Abstract：
BACKGROUND:Skeletal surveys are routinely performed in cases of suspected child abuse, but there are limited data regarding the yield of high-detail skeletal surveys in infants. OBJECTIVE:To determine the diagnostic yield of high-detail radiographic skeletal surveys in suspected infant abuse. MATERIAL AND METHODS:We reviewed the high-detail American College of Radiology standardized skeletal surveys performed for suspected abuse in 567 infants (median: 4.4 months, SD 3.47; range: 4 days-12 months) at a large urban children's hospital between 2005 and 2013. Skeletal survey images, radiology reports and medical records were reviewed. A skeletal survey was considered positive when it showed at least one unsuspected fracture. RESULTS:In 313 of 567 infants (55%), 1,029 definite fractures were found. Twenty-one percent (119/567) of the patients had a positive skeletal survey with a total of 789 (77%) unsuspected fractures. Long-bone fractures were the most common injuries, present in 145 children (26%). The skull was the site of fracture in 138 infants (24%); rib cage in 77 (14%), clavicle in 24 (4.2%) and uncommon fractures (including spine, scapula, hands and feet and pelvis) were noted in 26 infants (4.6%). Of the 425 infants with neuroimaging, 154 (36%) had intracranial injury. No significant correlation between positive skeletal survey and associated intracranial injury was found. Scapular fractures and complex skull fractures showed a statistically significant correlation with intracranial injury (P = 0.029, P = 0.007, respectively). CONCLUSION:Previously unsuspected fractures are noted on skeletal surveys in 20% of cases of suspected infant abuse. These data may be helpful in the design and optimization of global skeletal imaging in this vulnerable population.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Barber I,Perez-Rossello JM,Wilson CR,Kleinman PKdoi
10.1007/s00247-014-3064-3subject
Has Abstractpub_date
2015-01-01 00:00:00pages
69-80issue
1eissn
0301-0449issn
1432-1998journal_volume
45pub_type
杂志文章abstract：:Long-term imaging and clinical findings are reported in six children whose polycystic kidney disease was detected in infancy or early childhood. Over time (2 years to 20 years) all patients developed portal hypertension from hepatic fibrosis, a problem primarily noted in recessive pattern polycystic kidney disease. Mi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02387555
更新日期：1988-01-01 00:00:00
abstract：BACKGROUND:Fluoroscopically guided air reduction of intussusception is a well-accepted technique. There are only two previous reports in which US has been used to monitor pneumatic reduction. OBJECTIVE:To assess the ability of US to monitor the success of air reduction of intussusception. MATERIALS AND METHODS:Sonogr...
journal_title：Pediatric radiology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s002470050754
更新日期：2000-05-01 00:00:00
abstract：PURPOSE:The Haller index is an accepted CT method for evaluating thoracic dimensions in patients with pectus excavatum. The purpose of this study is to establish age- and gender-related norms for the Haller index in childhood. MATERIALS AND METHODS:We retrospectively reviewed 574 consecutive chest CT examinations (M=2...
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abstract：: ...
journal_title：Pediatric radiology
pub_type： 评论,杂志文章
doi：10.1007/s00247-018-4248-z
更新日期：2018-11-01 00:00:00
abstract：:Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) offer several techniques to evaluate the hepatic vasculature. These techniques are briefly reviewed with reference to the pediatric population. Examples of MRI and MRA in the evaluation of the hepatic vasculature in pediatric patients are presen...
journal_title：Pediatric radiology
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journal_title：Pediatric radiology
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doi：10.1007/s00247-006-0307-y
更新日期：2006-12-01 00:00:00
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journal_title：Pediatric radiology
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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journal_title：Pediatric radiology
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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journal_title：Pediatric radiology
pub_type： 杂志文章
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journal_title：Pediatric radiology
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更新日期：1997-12-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
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更新日期：1993-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
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更新日期：1984-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-006-0331-y
更新日期：2007-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF01000118
更新日期：1975-03-20 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02019065
更新日期：1995-01-01 00:00:00
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journal_title：Pediatric radiology
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doi：10.1007/s002470050446
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journal_title：Pediatric radiology
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journal_title：Pediatric radiology
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pub_type： 杂志文章,评审
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pub_type： 杂志文章
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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更新日期：2008-02-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
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更新日期：2000-03-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
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