ESR Essentials: imaging of suspected child abuse—practice recommendations by the European Society of Paediatric Radiology
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By
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Gabrielle C. Colleran
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Maria Fossmark
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Karen Rosendahl
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Maria Argyropoulou
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Kshitij Mankad
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Amaka C. Offiah
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September 18, 2024
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Objective:
To provide practice recommendations for radiologists regarding the imaging of suspected child abuse in children under 5 years of age.
Key Findings:
- Abusive head trauma (AHT) is common, with incidence estimates of 14-53 per 100,000.
- AHT is the leading cause of death in infants and toddlers under 2 years.
- Subdural haemorrhage is the most common intracranial injury pattern in AHT.
- Complex fractures are more frequent in AHT than in accidental trauma.
Interpretation:
Imaging plays a crucial role in diagnosing child abuse, particularly in non-verbal infants who may present with non-specific symptoms.
Limitations:
- Evidence levels for recommendations are low.
- High litigation rates complicate the diagnosis of child abuse.
Conclusion:
Up-to-date imaging guidelines are essential for accurate diagnosis and management of suspected child abuse, ensuring high-quality care.
