Damage of the distal radial physis in young gymnasts: can three-dimensional assessment of physeal volume on MRI serve as a biomarker?
Objective To explore the use of quantitative volume assessment to identify the presence and extent of stress-related changes of the distal radial physis in gymnasts with suspected physeal injury, asymptomatic gymnasts, and non-gymnasts. Methods Symptomatic gymnasts with clinically suspected distal r...
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| Veröffentlicht in: | European radiology 2019-11, Vol.29 (11), p.6364-6371 |
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| creator | Kraan, Rik B. J. Kox, Laura S. Mens, Marieke A. Kuijer, P. Paul F. M. Maas, Mario |
| description | Objective
To explore the use of quantitative volume assessment to identify the presence and extent of stress-related changes of the distal radial physis in gymnasts with suspected physeal injury, asymptomatic gymnasts, and non-gymnasts.
Methods
Symptomatic gymnasts with clinically suspected distal radial physeal injury, asymptomatic gymnasts, and non-gymnasts (
n
= 69) were included and matched on skeletal age and sex. Volume measurements were performed on coronal water selective cartilage MRI images by creating three-dimensional physeal reconstructions semi-automatically using active-contour segmentation based on image-intensity thresholding. Inter- and intra-rater reliability of the measurements were assessed using intra-class correlation coefficients (ICC) for absolute agreement.
Results
Twenty-seven symptomatic-, 18 asymptomatic-, and 24 non-gymnasts were included with a median age of 13.9 years (interquartile range (IQR) 13.0–15.0 years). Median physeal volume was significantly increased (
p
|
| doi_str_mv | 10.1007/s00330-019-06247-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6795914</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2228412065</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-e8fd62654cb7a1d86a707813a39fe0c835edcf3c092c2786e064a0aded2e29973</originalsourceid><addsrcrecordid>eNp9kcmO1DAQhi0EYpqBF-CALHHhEigviWMOIDRsIw1CQnC23Ekl7SGJG1fSUs-d98ZND8Ny4FSy66u_lp-xhwKeCgDzjACUggKELaCS2hRXt9hKaCULAbW-zVZgVV0Ya_UJu0d0CQBWaHOXnSghRFkJu2LfX_vR98hjx-cN8jbQ7AeefBty2G72FIiHie_jMvW834-Tp5me88ZPmU-IRRtGnCjEKfOeCInyez7oHaox_-7isIy5w8Q_fDrnhGmHmeSer0McffqK6eV9dqfzA-GD63jKvrx98_nsfXHx8d352auLotFGzwXWXVvJqtTN2njR1pU3YGqhvLIdQlOrEtumUw1Y2UhTVwiV9uBbbCVKa406ZS-OuttlPWY2T5r84LYp5EH2Lvrg_s5MYeP6uHOVsWW-XRZ4ci2Q4rcFaXZjoAaHwU8YF3JSKpmPrKTI6ON_0Mu4pHymAyVrLSRUZabkkWpSJErY3QwjwB1cdkeXXXbZ_XTZXeWiR3-ucVPyy9YMqCNAOTX1mH73_o_sD3_qtYg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2228412065</pqid></control><display><type>article</type><title>Damage of the distal radial physis in young gymnasts: can three-dimensional assessment of physeal volume on MRI serve as a biomarker?</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Kraan, Rik B. J. ; Kox, Laura S. ; Mens, Marieke A. ; Kuijer, P. Paul F. M. ; Maas, Mario</creator><creatorcontrib>Kraan, Rik B. J. ; Kox, Laura S. ; Mens, Marieke A. ; Kuijer, P. Paul F. M. ; Maas, Mario</creatorcontrib><description>Objective
To explore the use of quantitative volume assessment to identify the presence and extent of stress-related changes of the distal radial physis in gymnasts with suspected physeal injury, asymptomatic gymnasts, and non-gymnasts.
Methods
Symptomatic gymnasts with clinically suspected distal radial physeal injury, asymptomatic gymnasts, and non-gymnasts (
n
= 69) were included and matched on skeletal age and sex. Volume measurements were performed on coronal water selective cartilage MRI images by creating three-dimensional physeal reconstructions semi-automatically using active-contour segmentation based on image-intensity thresholding. Inter- and intra-rater reliability of the measurements were assessed using intra-class correlation coefficients (ICC) for absolute agreement.
Results
Twenty-seven symptomatic-, 18 asymptomatic-, and 24 non-gymnasts were included with a median age of 13.9 years (interquartile range (IQR) 13.0–15.0 years). Median physeal volume was significantly increased (
p
< 0.05) in symptomatic- (971 mm
3
, IQR 787–1237 mm
3
) and asymptomatic gymnasts (951 mm
3
, IQR 871–1004 mm
3
) compared with non-gymnasts (646 mm
3
, IQR 538–795 mm
3
). Inter-rater (ICC 0.96, 95% CI 0.92–0.98) and intra-rater (ICC 0.93, 95% CI 0.85–0.97) reliability of volume measurements were excellent. Of the 10 participants with the highest physeal volumes, nine were symptomatic gymnasts.
Conclusion
Increased volume of the distal radial physis can reliably be assessed and is a sign of physeal stress that can be present in both symptomatic- and asymptomatic gymnasts, but gymnasts with suspected physeal injury showed larger volume increases. Future studies should explore if volume assessment can be used to (early) identify athletes with or at risk for physeal stress injuries of the wrist.
Key Points
• The volume of the distal radial physis can be reliably assessed by creating three-dimensional physeal reconstructions.
• Stress-related volume increase of the distal radial physis is present in symptomatic and asymptomatic gymnasts.
• Gymnasts with clinically suspected physeal injury showed larger volume increases compared with asymptomatic gymnasts and may therefore be a valuable addition in the (early) diagnostic workup of physeal stress injuries.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-019-06247-z</identifier><identifier>PMID: 31115619</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Athletes ; Biomarkers ; Cartilage ; Case-Control Studies ; Child ; Correlation analysis ; Correlation coefficients ; Damage assessment ; Diagnostic Radiology ; Diagnostic systems ; Female ; Gymnastics - injuries ; Health risks ; Humans ; Image processing ; Image segmentation ; Imaging ; Injuries ; Internal Medicine ; Interventional Radiology ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Medical imaging ; Medicine ; Medicine & Public Health ; Musculoskeletal ; Neuroradiology ; Occupational health ; Radiology ; Radius - diagnostic imaging ; Radius - injuries ; Radius - pathology ; Reliability analysis ; Reproducibility of Results ; Stress ; Ultrasound ; Wrist ; Wrist Injuries - diagnostic imaging ; Wrist Injuries - pathology</subject><ispartof>European radiology, 2019-11, Vol.29 (11), p.6364-6371</ispartof><rights>The Author(s) 2019</rights><rights>European Radiology is a copyright of Springer, (2019). All Rights Reserved. © 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-e8fd62654cb7a1d86a707813a39fe0c835edcf3c092c2786e064a0aded2e29973</citedby><cites>FETCH-LOGICAL-c474t-e8fd62654cb7a1d86a707813a39fe0c835edcf3c092c2786e064a0aded2e29973</cites><orcidid>0000-0003-0022-8729</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-019-06247-z$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-019-06247-z$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31115619$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kraan, Rik B. J.</creatorcontrib><creatorcontrib>Kox, Laura S.</creatorcontrib><creatorcontrib>Mens, Marieke A.</creatorcontrib><creatorcontrib>Kuijer, P. Paul F. M.</creatorcontrib><creatorcontrib>Maas, Mario</creatorcontrib><title>Damage of the distal radial physis in young gymnasts: can three-dimensional assessment of physeal volume on MRI serve as a biomarker?</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objective
To explore the use of quantitative volume assessment to identify the presence and extent of stress-related changes of the distal radial physis in gymnasts with suspected physeal injury, asymptomatic gymnasts, and non-gymnasts.
Methods
Symptomatic gymnasts with clinically suspected distal radial physeal injury, asymptomatic gymnasts, and non-gymnasts (
n
= 69) were included and matched on skeletal age and sex. Volume measurements were performed on coronal water selective cartilage MRI images by creating three-dimensional physeal reconstructions semi-automatically using active-contour segmentation based on image-intensity thresholding. Inter- and intra-rater reliability of the measurements were assessed using intra-class correlation coefficients (ICC) for absolute agreement.
Results
Twenty-seven symptomatic-, 18 asymptomatic-, and 24 non-gymnasts were included with a median age of 13.9 years (interquartile range (IQR) 13.0–15.0 years). Median physeal volume was significantly increased (
p
< 0.05) in symptomatic- (971 mm
3
, IQR 787–1237 mm
3
) and asymptomatic gymnasts (951 mm
3
, IQR 871–1004 mm
3
) compared with non-gymnasts (646 mm
3
, IQR 538–795 mm
3
). Inter-rater (ICC 0.96, 95% CI 0.92–0.98) and intra-rater (ICC 0.93, 95% CI 0.85–0.97) reliability of volume measurements were excellent. Of the 10 participants with the highest physeal volumes, nine were symptomatic gymnasts.
Conclusion
Increased volume of the distal radial physis can reliably be assessed and is a sign of physeal stress that can be present in both symptomatic- and asymptomatic gymnasts, but gymnasts with suspected physeal injury showed larger volume increases. Future studies should explore if volume assessment can be used to (early) identify athletes with or at risk for physeal stress injuries of the wrist.
Key Points
• The volume of the distal radial physis can be reliably assessed by creating three-dimensional physeal reconstructions.
• Stress-related volume increase of the distal radial physis is present in symptomatic and asymptomatic gymnasts.
• Gymnasts with clinically suspected physeal injury showed larger volume increases compared with asymptomatic gymnasts and may therefore be a valuable addition in the (early) diagnostic workup of physeal stress injuries.</description><subject>Adolescent</subject><subject>Athletes</subject><subject>Biomarkers</subject><subject>Cartilage</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Correlation analysis</subject><subject>Correlation coefficients</subject><subject>Damage assessment</subject><subject>Diagnostic Radiology</subject><subject>Diagnostic systems</subject><subject>Female</subject><subject>Gymnastics - injuries</subject><subject>Health risks</subject><subject>Humans</subject><subject>Image processing</subject><subject>Image segmentation</subject><subject>Imaging</subject><subject>Injuries</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Musculoskeletal</subject><subject>Neuroradiology</subject><subject>Occupational health</subject><subject>Radiology</subject><subject>Radius - diagnostic imaging</subject><subject>Radius - injuries</subject><subject>Radius - pathology</subject><subject>Reliability analysis</subject><subject>Reproducibility of Results</subject><subject>Stress</subject><subject>Ultrasound</subject><subject>Wrist</subject><subject>Wrist Injuries - diagnostic imaging</subject><subject>Wrist Injuries - pathology</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kcmO1DAQhi0EYpqBF-CALHHhEigviWMOIDRsIw1CQnC23Ekl7SGJG1fSUs-d98ZND8Ny4FSy66u_lp-xhwKeCgDzjACUggKELaCS2hRXt9hKaCULAbW-zVZgVV0Ya_UJu0d0CQBWaHOXnSghRFkJu2LfX_vR98hjx-cN8jbQ7AeefBty2G72FIiHie_jMvW834-Tp5me88ZPmU-IRRtGnCjEKfOeCInyez7oHaox_-7isIy5w8Q_fDrnhGmHmeSer0McffqK6eV9dqfzA-GD63jKvrx98_nsfXHx8d352auLotFGzwXWXVvJqtTN2njR1pU3YGqhvLIdQlOrEtumUw1Y2UhTVwiV9uBbbCVKa406ZS-OuttlPWY2T5r84LYp5EH2Lvrg_s5MYeP6uHOVsWW-XRZ4ci2Q4rcFaXZjoAaHwU8YF3JSKpmPrKTI6ON_0Mu4pHymAyVrLSRUZabkkWpSJErY3QwjwB1cdkeXXXbZ_XTZXeWiR3-ucVPyy9YMqCNAOTX1mH73_o_sD3_qtYg</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Kraan, Rik B. J.</creator><creator>Kox, Laura S.</creator><creator>Mens, Marieke A.</creator><creator>Kuijer, P. Paul F. M.</creator><creator>Maas, Mario</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0022-8729</orcidid></search><sort><creationdate>20191101</creationdate><title>Damage of the distal radial physis in young gymnasts: can three-dimensional assessment of physeal volume on MRI serve as a biomarker?</title><author>Kraan, Rik B. J. ; Kox, Laura S. ; Mens, Marieke A. ; Kuijer, P. Paul F. M. ; Maas, Mario</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-e8fd62654cb7a1d86a707813a39fe0c835edcf3c092c2786e064a0aded2e29973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Athletes</topic><topic>Biomarkers</topic><topic>Cartilage</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Correlation analysis</topic><topic>Correlation coefficients</topic><topic>Damage assessment</topic><topic>Diagnostic Radiology</topic><topic>Diagnostic systems</topic><topic>Female</topic><topic>Gymnastics - injuries</topic><topic>Health risks</topic><topic>Humans</topic><topic>Image processing</topic><topic>Image segmentation</topic><topic>Imaging</topic><topic>Injuries</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Musculoskeletal</topic><topic>Neuroradiology</topic><topic>Occupational health</topic><topic>Radiology</topic><topic>Radius - diagnostic imaging</topic><topic>Radius - injuries</topic><topic>Radius - pathology</topic><topic>Reliability analysis</topic><topic>Reproducibility of Results</topic><topic>Stress</topic><topic>Ultrasound</topic><topic>Wrist</topic><topic>Wrist Injuries - diagnostic imaging</topic><topic>Wrist Injuries - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kraan, Rik B. J.</creatorcontrib><creatorcontrib>Kox, Laura S.</creatorcontrib><creatorcontrib>Mens, Marieke A.</creatorcontrib><creatorcontrib>Kuijer, P. Paul F. M.</creatorcontrib><creatorcontrib>Maas, Mario</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kraan, Rik B. J.</au><au>Kox, Laura S.</au><au>Mens, Marieke A.</au><au>Kuijer, P. Paul F. M.</au><au>Maas, Mario</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Damage of the distal radial physis in young gymnasts: can three-dimensional assessment of physeal volume on MRI serve as a biomarker?</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2019-11-01</date><risdate>2019</risdate><volume>29</volume><issue>11</issue><spage>6364</spage><epage>6371</epage><pages>6364-6371</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objective
To explore the use of quantitative volume assessment to identify the presence and extent of stress-related changes of the distal radial physis in gymnasts with suspected physeal injury, asymptomatic gymnasts, and non-gymnasts.
Methods
Symptomatic gymnasts with clinically suspected distal radial physeal injury, asymptomatic gymnasts, and non-gymnasts (
n
= 69) were included and matched on skeletal age and sex. Volume measurements were performed on coronal water selective cartilage MRI images by creating three-dimensional physeal reconstructions semi-automatically using active-contour segmentation based on image-intensity thresholding. Inter- and intra-rater reliability of the measurements were assessed using intra-class correlation coefficients (ICC) for absolute agreement.
Results
Twenty-seven symptomatic-, 18 asymptomatic-, and 24 non-gymnasts were included with a median age of 13.9 years (interquartile range (IQR) 13.0–15.0 years). Median physeal volume was significantly increased (
p
< 0.05) in symptomatic- (971 mm
3
, IQR 787–1237 mm
3
) and asymptomatic gymnasts (951 mm
3
, IQR 871–1004 mm
3
) compared with non-gymnasts (646 mm
3
, IQR 538–795 mm
3
). Inter-rater (ICC 0.96, 95% CI 0.92–0.98) and intra-rater (ICC 0.93, 95% CI 0.85–0.97) reliability of volume measurements were excellent. Of the 10 participants with the highest physeal volumes, nine were symptomatic gymnasts.
Conclusion
Increased volume of the distal radial physis can reliably be assessed and is a sign of physeal stress that can be present in both symptomatic- and asymptomatic gymnasts, but gymnasts with suspected physeal injury showed larger volume increases. Future studies should explore if volume assessment can be used to (early) identify athletes with or at risk for physeal stress injuries of the wrist.
Key Points
• The volume of the distal radial physis can be reliably assessed by creating three-dimensional physeal reconstructions.
• Stress-related volume increase of the distal radial physis is present in symptomatic and asymptomatic gymnasts.
• Gymnasts with clinically suspected physeal injury showed larger volume increases compared with asymptomatic gymnasts and may therefore be a valuable addition in the (early) diagnostic workup of physeal stress injuries.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31115619</pmid><doi>10.1007/s00330-019-06247-z</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0022-8729</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0938-7994 |
| ispartof | European radiology, 2019-11, Vol.29 (11), p.6364-6371 |
| issn | 0938-7994 1432-1084 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6795914 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Athletes Biomarkers Cartilage Case-Control Studies Child Correlation analysis Correlation coefficients Damage assessment Diagnostic Radiology Diagnostic systems Female Gymnastics - injuries Health risks Humans Image processing Image segmentation Imaging Injuries Internal Medicine Interventional Radiology Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Medical imaging Medicine Medicine & Public Health Musculoskeletal Neuroradiology Occupational health Radiology Radius - diagnostic imaging Radius - injuries Radius - pathology Reliability analysis Reproducibility of Results Stress Ultrasound Wrist Wrist Injuries - diagnostic imaging Wrist Injuries - pathology |
| title | Damage of the distal radial physis in young gymnasts: can three-dimensional assessment of physeal volume on MRI serve as a biomarker? |
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