Comparison of Radiographic and Radionuclide Skeletal Surveys in Battered Children

Pickett, William; Faleski, E.J.; Chacko, Anna K.; Jarrett, R.V.

doi:10.1097/00007611-198302000-00017

Cited by 9 publications

(5 citation statements)

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“…Due to the reduction in the use of bone scintigraphy in suspected child abuse cases, no recent studies examining the yield of bone scans compared to SS exist. The consensus from most studies published between 1980 and 2000 was that bone scintigraphy examinations were more sensitive at detecting acute rib fractures than radiographic SS 70–77 . These earlier findings appear inconsistent with a 2003 study which reported only 63% of rib fractures were identified by bone scans, while initial SS identified 73%.…”

Section: Comparison Of Fracture Detectabilitymentioning

confidence: 95%

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A review of current imaging techniques used for the detection of occult bony fractures in young children suspected of sustaining non‐accidental injury

et al. 2021

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Summary Non‐accidental injuries remain a leading cause of preventable morbidity and mortality in young children. The accurate identification of the full spectrum of injuries in children presenting with suspected abuse is essential to ensure the appropriate protective intervention is taken. The identification of occult bone fractures in this cohort is important as it raises the level of concern about the mechanism of injury and maintaining the child's safety. Radiographic imaging remains the modality of choice for skeletal assessment; however, current studies report concerns regarding the ability of radiographs to detect certain fractures in the acute stage. As such, alternative modalities for the detection of fractures have been proposed. This article reviews the current literature regarding fracture detectability and radiation dose burden of imaging modalities currently used for the assessment of occult bony injury in young children in whom non‐accidental injury is suspected.

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Section: Comparison Of Fracture Detectabilitymentioning

confidence: 95%

“…A subtle increase in activity uptake may contribute to the propensity for skull fractures to be missed or misattributed to normal skull variation 85 . Several studies between 1980 and 2003 have indicated a high false‐negative rate in bone scans compared to SS 38,71,74,86–88 …”

Section: Comparison Of Fracture Detectabilitymentioning

confidence: 99%

A review of current imaging techniques used for the detection of occult bony fractures in young children suspected of sustaining non‐accidental injury

et al. 2021

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“…Bone scintigraphy is sometimes used to complement the skeletal survey [10]. Kemp et al [10] reviewed five studies where bone scintigraphy had greater sensitivity than the skeletal survey [11][12][13][14][15] and two studies where the skeletal survey had a higher sensitivity [16,17]. Kemp et al [10] concluded that neither modality alone detected all fractures.…”

Section: Imaging Techniquesmentioning

confidence: 99%

Skeletal imaging of child abuse (non-accidental injury)

et al. 2009

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“…6). The radiological skeletal survey is the most sensitive technique, whereas bone scintigraphy [19][20][21] can be useful for a thorough assessment of multiple fractures (Fig. 7).…”

Section: Aspetti Radiologici Degli Abusi Fisici Sui Minorimentioning

confidence: 99%

“…Such injuries are followed by subarachnoid or subdural haemorrhage, or by intraparenchymal brain haemorrhage or massive brain oedema [22,23]. maggiormente sensibile per la diagnosi, la scintigrafia [19][20][21] occasionalmente è d'ausilio nelle fratture multiple per guidare gli accertamenti mirati (Fig. 7).…”

Section: Aspetti Radiologici Degli Abusi Fisici Sui Minoriunclassified

Aspetti radiologici e medico-legali dei traumi da maltrattamento sui minori

2009

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Child abuse is a topical issue in modern society and has social and medical implications which directly concern the doctor, both as a private citizen and as a health professional. Abuse injuries can be of very different types, e.g. physical, psychological or sexual. Hence they require a multidisciplinary and multispecialty approach, which must begin with an accurate medical examination, conducted in compliance with the lege artis principles and with respect for the victim's dignity. Diagnostic imaging becomes essential, together with epicrisis, which is useful to distinguish between accidental and abusive injuries. This paper describes the radiologist's key role in identifying physical injuries due to child abuse, in accordance with current regulations.

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Comparison of Radiographic and Radionuclide Skeletal Surveys in Battered Children

Cited by 9 publications

References 0 publications

A review of current imaging techniques used for the detection of occult bony fractures in young children suspected of sustaining non‐accidental injury

A review of current imaging techniques used for the detection of occult bony fractures in young children suspected of sustaining non‐accidental injury

Skeletal imaging of child abuse (non-accidental injury)

Aspetti radiologici e medico-legali dei traumi da maltrattamento sui minori

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