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European survey of imaging in non-accidental injury demonstrates a need for a consensus protocol

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Pediatric Radiology Aims and scope Submit manuscript

Abstract

Background

Paediatric non-accidental injury is a considerable health problem, and imaging plays a fundamental role in its assessment. Since the introduction of joint guidelines published by the Royal College of Radiologists (RCR) and Royal College of Paediatrics and Child Health (RCPCH) in 2008, there has been a concerted effort to adopt a consensus approach to imaging in this area in the United Kingdom.

Objective

This study aims to establish current practice amongst European Society of Paediatric Radiology (ESPR) members within their institutions with regards to the use of imaging in suspected non-accidental injury.

Materials and methods

A web-based survey was created and circulated to all active ESPR members. The responses were collated and analysed.

Results

We received 134 responses, accounting for 37% of the current membership across 24 European countries. These responses highlighted significant variation amongst institutions, with no consensus regarding radiographic and cross-sectional imaging in the investigation of suspected non-accidental injury.

Conclusion

There is a need for a European consensus protocol to imaging in suspected non-accidental injury. We recommend implementing the joint RCR/RCPCH guidance, a move supported by the ESPR.

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References

  1. Huang MI, O’Riordan MA, Fitzenrider E et al (2011) Increased incidence of nonaccidental head trauma in infants associated with the economic recession. J Neurosurg Pediatr 8:171–176

    Article  PubMed  Google Scholar 

  2. Ray S, Conn K, Liebeschuetz S et al (2013) The impact of media reporting of high-profile cases on child protection medical assessments. Child Abuse Rev 22:20–24

    Article  Google Scholar 

  3. Royal College of Radiology, Royal College of Paediatrics and Child Health (2008) Standards for radiological investigations of suspected non-accidental injury. http://www.rcr.ac.uk/docs/radiology/pdf/RCPCH_RCR_final.pdf. Accessed 16 May 2014

  4. Offiah AC, van Rijn RR, Perez-Rossello JM et al (2009) Skeletal imaging of child abuse (non-accidental injury). Pediatr Radiol 39:461–470

    Article  PubMed  Google Scholar 

  5. Choudhary AK, Bradford RK, Dias MS et al (2012) Spinal subdural hemorrhage in abusive head trauma: a retrospective study. Radiology 262:216–223

    Article  PubMed  Google Scholar 

  6. Datta S, Stoodley N, Jayawant S et al (2005) Neuroradiological aspects of subdural haemorrhages. Arch Dis Child 90:947–951

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. Kleinman PK, Nimkin K, Spevak MR et al (1996) Follow-up skeletal surveys in suspected child abuse. AJR Am J Roentgenol 167:893–896

    Article  CAS  PubMed  Google Scholar 

  8. Offiah AC, Hall CM (2003) Observational study of skeletal surveys in suspected non-accidental injury. Clin Radiol 58:702–705

    Article  CAS  PubMed  Google Scholar 

  9. Swinson S, Tapp M, Brindley R et al (2008) An audit of skeletal surveys for suspected non-accidental injury following publication of the British society of paediatric radiology guidelines. Clin Radiol 63:651–656

    Article  CAS  PubMed  Google Scholar 

  10. Taylor GA, Eich MR (1989) Abdominal CT in children with neurologic impairment following blunt trauma. Abdominal CT in comatose children. Ann Surg 210:229–233

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Murphy R, Slater A, Uberoi R et al (2010) Reduction of perception error by double reporting of minimal preparation CT colon. Br J Radiol 83:331–335

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  12. Blanks RG, Wallis MG, Moss SM (1998) A comparison of cancer detection rates achieved by breast cancer screening programmes by number of readers, for one and two view mammography: results from the UK national health service breast screening programme. J Med Screen 5:195–201

    Article  CAS  PubMed  Google Scholar 

  13. (1997) ACR standards for skeletal surveys in children. Resolution 22. American College of Radiology, Reston, VA

  14. (2011) ACR–SPR practice guideline for skeletal survey in children. Resolution 54. American College of Radiology, Reston, VA

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Conflicts of interest

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Authors and Affiliations

  1. Department of Radiology Leeds General Infirmary, Leeds, UK

    Oliver S. Hulson

  2. Department of Radiology Emma Children’s Hospital—Academic Medical Center, Amsterdam, The Netherlands

    Rick R. van Rijn

  3. Academic Unit of Child Health, Stephenson Wing, Sheffield Children’s NHS Foundation Trust, Western Bank, Sheffield, S10 2TH, UK

    Amaka C. Offiah

Authors
  1. Oliver S. Hulson
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  2. Rick R. van Rijn
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  3. Amaka C. Offiah
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Corresponding author

Correspondence to Amaka C. Offiah.

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Hulson, O.S., van Rijn, R.R. & Offiah, A.C. European survey of imaging in non-accidental injury demonstrates a need for a consensus protocol. Pediatr Radiol 44, 1557–1563 (2014). https://doi.org/10.1007/s00247-014-3063-4

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  • DOI: https://doi.org/10.1007/s00247-014-3063-4

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