The role of bone scintigraphy in detecting child abuse

Conway, James J.; Collins, Mary; Tanz, Robert R.; Radkowski, Mary Ann; Anandappa, Eugene; Hernández, Ramiro J.; Freeman, Eric L.

doi:10.1016/s0001-2998(05)80111-4

Cited by 93 publications

(39 citation statements)

References 40 publications

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“…However, scintigraphy is less sensitive than radiography for detection of classic metaphyseal lesions, which are fractures that carry a high specificity for abuse in infants. [23][24][25] Skeletal scintigraphy usually requires sedation and is generally more expensive than radiographic surveys. Bone scans are used to supplement radiographic skeletal surveys in the acutecare setting, 24 but for the child who is placed in a "safe" environment, a follow-up skeletal survey is an attractive alternative to initial scintigraphy.…”

Section: Radionuclide Bone Scansmentioning

confidence: 99%

Diagnostic Imaging of Child Abuse

Radiology¹

2009

Pediatrics

283

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The role of imaging in cases of child abuse is to identify the extent of physical injury when abuse is present and to elucidate all imaging findings that point to alternative diagnoses. Effective diagnostic imaging of child abuse rests on highquality technology as well as a full appreciation of the clinical and pathologic alterations occurring in abused children. This statement is a revision of the previous policy published in

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Section: Radionuclide Bone Scansmentioning

confidence: 99%

Diagnostic Imaging of Child Abuse

Radiology¹

2009

Pediatrics

283

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“…The lower limbs should be imaged separately from the main torso. Scintigraphy is highly sensitive in the detection of rib, spinal and diaphyseal fractures, but has a low sensitivity for skull fractures and variable for metaphyseal fractures [20]. Those metaphyseal fractures that are entirely intracapsular may not be scintigraphically positive due to the high uptake normally seen at the growth plates.…”

Section: The Role Of Scintigraphymentioning

confidence: 99%

Non-accidental injury: a review of the radiology

Carty

1997

Eur Radiol

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“…Skeletal surveys have typically been the primary method of radiographic diagnosis, but this view is presently being questioned (Conway, Collins, Tanz, Radkowski, Anadappa, Hernandez and Freeman, 1993). Radio-nuclide imaging (R.N.I.)…”

Section: Clinical and Technical Considerationsmentioning

confidence: 99%

Child Protection and Radiography: Clinical and Technical Issues

et al. 1997

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The role of the radiographer in child protection has received little attention. This review considers issues which arise in this ®eld, highlighting the implications for those responsible for the management of child protection systems, for those responsible for training, and for sta in other specialisms and professions within the hospital. The dierent types of imaging technique are discussed with some comment on their advantages and disadvantages. Forced immobilisation is sometimes required, and consideration is given to the issues which arise for the radiographer and abused child in this process.

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The role of bone scintigraphy in detecting child abuse

Cited by 93 publications

References 40 publications

Diagnostic Imaging of Child Abuse

Diagnostic Imaging of Child Abuse

Non-accidental injury: a review of the radiology

Child Protection and Radiography: Clinical and Technical Issues

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