Natural progression of the pubofemoral distance with age and its correlation with future acetabular index.

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Title: Natural progression of the pubofemoral distance with age and its correlation with future acetabular index.
Authors: Chang, Wen-Chieh1,2 (AUTHOR), Hsu, Kuei-Hsiang1,2 (AUTHOR), Su, Yu-Ping1,2 (AUTHOR) ericypsu@gmail.com
Source: European Radiology. Sep2023, Vol. 33 Issue 9, p6473-6481. 9p. 1 Black and White Photograph, 2 Diagrams, 2 Charts, 3 Graphs.
Subjects: Stock index futures, Receiver operating characteristic curves, Pearson correlation (Statistics)
Abstract: Objectives: This study investigated the progression of pubofemoral distance (PFD) with age and assessed the correlation between PFD and late acetabular index (AI) measurements. Methods: This prospective observational study was conducted between January 2017 and December 2021. We enrolled 223 newborns who underwent the first, second, and third hip ultrasounds, and pelvis radiograph at a mean age of 18.6 days, 3.1 months, 5.2 months, and 6.8 months, respectively. The difference between PFD measured at serial ultrasounds and the correlation with AI were analyzed. Results: The PFD increased significantly (p < 0.001) at serial measurements. The mean PFD at the first, second, and third ultrasounds were 3.3 (2.0–5.7), 4.3 (2.9–7.2), and 5.1 (3.3–8.0) mm, respectively. The PFD at three ultrasounds were all significantly (p < 0.001) and positively correlated with AI, with the Pearson correlation coefficients being 0.658, 0.696, and 0.753 for the first, second, and third ultrasounds, respectively. Using AI as reference, the diagnostic ability of PFD was calculated by the areas under the receiver operating characteristic curve, which was 0.845, 0.902, and 0.938 for the first, second, and third PFD, respectively. For the first, second, and third ultrasounds, PFD cutoff values of ≥ 3.9, ≥ 5.0, and ≥ 5.7 mm, respectively, yielded the greatest sensitivity and specificity in predicting late abnormal AI. Conclusion: The PFD naturally progresses with age and is positively correlated with AI. The PFD has potential for predicting residual dysplasia. However, the cutoff for abnormal PFD values may require adjustment according to the patient's age. Key Points: • The pubofemoral distance measured in hip ultrasonography naturally increases as the infant's hips mature. • The early pubofemoral distance demonstrates a positive correlation with late acetabular index measurements. • The pubofemoral distance may help physicians predict abnormal acetabular index. However, the cutoff for abnormal pubofemoral distance values may require adjustment according to patient's age. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Natural progression of the pubofemoral distance with age and its correlation with future acetabular index.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chang%2C+Wen-Chieh%22&quot;&gt;Chang, Wen-Chieh&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hsu%2C+Kuei-Hsiang%22&quot;&gt;Hsu, Kuei-Hsiang&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Su%2C+Yu-Ping%22&quot;&gt;Su, Yu-Ping&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; ericypsu@gmail.com&lt;/i&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22European+Radiology%22&quot;&gt;European Radiology&lt;/searchLink&gt;. Sep2023, Vol. 33 Issue 9, p6473-6481. 9p. 1 Black and White Photograph, 2 Diagrams, 2 Charts, 3 Graphs.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Stock+index+futures%22&quot;&gt;Stock index futures&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Receiver+operating+characteristic+curves%22&quot;&gt;Receiver operating characteristic curves&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Pearson+correlation+%28Statistics%29%22&quot;&gt;Pearson correlation (Statistics)&lt;/searchLink&gt;
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  Label: Abstract
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  Data: Objectives: This study investigated the progression of pubofemoral distance (PFD) with age and assessed the correlation between PFD and late acetabular index (AI) measurements. Methods: This prospective observational study was conducted between January 2017 and December 2021. We enrolled 223 newborns who underwent the first, second, and third hip ultrasounds, and pelvis radiograph at a mean age of 18.6 days, 3.1 months, 5.2 months, and 6.8 months, respectively. The difference between PFD measured at serial ultrasounds and the correlation with AI were analyzed. Results: The PFD increased significantly (p &lt; 0.001) at serial measurements. The mean PFD at the first, second, and third ultrasounds were 3.3 (2.0–5.7), 4.3 (2.9–7.2), and 5.1 (3.3–8.0) mm, respectively. The PFD at three ultrasounds were all significantly (p &lt; 0.001) and positively correlated with AI, with the Pearson correlation coefficients being 0.658, 0.696, and 0.753 for the first, second, and third ultrasounds, respectively. Using AI as reference, the diagnostic ability of PFD was calculated by the areas under the receiver operating characteristic curve, which was 0.845, 0.902, and 0.938 for the first, second, and third PFD, respectively. For the first, second, and third ultrasounds, PFD cutoff values of ≥ 3.9, ≥ 5.0, and ≥ 5.7 mm, respectively, yielded the greatest sensitivity and specificity in predicting late abnormal AI. Conclusion: The PFD naturally progresses with age and is positively correlated with AI. The PFD has potential for predicting residual dysplasia. However, the cutoff for abnormal PFD values may require adjustment according to the patient&#39;s age. Key Points: • The pubofemoral distance measured in hip ultrasonography naturally increases as the infant&#39;s hips mature. • The early pubofemoral distance demonstrates a positive correlation with late acetabular index measurements. • The pubofemoral distance may help physicians predict abnormal acetabular index. However, the cutoff for abnormal pubofemoral distance values may require adjustment according to patient&#39;s age. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00330-023-09579-z
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        Text: English
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        PageCount: 9
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      – SubjectFull: Stock index futures
        Type: general
      – SubjectFull: Receiver operating characteristic curves
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
        Type: general
    Titles:
      – TitleFull: Natural progression of the pubofemoral distance with age and its correlation with future acetabular index.
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            NameFull: Chang, Wen-Chieh
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            NameFull: Hsu, Kuei-Hsiang
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            NameFull: Su, Yu-Ping
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            – D: 01
              M: 09
              Text: Sep2023
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              Y: 2023
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