Clinical metrics and tools for provider assessment and tracking of trigonocephaly.

Journal: Journal of neurosurgery. Pediatrics
PMID:

Abstract

OBJECTIVE: Quantitative measurements of trigonocephaly can be used to characterize and track this phenotype, which is associated with metopic craniosynostosis. Traditionally, trigonocephaly metrics were extracted from CT scans; however, this method exposes patients to ionizing radiation. Three-dimensional optical scans are another option but are not routinely available in most outpatient settings. Recently, the authors developed semiautomated artificial intelligence algorithms that extract craniometric data from orthogonal 2D photographs. Although 2D photographs are safe, inexpensive, and straightforward to obtain, the accuracy of photograph-based craniometrics in comparison to CT and 3D optical scan correlates has not been established. In this study the authors compared the classification power of 2D photograph-based metrics of trigonocephaly with four CT-based metrics and one 3D optical scan-based metric in a heterogeneous series of patients who presented to an outpatient craniofacial clinic.

Authors

  • Nathan K Leclair
    1School of Medicine, University of Connecticut Health Center, Farmington, Connecticut.
  • Joshua Chern
    2Department of Neurosurgery, Children's Healthcare of Atlanta, Georgia.
  • Edward S Ahn
    3Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota.
  • Megan Chamis
    4Hanger Orthotics, Hartford, Connecticut.
  • Mitch R Paro
    1School of Medicine, University of Connecticut Health Center, Farmington, Connecticut.
  • William A Lambert
    5Department of Neurological Surgery, UMass Chan Medical School, Worcester, Massachusetts.
  • Petronella Stoltz
    1Division of Neurosurgery, Connecticut Children's, Hartford.
  • David S Hersh
    Departments of7Surgery and.
  • Jonathan E Martin
    1Division of Neurosurgery, Connecticut Children's, Hartford.
  • Markus J Bookland
    1Division of Neurosurgery, Connecticut Children's, Hartford.