PDF(Pubmed)
Abstract：
UNASSIGNED: Skeletal maturity can evaluate the growth and development potential of children and provide a guide for the management of adolescent idiopathic scoliosis (AIS). Recent studies have demonstrated the advantages of the Humeral Head Ossification System (HHOS) and the Proximal Femur Maturity Index (PFMI), based on standard scoliosis films, in the management of AIS patients. We further assessed the HHOS and the PFMI method\'s reliability in the interrater and intrarater.
UNASSIGNED: The data from 38 patients, including the humeral head and proximal femur on standard scoliosis films, were distributed to the eight raters in the form of a PowerPoint presentation. On 38 independent standard spine radiographs, raters utilized the HHOS and PFMI to assign grades. The PPT sequence was randomly changed and then reevaluated 2 weeks later. For every system, the 95% confidence interval (95% CI) and intraclass correlation coefficient (ICC) were calculated to evaluate the interrater and intrarater reliability.
UNASSIGNED: The HHOS was extremely reliable, with an intraobserver ICC of 0.802. In the first round, the interobserver ICC reliability for the HHOS was 0.955 (0.929-0.974), while in the second round, it was 0.939 (0.905-0.964). The PFMI was extremely reliable, with an intraobserver ICC of 0.888. In the first round, the interobserver ICC reliability for the PFMI was 0.967 (0.948-0.981), while in the second round, it was 0.973 (0.957-0.984).
UNASSIGNED: The HHOS and PFMI classifications had excellent reliability. These two methods are beneficial to reduce additional exposure to radiation and expense for AIS. There are advantages and disadvantages to each classification. Clinicians should choose a personalized and reasonable method to assess skeletal maturity, which will assist in the management of adolescent scoliosis patients.
UNASSIGNED: The data from 38 patients, including the humeral head and proximal femur on standard scoliosis films, were distributed to the eight raters in the form of a PowerPoint presentation. On 38 independent standard spine radiographs, raters utilized the HHOS and PFMI to assign grades. The PPT sequence was randomly changed and then reevaluated 2 weeks later. For every system, the 95% confidence interval (95% CI) and intraclass correlation coefficient (ICC) were calculated to evaluate the interrater and intrarater reliability.
UNASSIGNED: The HHOS was extremely reliable, with an intraobserver ICC of 0.802. In the first round, the interobserver ICC reliability for the HHOS was 0.955 (0.929-0.974), while in the second round, it was 0.939 (0.905-0.964). The PFMI was extremely reliable, with an intraobserver ICC of 0.888. In the first round, the interobserver ICC reliability for the PFMI was 0.967 (0.948-0.981), while in the second round, it was 0.973 (0.957-0.984).
UNASSIGNED: The HHOS and PFMI classifications had excellent reliability. These two methods are beneficial to reduce additional exposure to radiation and expense for AIS. There are advantages and disadvantages to each classification. Clinicians should choose a personalized and reasonable method to assess skeletal maturity, which will assist in the management of adolescent scoliosis patients.
摘要：
■骨骼成熟度可以评估儿童的生长和发育潜力，并为青少年特发性脊柱侧凸（AIS）的管理提供指导。最近的研究已经证明了肱骨头骨化系统（HHOS）和近端股骨成熟指数（PFMI）的优势，基于标准脊柱侧凸胶片，在AIS患者的管理中。我们进一步评估了HHOS和PFMI方法在评分者和评分者中的可靠性。
■来自38名患者的数据，包括标准脊柱侧凸膜上的肱骨头和股骨近端，以PowerPoint演示文稿的形式分发给八名评估者。在38张独立的标准脊柱射线照片上，评价者利用HHOS和PFMI来分配等级。随机改变PPT序列,然后在2周后重新评估。对于每个系统，通过计算95%置信区间(95%CI)和组内相关系数(ICC)来评估评分者间和组内的信度.
■居屋非常可靠，观察者内部ICC为0.802。在第一轮中，HHOS的观察者间ICC可靠性为0.955(0.929-0.974)，在第二轮中，它是0.939（0.905-0.964）。PFMI非常可靠，观察者内部ICC为0.888。在第一轮中，PFMI的观察者间ICC可靠性为0.967(0.948-0.981)，在第二轮中，它是0.973（0.957-0.984）。
■HHOS和PFMI类fi阳离子具有优异的可靠性。这两种方法有利于减少额外的辐射暴露和AIS的费用。每个分类都有优点和缺点。临床医生应选择个性化、合理的方法评估骨骼成熟度,这将有助于青少年脊柱侧弯患者的管理。
■来自38名患者的数据，包括标准脊柱侧凸膜上的肱骨头和股骨近端，以PowerPoint演示文稿的形式分发给八名评估者。在38张独立的标准脊柱射线照片上，评价者利用HHOS和PFMI来分配等级。随机改变PPT序列,然后在2周后重新评估。对于每个系统，通过计算95%置信区间(95%CI)和组内相关系数(ICC)来评估评分者间和组内的信度.
■居屋非常可靠，观察者内部ICC为0.802。在第一轮中，HHOS的观察者间ICC可靠性为0.955(0.929-0.974)，在第二轮中，它是0.939（0.905-0.964）。PFMI非常可靠，观察者内部ICC为0.888。在第一轮中，PFMI的观察者间ICC可靠性为0.967(0.948-0.981)，在第二轮中，它是0.973（0.957-0.984）。
■HHOS和PFMI类fi阳离子具有优异的可靠性。这两种方法有利于减少额外的辐射暴露和AIS的费用。每个分类都有优点和缺点。临床医生应选择个性化、合理的方法评估骨骼成熟度,这将有助于青少年脊柱侧弯患者的管理。
