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Age Estimation in Living Congolese Children in Kinshasa Democratic Republic of Congo: How Accurate is the Greulich & Pyle Bone Age Method?

Abstract:
Background: The Greulich and Pyle's Radiographic Atlas of Skeletal Development of the Hand and Wrist (GP) is the most widely used method of determining the bone age (BA) of a child. As there is limited local bone age data for age estimation. Studies carried out elsewhere have shown limits to the applicability of this atlas on their population.

Purpose of Study: This study was to assess the accuracy of the GP Atlas for age determination in living Congolese children. Method: This study recruited 198 children between the ages of 1 year to 18 years. BA estimation of the left hand anteroposterior radiographs were performed by two experienced radiologists using the Greulich and Pyle method.

Results: The BA estimates from two radiologists had very high interobserver reliability (ICC).