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Hand-wrist bone age, determined on Greulich Atlas, was the reference test. on Lateral estimated bone age according to the Greulich & Pyle's “Radio- Greulich, W. W. and Pyle, S. I. (1959). Radiographic Atlas of. Skeletal Development of the Hand and Wrist, 2nd ed., p. 2. Stanford University PressAim and Objectives: For determining the skeletal/bone age from hand-wrist radiographs, Greulich and Pyle's Atlas and Tanner–Whitehouse 3 (TW3) methods are