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Eur J Pediatr Surg 2021; 31(01): 065-068
DOI: 10.1055/s-0040-1716879
Original Article

Sacrum Ultrasonography: An Accurate Alternative to Radiography for Measuring Sacral Ratio in Infants

Maryam Riahinejad
1   Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran
,
Mohsen Masoumi
1   Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran
,
Maryam Farghadani
1   Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran
,
Parvaneh Changanian
1   Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran
,
Mehrdad Hosseinpour
2   Department of Pediatric Surgery, Imam Hossein Children Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
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Abstract

Introduction The aim of this study was to compare the compliance of sacrum ultrasonography with radiography for the measuring of sacral ratio in infants.

Materials and Methods A total of 129 infants under the age of 6 months, who were a candidate for abdominal and/or pelvic radiographs, were assessed. Sacrum ultrasonography and radiography were performed by a single radiologist using the same device. The sacral ratio was calculated for all patients undergoing ultrasonography and radiography. Agreement between two methods was calculated by Bland-Altman's chart.

Results The mean of sacral ratio was 0.70 ± 0.11 radiographically and 0.72 ± 0.05 ultrasonographically. Based on Bland-Altman's chart, the mean difference between ultrasonography and radiology was 4.6 mm (confidence intervals of 8.18 ± 5.6).

Conclusion Sacrum ultrasonography could be safely used in the investigation of sacral ratio to detect sacrum abnormalities in infants.

Keywords

sacral ratio - sacrum ultrasonography - radiography


Publication History

Received: 21 April 2020

Accepted: 16 August 2020

Article published online:
07 October 2020

© 2020. Thieme. All rights reserved.

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