Evidence map›Paper›PMID 40679562›Full record

ArticleEuropean journal of pediatrics2025

An AI-assisted tool for automated growth monitoring in pediatric achondroplasia.

Eyal Cohen-Sela, Yael Lebenthal, Avivit Brener, Ravit Regev, Lars Hagenäs

Abstract read
In one paragraph

Article in European journal of pediatrics, 2025. 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. The Science of Growth Monitoring: Beyond the Basics.Children (Basel, Switzerland) · 2026
    Review
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

5 authors.

Eyal Cohen-SelaThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, 64239-06, Tel Aviv, Israel.ORCID http://orcid.org/0009-0008-0083-9443
Yael LebenthalThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, 64239-06, Tel Aviv, Israel. yaelleb@tlvmc.gov.il.ORCID http://orcid.org/0000-0001-5963-0574
Avivit BrenerThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, 64239-06, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-2742-8264
Ravit RegevThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, 64239-06, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-0846-733X
Lars HagenäsDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-5605-2462

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Growth assessment in achondroplasia requires disorder-specific growth charts incorporating sex- and age-specific values. Manual calculations are tedious and subject to error. We present an artificial intelligence (AI)-assisted tool that automates z-score calculations for pediatric patients with achondroplasia. The tool integrates European Lambda-Mu-Sigma (LMS) growth reference data for 9 anthropometric parameters: height, weight, body mass index, head circumference, sitting height, leg length, arm span, relative sitting height, and foot length. It inputs anthropometric measurements and transforms them into sex- and age-specific z-scores and percentiles in real time. Ten pediatric endocrinologists independently calculated anthropometric z-scores for 3 patients with achondroplasia using both the manual growth charts and the automated tool. Time-to-completion and accuracy were recorded and compared. The mean time required by the AI-assisted tool to calculate z-scores for all 9 parameters was significantly shorter than that required by manual calculation (23.4 ± 5.8 vs. 10.1 ± 2.8 min, p < 0.001). The tool demonstrated 100% agreement with manual LMS-based calculations and eliminated human errors to which manual calculations are subject, with significantly higher median absolute z-score deviation compared to the smart tool (0.17 [0.07-0.30] vs. 0 [0-0.01], p < 0.001).

conclusionThis AI-assisted tool provides a user-friendly, accessible, and highly accurate method for automated growth assessment in pediatric achondroplasia. It facilitates efficient clinical and research applications, with potential for future integration into electronic health records and web-based platforms. WHAT IS KNOWN: •Growth monitoring in achondroplasia requires syndrome-specific Lambda-Mu-Sigma based charts. •Manual z-score calculations are time-consuming and subject to error. WHAT IS NEW: •We present an AI-assisted Excel tool that automates z-scores and percentile calculations for 9 anthropometric parameters. •Performance and inter-user reliability testing by 10 pediatric endocrinologists showed significantly improved speed and accuracy over manual methods.

Indexed as

AchondroplasiaAnthropometryArtificial IntelligenceGrowth ChartsAdolescentChildChild, PreschoolFemaleHumansMaleReproducibility of ResultsAchondroplasiaAnthropometric measurementsArtificial intelligence (AI)Electronic growth chartsGrowth assessmentZ-scores

Identifiers

PMID40679562
PMCPMC12274215

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LicenceCC BY
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Registered trials

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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.