Suspected infant abuse: radiographic skeletal survey practices in pediatric health care facilities

Radiology
Patricia L KleinmanJudith A Savageau

Abstract

To determine current national radiographic skeletal survey imaging practices, including migration to digital technologies, for evaluation of suspected infant abuse. Of 155 children's health care facilities in the United States in which radiographic skeletal surveys are performed for suspected infant (<1 year old) abuse, 137 (88.4%) agreed to complete a questionnaire. Questions included facility type, imaging department volume, radiographic equipment, and details of skeletal survey imaging practices. Statistical analysis was performed with chi(2), Fisher exact, Pearson correlation, Spearman rank correlation, and Student t tests. One hundred seven completed questionnaires were returned. Forty-seven (43.9%) facilities used screen-film imaging; 60 (56.1%) used digital. Of screen-film users, 25 (53.2%) had already migrated or planned to migrate to digital within 1 year. Of screen-film users, 27 (60.0%) reported use of a high-detail imaging system, while 13 (21.7%) digital users employed a high-resolution technique (P < .001). Eighty-four (78.5%) facilities reported more than 10 images in their protocol, and 45 (42.0%) specified more than 15 images. Only one (0.9%) facility obtained fewer than three images. Upper extremities were ima...Continue Reading

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Citations

Sep 7, 2007·Pediatric Radiology·Brandon TranPaul K Kleinman
May 28, 2008·Pediatric Radiology·Laura A DrubachPaul K Kleinman
Jan 26, 2011·Pediatric Radiology·Terence S HongPaul S Babyn
Oct 7, 2011·Pediatric Radiology·Boaz KarmazynRalph Hicks
Jul 3, 2013·Pediatric Radiology·Ignasi BarberPaul K Kleinman
Feb 26, 2013·AJR. American Journal of Roentgenology·Paul K KleinmanPatricia L Kleinman
Mar 24, 2010·Radiology·Laura A DrubachPaul K Kleinman
May 19, 2009·Pediatric Radiology·Rick R van Rijn
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Nov 16, 2011·Magnetic Resonance Imaging Clinics of North America·Rick R van Rijn, Melissa R Spevak
Dec 8, 2015·The British Journal of Radiology·Eva M M Hoytema van KonijnenburgRick R Van Rijn
Apr 11, 2009·Pediatric Clinics of North America·Antonia Chiesa, Ann-Christine Duhaime
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