Abstract:
OBJECTIVES:Given the frequency of abusive fractures among infants, and the lack of research and or evidence for the phases of fracture healing seen in this age group, this study aims to describe a timetable of radiological features of fracture healing among infants in the first months of life. METHODS:We completed a retrospective cross-sectional time-series study of birth-related clavicle fractures from 2006-2013. A total of 108 digital images were available for review from 61 infants. The presence or absence of four features of healing including periosteal reaction, callus formation, bridging callus and remodelling were scored by three radiologists. RESULTS:The level of agreement between the radiologists was good to high (0.60-0.90). Features of healing were first seen at 7 days (periosteal reaction), 11 days (callus), 20 days (bridging) and 35 days (remodelling), respectively. The peak periods that each feature was present are as follows: periosteal reaction 11-42 days, callus 12-61 days, bridging 22-63 days and remodelling 49-59 days. CONCLUSIONS:Birth-associated clavicle fractures in infants follow a logical progression of healing changes. Understanding the expected progression and timing of fracture healing may be helpful as it pertains to the timing of injury in cases of abuse in infants. KEY POINTS:• Large study describing the time frames of fracture healing in young infants. • Features of fracture healing develop in a logical progression. • Evidence provided for determining fractures are consistent with a proposed time frame. • It is of critical importance to have sound evidence for the dating of fractures.
journal_name
Eur Radioljournal_title
European radiologyauthors
Fadell M,Miller A,Trefan L,Weinman J,Stewart J,Hayes K,Maguire Sdoi
10.1007/s00330-016-4569-ysubject
Has Abstractpub_date
2017-05-01 00:00:00pages
2180-2187issue
5eissn
0938-7994issn
1432-1084pii
10.1007/s00330-016-4569-yjournal_volume
27pub_type
杂志文章abstract:OBJECTIVES:To evaluate tissue perfusion and venous susceptibility in ischaemic stroke patients as a means to predict clinical status and early prognosis. METHODS:A retrospective study of 51 ischaemic stroke patients were enrolled in this study. Susceptibility, perfusion and National Institute of Health stroke scale (N...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-016-4593-y
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:Osteoporosis is a prevalent and treatable condition, but it remains underdiagnosed. In this study, a deep learning-based system was developed to automatically measure bone mineral density (BMD) for opportunistic osteoporosis screening using low-dose chest computed tomography (LDCT) scans obtained for lung can...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-06679-y
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:To predict the probability of malignancy for MRI-detected breast lesions with a multivariate model incorporating patient and lesion characteristics. METHODS:Retrospective review of 2565 breast MR examinations from 1/03-11/06. BI-RADS 3, 4 and 5 lesions initially detected on MRI for new cancer or high-risk s...
journal_title:European radiology
pub_type: 杂志文章
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abstract::Our objective was to evaluate, in a routine clinical setting, the role of spiral CT as a second procedure in patients with clinically suspected pulmonary embolism (PE) and abnormal perfusion scan. We prospectively studied the role of spiral CT in 279 patients suspected of PE. All patients started their diagnostic algo...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
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更新日期:2003-07-01 00:00:00
abstract:OBJECTIVES:To retrospectively assess the periablational 3D safety margin in patients with colorectal liver metastases (CRLM) referred for stereotactic radiofrequency ablation (RFA) and to evaluate its influence on local treatment success. METHODS:Forty-five patients (31 males; mean age 64.5 [range 31-87 years]) with 7...
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journal_title:European radiology
pub_type: 杂志文章,评审
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更新日期:2006-12-01 00:00:00
abstract::The application of image registration and subtraction to detect change in multiple sclerosis (MS) disease burden on serial MR scans benefits from the use of isotropic voxels. An optimised 3D fast fluid-attenuated inversion recovery (FLAIR) sequence with 1.2- and 1.8-mm cubic voxels was compared with a 2D T2 SE sequenc...
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更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2017-11-01 00:00:00
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更新日期:2003-04-01 00:00:00
abstract::The recent explosion of 'big data' has ushered in a new era of artificial intelligence (AI) algorithms in every sphere of technological activity, including medicine, and in particular radiology. However, the recent success of AI in certain flagship applications has, to some extent, masked decades-long advances in comp...
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更新日期:2019-03-01 00:00:00
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更新日期:2011-12-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2011-02-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
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journal_title:European radiology
pub_type: 杂志文章
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更新日期:1996-01-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-007-0736-5
更新日期:2007-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00