PHP AND MYSQL MEDICAL APPLICATION BASED ON TANNER WHITEHOUSE STANDARD

In pediatrics, skeletal maturity, also called “bone age”, an expression of biological maturity of a child, is an important quantitative measure for the clinical diagnosis of endocrinological problems and growth disorders. Bone age is also used in monitoring children with hormone therapy. Skeletal maturity may be assessed by analysis of the ossification centers of the hand, foot, knee, elbow or pelvis but most often used is the hand. Skeletal maturity diagnosis is usually based on a visual comparison of a left-hand wrist radiograph with atlas patterns and the most common method used is the Tanner-Whitehouse method. With the help of PHP and MySQL a computer-assisted software we developed, based on Tanner-Whitehouse method, for bone age assessment of children and young people. The program is a client-server one and all data are saved into a database server. The program (1) display control radiographies, schematic drawings and specifications for every stage of hand bones until maturity stage, (2) allow user to select a maturity stage for every bone, (3) save and query personal data of patients, (4) save and query consultations and (5) make consultation reports