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Evidence-Based Imaging in Non-CNS Nonaccidental Injury

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Book cover Evidence-Based Imaging in Pediatrics

Key Points

■ Child abuse is a serious health problem with severe long-term consequences and high societal costs (strong evidence).

■ Child abuse is both underdetected and underreported, and the role of imaging is a critical part of the investigation of abuse (moderate evidence).

■ Radiographic skeletal survey is the main diagnostic tool in the diagnosis of skeletal injuries in both living and dead children (moderate evidence).

■ Repeat skeletal surveys can clarify and substantiate initially equivocal findings (moderate evidence).

■ Skeletal scintigraphy can be used as an adjunct to the skeletal survey (moderate evidence).

■ Infant deaths are most likely due to head trauma, whereas toddlers are more likely to die from blunt abdominal trauma (strong evidence).

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Author information

Authors and Affiliations

  1. Department of Radiology, Emma Children’s Hospital/Academic Medical Centre Amsterdam, Meibergdreef 9, 1105, Amsterdam, AZ, The Netherlands

    Rick R. van Rijn

  2. Department of Forensic Pathology, Netherlands Forensic Institute, Lann Van Ypenburg 6, 2497GB, The Hague, The Netherlands

    Huub G.T. Nijs & Rob A.C. Bilo MD

  3. Department of Radiology, Emory University School of Medicine, 30322, Atlanta, Georgia, USA

    Kimberly E. Applegate MD, MS, FACR (Vice Chair of Quality and Safety)

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  1. Rick R. van Rijn
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  2. Huub G.T. Nijs
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  3. Kimberly E. Applegate MD, MS, FACR
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  4. Rob A.C. Bilo MD
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Correspondence to Rick R. van Rijn .

Editor information

Editors and Affiliations

  1. Dept. Radiology, Miami Children's Hospital, SW 114 Street 7420, Miami , 33156, U.S.A.

    L. Santiago Medina

  2. Dept. Radiology, Riley Children's Hospital, Barnhill Drive 702 , Indianapolis, 46202-5200, U.S.A.

    Kimberly E. Applegate

  3. Harborview Medical Center, University of Washington, Ninth Avenue 325, Seattle, 98104-2499, U.S.A.

    C. Craig Blackmore

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van Rijn, R.R., Nijs, H.G., Applegate, K.E., Bilo, R.A. (2010). Evidence-Based Imaging in Non-CNS Nonaccidental Injury. In: Medina, L., Applegate, K., Blackmore, C. (eds) Evidence-Based Imaging in Pediatrics. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0922-0_13

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