{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T05:33:30Z","timestamp":1740202410593,"version":"3.37.3"},"reference-count":41,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:00:00Z","timestamp":1740096000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Transl Myol"],"abstract":"<jats:p>This retrospective study, utilising prospectively collected data, investigates the use of spine ultrasound as an alternative method for assessing scoliosis, with the aim of reducing radiation exposure. We included 92 patients aged 10 to 16 years with suspected idiopathic scoliosis. Exclusion criteria were weight over 150\u202fkg, metal implants, pre-existing conditions, secondary deformities, and cognitive impairments. Each patient underwent clinical assessment and full spine radiographs, followed by spine ultrasound using the Scolioscan\u00ae system. Unprocessed B-mode ultrasound images were analysed using automatic measurements. The correlation between Ultrasound Coronal Angle (UCA) and Radiographic Cobb Angle (RCA) was evaluated at initial and follow-up visits. Strong correlations were found between UCA and RCA, with correlation coefficients ranging from 0.786 to 0.903 (p\u202f&lt;\u202f0.001). The regression formula showed good predictive accuracy for curve progression on follow-up radiographs. The best results were observed in females and in primary thoracic curves (r\u202f=\u202f0.936, p\u202f&lt;\u202f0.001). Although only four patients exhibited true progression (\u22655\u00b0 increase in Cobb angle), changes in scoliotic angles were effectively detected using ultrasound. This study confirms the feasibility of unprocessed spine ultrasound for scoliosis monitoring in clinical settings. Automatic measurements without 3D reconstruction make ultrasound a practical tool for tracking progression. The regression model shows potential for predicting curve progression, although further validation is needed. These findings suggest spine ultrasound could reduce the need for radiographs, benefiting patients by minimising radiation exposure while providing reliable monitoring of scoliosis progression and treatment outcomes.<\/jats:p>","DOI":"10.4081\/ejtm.2025.13422","type":"journal-article","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:56:55Z","timestamp":1740149815000},"source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound &lt;i&gt;vs.&lt;\/i&gt; x-ray: a new way for clinicians to track scoliosis progression?"],"prefix":"10.4081","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8868-2299","authenticated-orcid":false,"given":"Samra","family":"Pjani\u0107","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9578-0242","authenticated-orcid":false,"given":"Goran","family":"Tali\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikola","family":"Jevti\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2072-5070","authenticated-orcid":false,"given":"Filip","family":"Goli\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Soldatovi\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7072-1271","authenticated-orcid":false,"given":"Nachiappan","family":"Chockalingam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2025,2,21]]},"reference":[{"key":"167312","doi-asserted-by":"crossref","unstructured":"Fadzan M, Bettany-Saltikov J. Etiological theories of adolescent idiopathic scoliosis: past and present. Open Orthop J 2017;11:1466-89.","DOI":"10.2174\/1874325001711011466"},{"key":"167313","doi-asserted-by":"crossref","unstructured":"Stokes IAF, Burwell RG, Dangerfield PH. Biomechanical spinal growth modulation and progressive adolescent scoliosis \u2013 a test of the \u2018vicious cycle\u2019 pathogenetic hypothesis: Summary of an electronic focus group debate of the IBSE. Scoliosis 2006;1:16","DOI":"10.1186\/1748-7161-1-16"},{"key":"167314","doi-asserted-by":"crossref","unstructured":"Chockalingam N, Dangerfield PH, Giakas G, et al. Computer-assisted Cobb measurement of scoliosis. Eur Spine J 2002;1:353-7.","DOI":"10.1007\/s00586-002-0386-x"},{"key":"167315","doi-asserted-by":"crossref","unstructured":"Jin C, Wang S, Yang G, et al. A review of the methods on Cobb angle measurements for spinal curvature. 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J Natl Cancer Inst 1989;8117:1307\u201312.","DOI":"10.1093\/jnci\/81.17.1307"},{"key":"167323","doi-asserted-by":"crossref","unstructured":"Deschenes S, Charron G, Beaudoin G, et al. Diagnostic imaging of spinal deformities reducing patients radiation dose with a new slot-scanning X-ray imager. Spine 2010;35:989\u201394.","DOI":"10.1097\/BRS.0b013e3181bdcaa4"},{"key":"167324","doi-asserted-by":"crossref","unstructured":"Al-Aubaidi Z, Lebel D, Oudjhane K, Zeller R. Three-dimensional imaging of the spine using the EOS system: is it reliable? A comparative study using computed tomography imaging. J Pediatric Orthopaedics B 2013;22:409\u201312.","DOI":"10.1097\/BPB.0b013e328361ae5b"},{"key":"167325","doi-asserted-by":"crossref","unstructured":"Maccarone MC, Avenia M, Masiero S. Postural-motor development, spinal range of movement and caregiver burden in Prader-Willi syndrome-associated scoliosis: an observational study. 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Comparison between radiographic and ultrasound angle measurements in the assessment of idiopathic scoliosis. Biomedicinska istrazivanja 2021;12:139-49.","DOI":"10.5937\/bii2102139p"},{"key":"167350","doi-asserted-by":"crossref","unstructured":"Lai KK, Lee TT, Lau HH, et al. Monitoring of curve progression in patients with adolescent idiopathic scoliosis using 3-D ultrasound. Ultrasound Med Biol 2024;50:384-93.","DOI":"10.1016\/j.ultrasmedbio.2023.11.011"},{"key":"167351","doi-asserted-by":"crossref","unstructured":"Pang H, Wong YS, Yip BH, et al. Using ultrasound to screen for scoliosis to reduce unnecessary radiographic radiation: a prospective diagnostic accuracy study on 442 schoolchildren. Ultrasound Med Biol 2021;47:2598-607.","DOI":"10.1016\/j.ultrasmedbio.2021.05.020"},{"key":"167352","doi-asserted-by":"crossref","unstructured":"Wong YS, Lai KK, Zheng YP, et al. 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