1- To gain awareness of the current Non-Accidental Injury skeletal survey guidelines and potential anticipated changes.
2- To beware of pitfalls in Non-Accidental Injury skeletal survey assessment, particularly pertaining to the spinal region.
3- An invaluable imaging review of the classical injuries seen in child abuse
-Current UK and US skeletal survey guidelines in suspected non accidental injury.
Elaborate on contemporary discussions relating to the exclusion of certain radiographs from the skeletal survey with reference to the current literature.
-Analysis of 189 skeletal surveys reviewed by a Paediatric Radiologist with extensive experience as an expert witness in child protection proceedings.
Common fractures encountered (Table 1)
Pitfalls of spinal imaging (Figure 1)
Charts comparing which view the fracture was commonly seen in (for ribs and skull) ; (Figure 2)
How our data compares with current literature.
-Images of some of the fractures from our cases as an essential refresher of the more typical injuries seen in child abuse. (Figure 4)
-Discuss the need for an updated template in light of our findings and the published literature, with reference to the ALARA principle to obviate exposure to unnecessary ionising radiation.
Al-Deeb, W,
Warner, J,
Bano, F,
Landes, C,
Do We Need All the Radiographs in a Skeletal Survey for Suspected Non Accidental Injury? Experience from a Paediatric Tertiary Referral Centre and Up to Date Literature Review. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14006635.html
