Evidence-Based Imaging in Non-CNS Nonaccidental Injury

  • Rick R. van Rijn
  • Huub G.T. Nijs
  • Kimberly E. Applegate
  • Rob A.C. Bilo

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).


Child Abuse Bone Scintigraphy Skeletal Survey Moderate Evidence Accidental Trauma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Rick R. van Rijn
    • 1
  • Huub G.T. Nijs
    • 2
  • Kimberly E. Applegate
    • 3
  • Rob A.C. Bilo
    • 2
  1. 1.Department of RadiologyEmma Children’s Hospital/Academic Medical Centre AmsterdamAmsterdamThe Netherlands
  2. 2.Department of Forensic PathologyNetherlands Forensic InstituteThe HagueThe Netherlands
  3. 3.Department of RadiologyEmory University School of MedicineAtlantaUSA

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