outputs
Outputs of similar age
#178,396
of 277,147 outputs
Outputs of similar age from Pediatric Radiology
#35
of 67 outputs
Altmetric has tracked 12,226,394 research outputs across all sources so far. This one is in the 20th percentile – i.e., 20% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,096 research outputs from this source. They receive a mean Attention Score of 3.0. This one is in the 30th percentile – i.e., 30% of its peers scored the same or lower than it.
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We're also able to compare this research output to 67 others from the same source and published within six weeks on either side of this one. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.