In this paper, we have presented a new image-processing system for the
measurement of skeletal growth in pediatric radiology. From a standar
d posterior and anterior view radiograph, taken from a left hand, the
proposed system first automatically locates the phalangeal region of i
nterest, and then measures the geometrical parameters associated with
skeletal maturity. Finally, the bone age is estimated by using the sta
ndard phalangeal length table. Clinical studies reveal that the comput
er processing has resulted in an objective and accurate assessment of
skeletal age. It greatly improves the shortcomings, including inter- a
nd intraobserver variations and inaccuracy, reported in other research
by manual methods. In conclusion, it is an inexpensive and useful too
l for the evaluation of short-term abnormalities in the skeletal growt
h of children. (C) 1994 Academic Press, Inc.