Paul Michael Bunch MD, Presenter: Nothing to Disclose

Cree Michael Gaskin MD, Abstract Co-Author: Research Consultant, Johnson & Johnson Author with royalties, Oxford University Press Author with royalties, Thieme Medical Publishers, Inc

1. To review the technique of bone age determination by Greulich and Pyle 2. To provide a brief tutorial on the use of available bone age software (Digital Bone Age Companion, Oxford University Press) for bone age determination, calculation, and report generation 3. To provide general tips for bone age determination

A. Overview of bone age indications B. Brush Foundation Study and development of the Greulich and Pyle atlas C. How to use the Greulich and Pyle atlas     1. Choosing the appropriate standard     2. Proper calculations for accurate conclusions     3. Sample calculations     4. Regional and local variations in method D. How to use bone age software (Digital Bone Age Companion)     1. Educational annotations to aid in standard selection     2. Integrated bone age calculator     3. Automatic report generator     4. Integration with a radiology information system E. Our insititution's experience with bone age software after 2 years of use (perspectives from experienced and inexperienced readers) F. Summary

Major teaching points: What to focus on when selecting a bone age standard How to properly perform standard deviation calculations when using Greulich and Pyle How to optimally use Digital Bone Age Companion with integrated bone age calculator and automatic report generator

Bunch, P, Gaskin, C, Better and Faster. Tips for Optimizing Bone Age Determination with Greulich & Pyle's Book and Available Bone Age Software.  Radiological Society of North America 2012 Scientific Assembly and Annual Meeting, November 25 - November 30, 2012 ,Chicago IL. http://archive.rsna.org/2012/12022768.html