© 2017

Recognizing Child Abuse in Radiology


Table of contents

  1. Front Matter
    Pages i-xii
  2. Alan E. Oestreich, Marguerite M. Caré
    Pages 1-7
  3. Alan E. Oestreich, Marguerite M. Caré
    Pages 9-19
  4. Alan E. Oestreich, Marguerite M. Caré
    Pages 21-40
  5. Alan E. Oestreich, Marguerite M. Caré
    Pages 41-59
  6. Alan E. Oestreich, Marguerite M. Caré
    Pages 61-65
  7. Alan E. Oestreich, Marguerite M. Caré
    Pages 67-84
  8. Alan E. Oestreich, Marguerite M. Caré
    Pages 85-90
  9. Alan E. Oestreich, Marguerite M. Caré
    Pages 91-93
  10. Back Matter
    Pages 95-97

About this book


This book is both a personal review of experience in the diagnosis of child abuse and its differential diagnosis, intended to instruct beginners, and a reliable source of information for the more experienced health care provider. Emphasis is placed on normal findings that simulate abuse, true and false diagnoses of metabolic bone disease as the cause of fractures, abusive head trauma, and the problem of zealous abuse-denying "experts." Plain radiography is emphasized, with appropriate mention of, ultrasound, CT, MRI, - in detecting childhood abuse is clearly explained, and individual chapters focus on neuroradiological evaluation and the radiological assessment of abdominal, thoracic, and subcutaneous abnormalities. Guidance is provided on how to exclude a range of alternative diagnoses, on the documentation of concerns over potential abuse, and on the needs of the clinician in relation to the radiologist. Recognizing Child Abuse in Radiology will be of value for radiologists in training and practice, for health care workers, and for other interested professionals.


Child Abuse Intracranial Hemorrhage Metaphyses Osteogenesis Imperfecta Osteoporosis Periosteal Reaction Rickets Skeletal Surveys

Authors and affiliations

  1. 1.Department of Radiology ML5031Cincinnati Children's HospitalCincinnatiUSA
  2. 2.Department of Radiology ML5031Cincinnati Children's HospitalCincinnatiUSA

About the authors

Alan E. Oestreich, MD, is a pediatric radiologist since 1980 at the Cincinnati Children’s Hospital Medical Center in Cincinnati, Ohio, and is Emeritus Professor of radiology at the University of Cincinnati College of Medicine. From 1972 – 1979 he was pediatric radiologist at the University of Missouri-Columbia. He a Fellow of the American College of Radiology, Honorary Member of the European Society of Paediatric Radiology, emeritus member of the Society for Pediatric Radiology, and past chairman of the Radiology Section of the National Medical Association. He is a member of the Child Abuse Team at Cincinnati Children’s Hospital. He has written and lectured extensively on the subject of radiology of child abuse. Among his previous books are An Atlas of Pediatric Orthopedic Radiology, with co-author Alvin Crawford, MD. He received his MD from the Johns Hopkins Medical School in 1965.

Marguerite M. Caré, MD is an assistant professor in the Department of Radiology, Division of Neuroradiology, at Cincinnati Children’s Hospital Medical Center. Caré joined the CCHMC faculty after completing a pediatric radiology fellowship in 1998 and a pediatric neuroradiology fellowship in 2000 at Cincinnati Children’s Hospital Medical Center. She has been the radiology representative to the multidisciplinary Child Abuse Team at the CCHMC Mayerson Center since 1998 and has recently become the radiology representation to the CCHMC Trauma Surgical Program. Caré has a major interest in the neuroimaging findings in child abuse and has presented at both local and national meetings on this topic. She also has research interests in Tuberous Sclerosis with her neurology colleagues. Caré serves on the CCHMC Radiology Department education committee with a primary role in third year medical student education for the department.

Bibliographic information

  • Book Title Recognizing Child Abuse in Radiology
  • Authors Alan E. Oestreich
    Marguerite M. Caré
  • DOI
  • Copyright Information Springer International Publishing Switzerland 2017
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-44322-5
  • Softcover ISBN 978-3-319-83039-1
  • eBook ISBN 978-3-319-44324-9
  • Edition Number 1
  • Number of Pages XII, 97
  • Number of Illustrations 90 b/w illustrations, 5 illustrations in colour
  • Topics Diagnostic Radiology
    Maternal and Child Health
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals


“The book is very successful in addressing topics of difficulty in child abuse, including radiographic findings that may mimic abuse, as well as rickets and the straw man issues raised in child abuse. … This book would be a fine addition to any department’s library and would prove a valuable investment of a few of hours of reading. It would be particularly helpful in preparing a radiologist who may be asked to provide testimony in a child abuse court case.” (Brent Adler, Pediatric Radiology, Vol. 48, 2018)

“The authors review the imaging findings of child abuse in the skeleton, nervous system, and solid organs. They also cover topics such as image acquisition and ‘deniers’ of abuse. The authors identify radiologists and general healthcare workers as an audience for the book. It is written at an appropriate level for this audience. The authors are from a well‐respected children's imaging center.” (Tara Catanzano, Doody's Book Reviews, September, 2017)