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KMID : 0363420230370030111
Journal of Korean Oriental Pediatrics
2023 Volume.37 No. 3 p.111 ~ p.120
A Case Series on Clinical Characteristics of Patients Who Underwent Bone Age Test and Relationships between Methods of Bone Age Measurements
Choi Ji-U

Min Sang-Yeon
Kim Eun-Jin
Abstract
Objectives : The purpose of this study is to analyze the characteristic of the 157 pediatric patients who visited a Korean
medical hospital for bone age (BA) measurement and to compare the BA measurement using Tanner-Whitehouse
3-based analysis software and specialists in pediatric Korean medicine to determine the relationships.

Methods : The study included 157 pediatric patients who visited a Korean medicine hospital for BA measurements from
June 2021 to June 2023. They were analyzed to determine the characteristics and agreement of BA measurements
using Tanner-Whitehouse 3-based analysis software and specialists using classification by age, intraclass correlation
coefficient (ICC), and Bland-Altman plots.

Results : In total, 61.8% of the study population were boys and 38.2%, girls, with an average age of 11.32 ¡¾ 1.87. The
types of growth were various, and the average of bone maturity was 0.48 ¡¾ 1.13 as concluded by analysis software
and 0.38 ¡¾ 1.15 as concluded by the specialists. The ICC of two methods were excellent: 0.995 (overall), 0.996
(boys) and 0.994 (girls). However, BA determined by analysis software tended to be higher than that determined
by specialists when the patients were young.

Conclusions : This study showed that patients visited the hospital for BA measurement regardless of their height, and the
agreement of BA between the two methods can be used as a reference. However, there was differences in the trends
between age and sex, which should be interpreted with caution.
KEYWORD
Growth, Bone age, TW3, Prediction of adult height
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