Browse > Article

Comparison Between Ultrasonic and X-ray Methods for Imaging the Children′s Growth Plate  

Kim Sang Hoo (Department of Medical Engineering, Graduate School of East-West Medical Science, Kyung Hee University)
Kim Hyung Jun (Department of Medical Engineering, Graduate School of East-West Medical Science, Kyung Hee University)
Han Eun Ok (Department of Health Education, The Graduate School of Ewha Womans University)
Han Seung Moo (Department of Medical Engineering, Graduate School of East-West Medical Science, Kyung Hee University)
Publication Information
Journal of Biomedical Engineering Research / v.25, no.6, 2004 , pp. 551-556 More about this Journal
Abstract
The purpose of this study was to suggest a systematic and scientific method for measurement of children's growth development, in which the accuracy of existing diagnosis method has not been concretely examined yet. The most popular method for diagnosis of children's growth is to analyze the opening degree of growth plate in each joint by X-ray image. However, X-ray method has some disadvantages; it is impossible to measure the diagnosis of growth periodically and repeatedly due to the radiation problem. Hence, this study introduced a profile analysis and the algorithm of analyzing the image of growth plate with the BUA(Broadband Ultrasound Attenuation) of calcaneus, to verify the possibility of alternative ultrasonic method harmless to human body. We obtained the images of growth plate in proximal tibiae, phalanges, and calcanei of 269 children (7∼16 years old) with X-ray. And the image of growth plate in calcanei was also obtained front those children with ultrasound. The results showed that the time of the opening degree of growth plate in each joint was almost consistent between X-ray and ultrasonic images. Also, the images of growth plate measured by X-ray and ultrasound showed the high correlation. Therefore, it is expected that the algorithm of ultrasonic profile analysis introduced in this study can replace the existing X-ray method to measure the growth plate correctly.
Keywords
Ultrasound; Growth plate; X-ray; Calcaneus; Imaging mettled;
Citations & Related Records
연도 인용수 순위
  • Reference
1 D. R. Raaffe, C. Duret, C. S. cooper and R. Marcus, 'Comparison of calcaneal ultrasound and DXA in young women', Medicine & Science in Sprts & Exercise, pp. 1484-1489, 1998
2 Hans D, Arlot ME, Schott AM, Roux JP, Kotzki PO and Meunier PJ, 'Do ultrasound measurements on the os calcis reflect more the bone microarchitecture than the bone mass?: a two-dimensional histomorphometric study', Bone Mar, 16(3), pp. 295-300, 1995
3 S. Fischer, A. Milinarsky, V. Giadrosich, G. Dib, M. Arriagada and R. Arinoviche, 'X-ray Absorptiometry of Bone in Obese and Eutrophic Children from Valparaiso', Chile, The Journal of Rheumatology, Vol. 27(3), No.5, pp. 1294-1296, 2000
4 Tamura K Akiyama T, Taguchi A, Fujikawa H, Saitoh H and Yanaihara T, 'Measurement of bone density by ultrasound bone densitometer in normal pregnant women' Nippon Sanka Fujinka Gakkai Zasshi Nov, 48(11), pp. 1079-1084, 1996
5 S.M. Han, J. Medige, J. Davis, K. Fishkin, W. Mihalko and I. Ziv, 'Ultrasound νelocity and broadband attenuation as predictors of load-bearing capacities of human calcanei', Calcified Tissue International, 60(5), 1, pp. 21-25, 1997
6 Wendt B, Cornelius A and Otto R, 'Diagnosis of osteoporosis with ultrasound densitometry of the calcaneus', Radiologe Jan, 36(1), pp. 58-63, 1996
7 F. Rauch and E. Schoenau, 'Changes in Bone Density During Childhood and Adolescence: An Approach Based on Bone's BiologicaI Organization', Journal of Bone and Mineral research, Vol. 16(8), No.4, pp. 597-604, 2001
8 K. Brooke-Wavell, P.R.M. Jones and D.W.Pye, 'Ultrasound and Dual X-ray Absorptiometry Measurement of the Calcaneus: Influence of Region of Interest Location', Calcified Tissue International, 57, pp. 20-24, 1995
9 M. H. Leguin, R. R. van Rijn, S. G. F. Robbon, W. C. J. Hop and C. van Kuijk, 'Normal Values for Tibial Quantitative ultrasonometry in Caucasian Children and Adolescents (Aged 6 to 19 Years)', Calcified Tissue International, Vol. 67(5), pp. 101-105, 2000
10 Damilakis J, Perisinakis K, Vagios E, Tsinikas D and Gourtsoyiannis N, 'Effect of region of interest location on ultrasound measurements of the calcaneus', Calcified Tissue International Oct, 63(4), pp. 300-305, 1998
11 Laugier P, Giat P and Berger G, 'Broadband ultrasonic attenuation imaging: a new imaging technique of the os calcis', Calcified Tissue International Feb, 54(2), pp. 83-6, 1994
12 Francoise Lefebvre, Genevieve Berger and Pascal Laugier, 'Automatic Detection of the Boundary of the Calcaneus from Ultrasound Parametric Images Using an Active Contour Model; Clinical Assessment', IEEE TRANSACTIONS ON MEDICAL IMAGING, VOL. 17, NO.1, 1998
13 S.M. Han, J. Rho, J. Medige and I. Ziv, 'Ultrasound velocity and broadband attenuation over a wide range of bone mineral density', Osteoporosis International, 6(6), pp. 291-296, 1996
14 Bayer M and Kutilek S, 'Ultrasound transmission through the Os calcis in children: which side should we measure?' , Calcified Tissue International Des, 61(6), pp. 441-442, 1997
15 S.M. Han and J. Rho, 'Dependence of broadband ultrasound attenuation on the anisotropy of elastic moduli in cancellous bone', IMechE, Journal of Engineering in Medicine, 212(5), pp. 1-5, 1998
16 Jaworski M, Lebiedowski M and Lorenc RS, 'Measurements of calcaneus bone density by ultrasonography in children and adolescents', Polski Tygodnik Lekarski Nov, 50(44-47), pp. 20-23, 1995
17 Han SM and Davis J, 'A comparison between the patella and the calcaneus using ultrasound velocity and attenuation as predictors of bone mineral density', Physics in Medicine and Biology Oct, 42(10), pp. 1947-1955, 1997
18 Strelitzki R, Clarke AJ and Evans JA, 'The measurement of the velocity of ultrasound in fixed trabecular bone using broadband pulses and single-frequency tone bursts', Physics in Medicine and Biology Apr, 41(4): pp. 743-753, 1996