Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Correlation between Serum IGF-1, IGFBP-3 Levels, and Hand-Wrist Radiographs in Determining Skeletal Maturity

골 성숙도 결정 시 혈청 IGF-1, IGFBP-3 농도와 수완부 방사선 사진의 상관관계

  • Misun Kwak (Department of Pediatric Dentistry, Dental Hospital, Ajou University) ;
  • Yon-joo Mah (Department of Pediatric Dentistry, Dental Hospital, Ajou University)
  • 곽미선 (아주대학교 치과병원 소아치과) ;
  • 마연주 (아주대학교 치과병원 소아치과)
  • Received : 2023.06.03
  • Accepted : 2023.07.22
  • Published : 2023.08.31
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Abstract

The aim of this study was to assess the correlation between serum levels of insulin-like growth factor-1 (IGF-1), insulin-like growth factor binding protein-3 (IGFBP-3), and hand-wrist radiographs using a skeletal maturity indicator (SMI) and the middle phalanx of the third finger (MP3). Hand-wrist radiographs and blood samples from 205 patients aged 7 - 17 years were retrospectively analyzed by two dentists using the SMI stages, MP3 stages, and serum IGF-1 and IGFBP-3 levels. Serum IGF-1 levels were highest at the SMI 6 - 8 and MP3 - G stage and lowest at the SMI 1 - 3 and MP3 - F stage (p < 0.0001). Serum IGFBP-3 levels were highest at the SMI 9 - 10 and MP3 - I stage and lowest at the SMI 1 - 3 and MP3 - FG stage (p = 0.010, 0.030). As a result of Pearson correlation analysis, a relatively high correlation was found between skeletal maturity using the SMI and MP3 stages and serum IGF-1 levels (r = 0.698, 0.622, p < 0.0001). According to the results of this study, serum IGF-1 levels can be used as an auxiliary measure to evaluate the skeletal maturity of children and adolescents in dentistry. The range from the mean serum IGF-1 level of 472 ㎍/L in SMI 6 stage to the mean IGF-1 level of 510.63 ㎍/L in MP3 G stage could be considered as the peak height velocity in clinical practice.

이 연구의 목적은 Skeletal maturity indicator (SMI) 및 Middle phalanx of the third finger (MP3)와 혈청 Insulin-like growth factor-1 (IGF-1) 및 Insulin-like growth factor binding protein-3 (IGFBP-3)의 상관 관계를 통해 골격적 성숙도의 예측 지표로 사용될 수 있는지 알아보는 것이다. 2018년 1월부터 2022년 12월까지 아주대학교 치과병원 및 소아청소년과에 내원한 만 7세 이상 17세 이하 환자 205명의 의무기록을 후향적으로 분석하였다. 혈청 IGF-1 농도는 SMI 6 - 8, MP3 - G에서 가장 높았고(p < 0.0001) 혈청 IGFBP-3 농도는 SMI 9 - 10, MP3 - I에서 가장 높았다(p = 0.010, 0.030). SMI, MP3와 혈청 IGF-1 농도 간 비교적 높은 Pearson 상관계수를 나타냈다(r = 0.698, 0.622, p < 0.0001). 혈청 IGF-1는 소아청소년의 골격적 성숙도를 평가하는 보조적 수단으로 활용될 수 있을 것이며 임상적으로는 472 ㎍/L에서 510.63 ㎍/L의 범위를 최대성장기로 고려할 수 있다.

Keywords

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