Diagnostic Imaging of Child Abuse

Radiology, Section on

doi:10.1542/peds.2009-0558

Cited by 283 publications

(44 citation statements)

References 44 publications

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“…30,31 Young children with AHT may be particularly at risk for ligamentous injuries that are often not apparent on plain radiography or CT but detectable on MRI. When MRI is performed, ligamentous injuries are detected in up to 78% of cases of AHT, compared to 46% of children with accidental trauma (not necessarily TBI) and 1% of children without trauma.…”

Section: Discussionmentioning

confidence: 99%

Hospital Variation in Cervical Spine Imaging of Young Children With Traumatic Brain Injury

Henry

Zonfrillo

French

et al. 2016

Academic Pediatrics

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Objectives Cervical imaging practices are poorly understood in young children with Traumatic Brain Injury (TBI). We therefore sought to: identify child-level and hospital-level factors associated with performance of cervical imaging of children with TBI from falls and abusive head trauma (AHT); and describe across-hospital variation in cervical imaging performance. We hypothesized that imaging decisions would be influenced by hospital volume of young injured children. Methods We performed a retrospective study of children younger than 2 years of age with TBI from 2009-2013 in the Premier Perspective Database. After adjustment for observed patient characteristics, we evaluated variation in advanced cervical imaging (computed tomography or magnetic resonance imaging) in children with AHT and TBI from falls. Results Of 2,347 children with TBI, 18.7% were from abuse, and 57.1% were from falls. Fifteen percent of children with TBI underwent advanced cervical imaging. Moderate or severe head injuries were associated with increased odds of cervical imaging in AHT (OR 7.10; 95% CI 2.75, 18.35) and falls (OR 2.25; 95% CI 1.19, 4.27). There was no association between annual hospital volume of injured children and cervical imaging performance. The adjusted probability of imaging across hospitals ranged from 4.3 to 84.3% in AHT and 3.1 to 39.0% in TBI from falls (P < 0.001). Conclusions These results highlight variation across hospitals in adjusted probability of cervical imaging in AHT (nearly twenty-fold) and TBI from falls (over ten-fold) not explained by observed patient characteristics. This variation suggests opportunities for further research to inform imaging practices.

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Section: Discussionmentioning

confidence: 99%

Hospital Variation in Cervical Spine Imaging of Young Children With Traumatic Brain Injury

Henry

Zonfrillo

French

et al. 2016

Academic Pediatrics

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“…The use of physicians and other individuals in professional positions to convey messages related to HPV vaccination is likely to be especially persuasive to readers, given that HPV vaccine uptake has been shown to be associated with provider recommendation (Dempsey et al, 2006; Gerend Lee & Shepard, 2007; Kahn, Ding, Huang, Zimet, Rosenthal & Frazier, 2009). …”

Section: Discussionmentioning

confidence: 99%

“…Despite barriers, however, many parents show support for the vaccine (Constantine & Jerman, 2007; Horn, Howard, Waller & Ferris, 2010; Rosenthal et al, 2008; Stretch et al, 2008). Vaccine acceptance is associated with beliefs of susceptibility to HPV or cervical cancer, vaccine efficacy and provider recommendation (Dempsey, Zimet, Davis & Koutsky, 2006; Gerend, Lee & Shepherd, 2007; Kahn, 2009). …”

Section: Sexual Transmissionmentioning

confidence: 99%

Discussions of adolescent sexuality in news media coverage of the HPV vaccine

Casciotti

Smith

Tsui

et al. 2013

Journal of Adolescence

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Given the sexually transmitted nature of human papillomavirus (HPV), some worry the HPV vaccine will create a false sense of security and promote adolescent sexual activity. Media coverage of vaccines can influence social norms, parental attitudes, and vaccine acceptance; in this paper we examine U.S. news media messages related to sexuality and HPV vaccination. Drawing on a structured analysis of 447 articles published during 2005-2009, we qualitatively analyzed a purposive sample of 49 articles discussing adolescent health behaviors related to HPV vaccination. Commonly, articles discussed vaccination in the context of abstinence-only versus comprehensive sexual health education; cited research findings to support vaccination or sex education; argued against connecting vaccination to promiscuous behavior; but included fear-inducing messages. Media messages concerning health behaviors related to HPV vaccination tended to support government and parental involvement in sex education, and dismiss concerns linking vaccination to sexual activity, while also presenting the vaccine as lifesaving.

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“…Radiographic skeletal survey and radionuclide images are complementary procedures for diagnosis and documenting this type of injury (Figure 3). The magnetic resonance imaging (MRI) was performed for diagnosing whenever typical skeletal injuries associated with extraskeletal injuries [8]. The MRI T2-weighted coronal images showing metaphyseal fractures of distal left femur and proximal bilateral tibias with extensive periosteal hemorrhage or edema favored child abuse, too.…”

Section: Case Reportmentioning

confidence: 99%

Multiple Bony Injuries on Bone Scan in a Case of Unsuspected Child Abuse

Chuang

Hsu

Chang

et al. 2017

Case Reports in Medicine

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This case is described of an eleven-month-old infant with lower limbs swelling and the left elbow skeletal malformation following a fall. The radionuclide bone scan was performed to exclude bone infection or congenital skeletal anomaly. The images unexpectedly showed multiple increased radioactive foci throughout the whole body. It was a strong probability of child abuse. All lesions are readily apparent on the following plain film radiographs and MRI.

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Diagnostic Imaging of Child Abuse

Cited by 283 publications

References 44 publications

Hospital Variation in Cervical Spine Imaging of Young Children With Traumatic Brain Injury

Hospital Variation in Cervical Spine Imaging of Young Children With Traumatic Brain Injury

Discussions of adolescent sexuality in news media coverage of the HPV vaccine

Multiple Bony Injuries on Bone Scan in a Case of Unsuspected Child Abuse

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