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ArticleSpine deformity2024

Does radiographic calibration affect linear radiographic measurements in a large pediatric spine registry?

Christina M Regan, Jessica Morgan, Tricia St Hilaire, Ron El-Hawary, Joshua M Pahys, David L Skaggs, Burt Yaszay, Stefan Parent, Pediatric Spine Study Group, A Noelle Larson

Abstract read
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In one paragraph

Article in Spine deformity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Christina M ReganDepartment of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, USA.
Jessica MorganPediatric Spine Study Group, Valley Forge, PA, USA.
Tricia St HilairePediatric Spine Study Group, Valley Forge, PA, USA.
Ron El-HawaryDalhousie University, Halifax, NS, Canada.
Joshua M PahysPhiladelphia Shriners Hospital for Children, Philadelphia, PA, USA.
David L SkaggsCedars-Sinai Health System, Los Angeles, CA, USA.
Burt YaszaySeattle Children's Hospital, Seattle, WA, USA.
Stefan ParentSt. Justine's Hospital, Montreal, QC, Canada.
Pediatric Spine Study Group
A Noelle LarsonDepartment of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, USA. larson.noelle@mayo.edu.ORCID 0000-0001-6542-6975

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLarge registries are increasingly at the forefront of modern pediatric spine research, with manual, centralized, trained radiographic measurement serving as the gold standard for spine research. However, there is limited data regarding the reliability of registry measurements which may be subject to differences in radiographic calibration. We undertook this study to evaluate reliability of T1-T12 height, L1-S1 height, and coronal balance measurements for a large registry of early onset scoliosis patients.

methodsThree trained technicians from the Pediatric Spine Study Group measured 43 radiographs for T1-T12, L1-S1, and coronal balance using 3 different calibration techniques. All radiographs were AP views of patients with magnetically controlled growing rods with known diameters. The calibration techniques used a pre-export manually drawn line, a digital automatically generated computerized marker, and the diameter of a magnetically controlled growing rod. The intraclass correlation coefficient (ICC) was calculated to determine reliability.

results1161 measurements were performed. For each of the three raters, coronal balance, T1-T12 height and L1-S1 height had excellent agreement regardless of the calibration technique (alpha 0.93-1.0). Among the parameters, coronal balance had the worst inter-rater reliability, whereas there was excellent interrater reliability regarding T1-T12 height and L1-S1 height (alpha 0.91-0.99).

conclusionThere was excellent agreement among reviewers and between the 3 different calibration techniques. While calibration using rod diameter served as the gold standard, this data shows that other standard calibration methods were adequate and achieved excellent reliability for registry radiographs.

Indexed as

ScoliosisSpineCalibrationChildHumansRadiographyReproducibility of ResultsCalibrationScoliosisSpine radiograph

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.