Skeletal development of the hand and wrist: digital bone age companion-a suitable alternative to the Greulich and Pyle atlas for bone age assessment? – PubMed
Fig. 1
Demonstration of bone age study interpretation with the digital method integrated into clinical workflow. (The display of patient information in the software is from a hypothetical patient for illustrative purposes. Any resemblance to that of an actual patient is coincident.) Figure 1b–e from Skeletal Development of the Hand and Wrist: Digital Bone Age Companion by Gaskin et al, 2011. By permission of Oxford University Press. a Screenshot from RIS-EHR demonstrates anonymized bone age study requisition and “BoneAge” button (orange arrow) in the graphical user interface. Clicking the button launches bone age software and initiates XML file drop containing the patient’s date of birth, date of study, and gender. b Screenshot of bone age software. The software references the XML file and then displays the bone age standard closest to the patient’s age and matching the patient’s gender for the most likely match in the typical patient. Users may zoom in on skeletal features and adjust the window level and width to their preference. c Screenshot of bone age software demonstrates optional annotated standards to aid the interpreter in choosing the best match. Up to three standards (only two shown) may be reviewed side-by-side to further aid decision making. Clicking the calculator button (calculator icon at bottom left) sends the patient’s date of birth, date of study, gender, and chosen standard to the calculator. d Screenshot of bone age calculator. The calculator uses the correct standard deviation value to perform the skeletal maturity calculation. The software includes settings that allow for adjustments in how the calculation is performed to accommodate regional practice differences. The user can manually edit the estimated skeletal age if it falls between two standards. Clicking the “Generate Report” button (bottom right) creates a structured report that can be copy/pasted to the reporting system for final review and signature. e Example of structured report generated by bone age software based upon user-chosen bone age standard and automatically imported patient demographics from the RIS-EHR or PACS
