3/12/2023 0 Comments Greulich and pyle bone age atlasThe Tanner-Whitehouse method of bone age assessment is a more reliable alternative to GP however, it is relatively labor intensive and time-consuming ( 4). Despite its broad acceptance in clinical practice, the GP method is subject to human factor limitations of inter- and intraobserver variability ( 4– 8). ![]() In a 2016 survey of pediatric radiologists, more than 97% used the GP atlas ( 3). While several methods of bone age assessment exist, the most widely used is direct visual comparison of an individual patient’s left hand and wrist radiograph with the Greulich and Pyle (GP) Radiographic Atlas of Skeletal Development of the Hand and Wrist ( 3– 5). ![]() Radiographic bone age assessment is an important component of the diagnostic workup for a variety of pediatric endocrine, metabolic, and growth disorders ( 1, 2).
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