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Direct Anthropometry Overestimates Cranial Asymmetry—3D Digital Photography Proves to Be a Reliable Alternative

This study compared manual and digital measurements of plagiocephaly and brachycephaly in infants and evaluated whether three-dimensional (3D) digital photography measurements can be used as a superior alternative in everyday clinical practice. A total of 111 infants (103 with plagiocephalus and 8 w...

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Autores principales: Nieberle, Felix, Spoerl, Steffen, Lottner, Lisa-Marie, Spanier, Gerrit, Schuderer, Johannes G., Fiedler, Mathias, Maurer, Michael, Ludwig, Nils, Meier, Johannes K., Ettl, Tobias, Reichert, Torsten E., Taxis, Juergen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10216941/
https://www.ncbi.nlm.nih.gov/pubmed/37238192
http://dx.doi.org/10.3390/diagnostics13101707
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author Nieberle, Felix
Spoerl, Steffen
Lottner, Lisa-Marie
Spanier, Gerrit
Schuderer, Johannes G.
Fiedler, Mathias
Maurer, Michael
Ludwig, Nils
Meier, Johannes K.
Ettl, Tobias
Reichert, Torsten E.
Taxis, Juergen
author_facet Nieberle, Felix
Spoerl, Steffen
Lottner, Lisa-Marie
Spanier, Gerrit
Schuderer, Johannes G.
Fiedler, Mathias
Maurer, Michael
Ludwig, Nils
Meier, Johannes K.
Ettl, Tobias
Reichert, Torsten E.
Taxis, Juergen
author_sort Nieberle, Felix
collection PubMed
description This study compared manual and digital measurements of plagiocephaly and brachycephaly in infants and evaluated whether three-dimensional (3D) digital photography measurements can be used as a superior alternative in everyday clinical practice. A total of 111 infants (103 with plagiocephalus and 8 with brachycephalus) were included in this study. Head circumference, length and width, bilateral diagonal head length, and bilateral distance from the glabella to the tragus were assessed by manual assessment (tape measure and anthropometric head calipers) and 3D photographs. Subsequently, the cranial index (CI) and cranial vault asymmetry index (CVAI) were calculated. Measured cranial parameters and CVAI were significantly more precise using 3D digital photography. Manually acquired cranial vault symmetry parameters were at least 5 mm lower than digital measurements. Differences in CI between the two measuring methods did not reach significance, whereas the calculated CVAI showed a 0.74-fold decrease using 3D digital photography and was highly significant (p < 0.001). Using the manual method, CVAI calculations overestimated asymmetry, and cranial vault symmetry parameters were measured too low, contributing to a misrepresentation of the actual anatomical situation. Considering consequential errors in therapy choices, we suggest implementing 3D photography as the primary tool for diagnosing deformational plagiocephaly and positional head deformations.
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spelling pubmed-102169412023-05-27 Direct Anthropometry Overestimates Cranial Asymmetry—3D Digital Photography Proves to Be a Reliable Alternative Nieberle, Felix Spoerl, Steffen Lottner, Lisa-Marie Spanier, Gerrit Schuderer, Johannes G. Fiedler, Mathias Maurer, Michael Ludwig, Nils Meier, Johannes K. Ettl, Tobias Reichert, Torsten E. Taxis, Juergen Diagnostics (Basel) Article This study compared manual and digital measurements of plagiocephaly and brachycephaly in infants and evaluated whether three-dimensional (3D) digital photography measurements can be used as a superior alternative in everyday clinical practice. A total of 111 infants (103 with plagiocephalus and 8 with brachycephalus) were included in this study. Head circumference, length and width, bilateral diagonal head length, and bilateral distance from the glabella to the tragus were assessed by manual assessment (tape measure and anthropometric head calipers) and 3D photographs. Subsequently, the cranial index (CI) and cranial vault asymmetry index (CVAI) were calculated. Measured cranial parameters and CVAI were significantly more precise using 3D digital photography. Manually acquired cranial vault symmetry parameters were at least 5 mm lower than digital measurements. Differences in CI between the two measuring methods did not reach significance, whereas the calculated CVAI showed a 0.74-fold decrease using 3D digital photography and was highly significant (p < 0.001). Using the manual method, CVAI calculations overestimated asymmetry, and cranial vault symmetry parameters were measured too low, contributing to a misrepresentation of the actual anatomical situation. Considering consequential errors in therapy choices, we suggest implementing 3D photography as the primary tool for diagnosing deformational plagiocephaly and positional head deformations. MDPI 2023-05-11 /pmc/articles/PMC10216941/ /pubmed/37238192 http://dx.doi.org/10.3390/diagnostics13101707 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nieberle, Felix
Spoerl, Steffen
Lottner, Lisa-Marie
Spanier, Gerrit
Schuderer, Johannes G.
Fiedler, Mathias
Maurer, Michael
Ludwig, Nils
Meier, Johannes K.
Ettl, Tobias
Reichert, Torsten E.
Taxis, Juergen
Direct Anthropometry Overestimates Cranial Asymmetry—3D Digital Photography Proves to Be a Reliable Alternative
title Direct Anthropometry Overestimates Cranial Asymmetry—3D Digital Photography Proves to Be a Reliable Alternative
title_full Direct Anthropometry Overestimates Cranial Asymmetry—3D Digital Photography Proves to Be a Reliable Alternative
title_fullStr Direct Anthropometry Overestimates Cranial Asymmetry—3D Digital Photography Proves to Be a Reliable Alternative
title_full_unstemmed Direct Anthropometry Overestimates Cranial Asymmetry—3D Digital Photography Proves to Be a Reliable Alternative
title_short Direct Anthropometry Overestimates Cranial Asymmetry—3D Digital Photography Proves to Be a Reliable Alternative
title_sort direct anthropometry overestimates cranial asymmetry—3d digital photography proves to be a reliable alternative
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10216941/
https://www.ncbi.nlm.nih.gov/pubmed/37238192
http://dx.doi.org/10.3390/diagnostics13101707
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