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Other useful references – radiological standards

  • British and American standards for radiological investigations of suspected child abuse 1-4
  • Audit of UK SS three years after the British Society of Paediatric Radiology published their standards: only 15% included all appropriate views; technical quality considerably improved (score 9.7/11) 5
  • Revision of radiological standards from the American Academy of Pediatrics. A number of changes from the previous standard. Oblique views of the ribs recommended when rib fractures are evident, and ‘consideration’ in the standard protocol 6
  • Follow up SS recommended when initial SS or abnormal or equivocal findings, or abuse suspected clinically 6

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References

  1. Royal College of Radiologists. Standards for Radiological Investigations of Suspected Non-accidental Injury. Joint document produced in collaboration with the Royal College of Paediatrics and Child Health. London: RCR [Most recent version available to download from RCR website]
  2. American College of Radiology. Practice Guideline for Skeletal Surveys in Children (PDF). [Most recent version available to download from ACR website]
  3. British Society of Paediatric Radiology. Non-accidental injury standard for skeletal surveys [BSPR website]
  4. American Academy of Pediatrics: Di Pietro MA, Brody AS, Cassady CI, Kleinman PK, Wyly JB, Applegate KE, Wood BP, Zerin JM, Mercado-Deane MG, Seibert JJ, Stolic A. Policy statement: diagnostic imaging of child abuse. 2009;123(5):1430-1435 [Pubmed]
  5. Swinson S, Tapp M, Brindley R, Chapman S, Offiah A, Johnson K. An audit of skeletal surveys for suspected non-accidental injury following publication of the British Society of Paediatric Radiology guidelines. Clinical Radiology. 2008;63(6):651-656 [Pubmed]
  6. American Academy of Pediatrics. Policy statement: Diagnostic imaging of child abuse. Pediatrics. 2000;105(6):1345-1348 [Pubmed]

 

 

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