Cranial Shape in Infants Aged One Month Can Predict the Severity of Deformational Plagiocephaly at the Age of Six Months
In this study, we aimed to monitor changes in cranial shape using three-dimensional (3D) scanning to determine whether the severity of deformational plagiocephaly (DP) at the age of 6 months could be predicted at the age of 1 month. The cranial shape was measured at the ages of 1, 3, and 6 months (T...
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MDPI AG
2022-03-01
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| Series: | Journal of Clinical Medicine |
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| author | Hiroshi Miyabayashi Nobuhiko Nagano Risa Kato Takanori Noto Shin Hashimoto Katsuya Saito Ichiro Morioka |
| author_facet | Hiroshi Miyabayashi Nobuhiko Nagano Risa Kato Takanori Noto Shin Hashimoto Katsuya Saito Ichiro Morioka |
| author_sort | Hiroshi Miyabayashi |
| collection | DOAJ |
| description | In this study, we aimed to monitor changes in cranial shape using three-dimensional (3D) scanning to determine whether the severity of deformational plagiocephaly (DP) at the age of 6 months could be predicted at the age of 1 month. The cranial shape was measured at the ages of 1, 3, and 6 months (T1, T2, and T3, respectively) in 92 infants. We excluded those who received helmet treatment before T3. The cranial vault asymmetry index (CVAI) using 3D scanning was evaluated in all infants. DP was defined as a CVAI > 5.0% with mild (CVAI ≤ 6.25%) or moderate/severe severity (CVAI > 6.25%). The CVAI cut-off value at T1 for severe DP at T3 was determined using receiver operating characteristic (ROC) curves. At T1, T2, and T3, the respective CVAI median values were 5.0%, 5.8%, and 4.7% and the DP incidence was 50.0%, 56.8%, and 43.2%, respectively. The DP severity temporarily worsened from T1 to T2 but then improved at T3. Among the infants, 73.9% had a similar DP severity at T1 and T3 (<i>p</i> = 1.0). A ROC curve analysis revealed a CVAI cut-off value of 7.8% at T1 predicted severe DP. It was concluded that later DP severity could be predicted using 3D scanning at T1 with properly defined cut-off values. |
| first_indexed | 2024-03-09T11:44:04Z |
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| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-03-09T11:44:04Z |
| publishDate | 2022-03-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-fe470f07fc5140beb4e24b881190c0c42023-11-30T23:27:00ZengMDPI AGJournal of Clinical Medicine2077-03832022-03-01117179710.3390/jcm11071797Cranial Shape in Infants Aged One Month Can Predict the Severity of Deformational Plagiocephaly at the Age of Six MonthsHiroshi Miyabayashi0Nobuhiko Nagano1Risa Kato2Takanori Noto3Shin Hashimoto4Katsuya Saito5Ichiro Morioka6Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo 173-8610, JapanDepartment of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo 173-8610, JapanDepartment of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo 173-8610, JapanDepartment of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo 173-8610, JapanDepartment of Pediatrics, Kasukabe Medical Center, Saitama 344-8588, JapanDepartment of Pediatrics, Kasukabe Medical Center, Saitama 344-8588, JapanDepartment of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo 173-8610, JapanIn this study, we aimed to monitor changes in cranial shape using three-dimensional (3D) scanning to determine whether the severity of deformational plagiocephaly (DP) at the age of 6 months could be predicted at the age of 1 month. The cranial shape was measured at the ages of 1, 3, and 6 months (T1, T2, and T3, respectively) in 92 infants. We excluded those who received helmet treatment before T3. The cranial vault asymmetry index (CVAI) using 3D scanning was evaluated in all infants. DP was defined as a CVAI > 5.0% with mild (CVAI ≤ 6.25%) or moderate/severe severity (CVAI > 6.25%). The CVAI cut-off value at T1 for severe DP at T3 was determined using receiver operating characteristic (ROC) curves. At T1, T2, and T3, the respective CVAI median values were 5.0%, 5.8%, and 4.7% and the DP incidence was 50.0%, 56.8%, and 43.2%, respectively. The DP severity temporarily worsened from T1 to T2 but then improved at T3. Among the infants, 73.9% had a similar DP severity at T1 and T3 (<i>p</i> = 1.0). A ROC curve analysis revealed a CVAI cut-off value of 7.8% at T1 predicted severe DP. It was concluded that later DP severity could be predicted using 3D scanning at T1 with properly defined cut-off values.https://www.mdpi.com/2077-0383/11/7/1797cranial shapedeformational plagiocephalyinfantthree-dimensional scanning |
| spellingShingle | Hiroshi Miyabayashi Nobuhiko Nagano Risa Kato Takanori Noto Shin Hashimoto Katsuya Saito Ichiro Morioka Cranial Shape in Infants Aged One Month Can Predict the Severity of Deformational Plagiocephaly at the Age of Six Months Journal of Clinical Medicine cranial shape deformational plagiocephaly infant three-dimensional scanning |
| title | Cranial Shape in Infants Aged One Month Can Predict the Severity of Deformational Plagiocephaly at the Age of Six Months |
| title_full | Cranial Shape in Infants Aged One Month Can Predict the Severity of Deformational Plagiocephaly at the Age of Six Months |
| title_fullStr | Cranial Shape in Infants Aged One Month Can Predict the Severity of Deformational Plagiocephaly at the Age of Six Months |
| title_full_unstemmed | Cranial Shape in Infants Aged One Month Can Predict the Severity of Deformational Plagiocephaly at the Age of Six Months |
| title_short | Cranial Shape in Infants Aged One Month Can Predict the Severity of Deformational Plagiocephaly at the Age of Six Months |
| title_sort | cranial shape in infants aged one month can predict the severity of deformational plagiocephaly at the age of six months |
| topic | cranial shape deformational plagiocephaly infant three-dimensional scanning |
| url | https://www.mdpi.com/2077-0383/11/7/1797 |
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