ESPR adopts British guidelines for imaging in suspected non-accidental injury as the European standard
- 1.4k Downloads
National surveys conducted over the last decade [1, 2, 3] have highlighted inconsistencies among departments as regards the projections and quality of images obtained when child abuse is suspected. Has publication of the results of these surveys led to any improvement? We would like to think so, and while a follow-up UK audit demonstrated only a modest increase in adherence to the then-British Society of Paediatric Radiology guidelines , anecdotally we believe that the quality of skeletal surveys and therefore the accuracy and speed of diagnosis in these cases has significantly improved.
However, rather than repeating national surveys, under the leadership of Rick van Rijn (ex-chairperson of the ESPR (European Society of Paediatric Radiology) Child Abuse Taskforce), a Europe-wide survey of ESPR members was undertaken. The linked article in this edition of Pediatric Radiology  presents the findings.
Here, we would like to emphasize the key outcome that followed presentation of the results by Amaka Offiah to the Child Abuse Taskforce during the ESPR meeting in Budapest, Hungary, in June 2013, namely an overwhelming vote in favor of adopting the Royal College of Radiologists/Royal College of Paediatrics and Child Health (RCR/RCPCH) Guidelines for Imaging in Suspected Non-Accidental Injury  as the standard across Europe. We believe this will lead to improved detection of abuse in children and to more robust safeguarding protocols, and it is with great pleasure that we announce that the ESPR committee has ratified this move. The guidelines are available at http://www.rcr.ac.uk/docs/radiology/pdf/RCPCH_RCR_final.pdf.
We are in the process of translating these guidelines into other major European languages, and would ask you, in your various countries and beyond, to please spread the word.
Conflicts of interest
- 5.Hulson O, van Rijn RR, Offiah AC (2014) Results of a European-wide survey regarding imaging in non-accidental injury: the need for and adoption of a consensus protocol. Pediatr Radiol [In press]Google Scholar
- 6.Royal College of Radiology, Royal College of Paediatrics and Child Health (2008) Standards for radiological investigations of suspected non-accidental injury. https://www.rcr.ac.uk/docs/radiology/pdf/RCPCH_RCR_final.pdf. Accessed 4 Aug 2014