ESR Essentials: imaging of suspected child abuse—practice recommendations by the European Society of Paediatric Radiology - Takeaways - MDSpire

ESR Essentials: imaging of suspected child abuse—practice recommendations by the European Society of Paediatric Radiology

  • By

  • Gabrielle C. Colleran

  • Maria Fossmark

  • Karen Rosendahl

  • Maria Argyropoulou

  • Kshitij Mankad

  • Amaka C. Offiah

  • September 18, 2024

  • 0 min

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  • 1

    Initial imaging for suspected child abuse in infants under 1 year includes a skeletal survey and unenhanced brain CT with 3D reformats.

  • 2

    A follow-up skeletal survey after 11–14 days enhances sensitivity in detecting abuse and is mandatory when abuse is suspected.

  • 3

    If head CT is normal but abuse is suspected, brain and whole spine MRI should be performed within 2–5 days.

  • 4

    Abusive head trauma (AHT) is common, with incidence estimates of 14–53 per 100,000, and is the leading cause of death in infants.

  • 5

    Complex fractures and specific MRI findings increase the specificity for diagnosing AHT, which is crucial for effective intervention.

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