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dc.contributor.authorColleran, Gabrielle C.
dc.contributor.authorFossmark, Maria Olsen
dc.contributor.authorRosendahl, Karen
dc.contributor.authorArgyropoulou, Maria
dc.contributor.authorMankad, Kshitij
dc.contributor.authorOffiah, Amaka C.
dc.date.accessioned2024-11-01T09:42:11Z
dc.date.available2024-11-01T09:42:11Z
dc.date.issued2024-09-18
dc.description.abstractThe goal of this paper is to provide a useful desktop reference for the imaging of suspected child abuse with clear, age-specific pathways for appropriate evidence-based imaging and follow-up.<p> <p>We aim to provide a road map for the imaging evaluation and follow-up of this important and vulnerable cohort of patients presenting with signs and symptoms concerning for inflicted injury. As the imaging recommendations differ for children of different ages, we provide a flowchart of the appropriate imaging pathway for infants, toddlers, and older children, which allows ease of selection of which children should undergo skeletal survey, non-contrast computed tomography (CT) brain with 3-dimensional (D) reformats, and magnetic resonance imaging (MRI) of the brain and whole spine. For ease of review, we include a table of the common intracranial and spinal patterns of injury in abusive head trauma. We summarise search patterns, areas of review, and key findings to include in the report.<p> <p>To exclude skeletal injury, infants and children under 2 years of age should undergo a full skeletal survey in accordance with national guidelines, with a limited follow-up skeletal survey performed 11–14 days later. For children over 2 years of age, the need for skeletal imaging should be decided on a case-by-case basis.<p> <p>All infants should undergo a non-contrast-enhanced CT brain with 3-D reformats. If this is normal with no abnormal neurology, then no further neuroimaging is required. If this is abnormal, then they should proceed to MRI brain and whole spine within 2–5 days. Children older than 1 year of age who have abnormal neurology and/or findings on skeletal survey that are suggestive of inflicted injury should undergo non-contrast CT brain with 3-D reformats and, depending on the findings, may also require MRI of the brain and whole spine.<p> <p>We hope that this will be a helpful contribution to the radiology literature, particularly for the general radiologist with low volumes of paediatrics in their practice, supporting them with managing these important cases when they arise in daily practice.<p>en_US
dc.identifier.citationColleran, Fossmark, Rosendahl, Argyropoulou, Mankad, Offiah. ESR Essentials: imaging of suspected child abuse—practice recommendations by the European Society of Paediatric Radiology. European Radiology. 2024
dc.identifier.cristinIDFRIDAID 2308766
dc.identifier.doi10.1007/s00330-024-11052-4
dc.identifier.issn0938-7994
dc.identifier.issn1432-1084
dc.identifier.urihttps://hdl.handle.net/10037/35391
dc.language.isoengen_US
dc.publisherSpringer Natureen_US
dc.relation.journalEuropean Radiology
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleESR Essentials: imaging of suspected child abuse—practice recommendations by the European Society of Paediatric Radiologyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)