3D ultrasound to quantify lateral hip displacement in children with cerebral palsy: a validation study.


Journal

Developmental medicine and child neurology
ISSN: 1469-8749
Titre abrégé: Dev Med Child Neurol
Pays: England
ID NLM: 0006761

Informations de publication

Date de publication:
12 2020
Historique:
accepted: 01 07 2020
pubmed: 20 8 2020
medline: 22 1 2021
entrez: 20 8 2020
Statut: ppublish

Résumé

To assess the validity of a new index, lateral head coverage (LHC), for describing hip dysplasia in a population of children with cerebral palsy (CP). LHC is derived from 3D ultrasound assessment. Twenty-two children (15 males, seven females; age 4-15y) with CP undergoing routine hip surveillance were recruited prospectively for the study. Each participant had both a planar radiograph acquired as part of their routine care and a 3D ultrasound assessment within 2 months. Reimer's migration percentage (RMP) and LHC were measured by the same assessor, and the correlation between them calculated using Pearson's correlation coefficient. The repeatability of LHC was investigated with three assessors, analysing each of 10 images three times. Inter- and intra-assessor variation was quantified using intraclass correlation coefficients. LHC was strongly correlated with RMP (Spearman's rank correlation coefficient=-0.86, p<0.001). LHC had similar inter-assessor reliability to that reported for RMP (intraclass correlation coefficient=0.97 and intra-assessor intraclass correlation coefficient=0.98). This is an initial validation of the use of 3D ultrasound in monitoring hip development in children with CP. LHC is comparable with RMP in estimating hip dysplasia with similar levels of reliability that are reported for RMP.

Identifiants

pubmed: 32812217
doi: 10.1111/dmcn.14647
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1389-1395

Subventions

Organisme : Action Medical Research (UK)
ID : 208701
Pays : International
Organisme : Action Medical Research (UK)
ID : SC039284
Pays : International
Organisme : Wellcome/Engineering and Physical Sciences Research Council Centre for Medical Engineering
ID : WT 203148/Z/16/Z
Pays : International

Informations de copyright

© 2020 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.

Références

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Auteurs

Rebecca H Kay (RH)

Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
One Small Step Gait Laboratory, Guy's & St Thomas' NHS Foundation Trust, London, UK.

Jonathan J Noble (JJ)

One Small Step Gait Laboratory, Guy's & St Thomas' NHS Foundation Trust, London, UK.

Liam Johnston (L)

Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
King's College Hospital, London, UK.

Stephen F Keevil (SF)

Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Medical Physics, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Michail Kokkinakis (M)

Evelina London Children's Hospital, London, UK.
Faculty of Life Sciences and Medicine, King's College London, London, UK.

Daniel Reed (D)

Evelina London Children's Hospital, London, UK.

Martin Gough (M)

Evelina London Children's Hospital, London, UK.

Adam P Shortland (AP)

Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
One Small Step Gait Laboratory, Guy's & St Thomas' NHS Foundation Trust, London, UK.

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