Differential diagnosis III: osteogenesis imperfecta
Type I Milder phenotype Normal or close to normal stature Hearing loss in ~50% Demineralization Wormian bones Group 1A: blue sclerae normal teeth Group 1B: dentinogenesis imperfecta (DI) Type II*…
Differential diagnosis IV: accidental trauma
Figure 10.1 Toddler’s fracture. AP view of the right tibia in a nine-month-old infant who fell from the bed shows a nondisplaced oblique fracture (arrows) of the distal tibial metaphysis….
Quality assurance and radiographic skeletal survey standards
Figure 30.1 Novel variation of the “babygram” obtained with three separate radiographic exposures on a single 14 × 17-inch field. Each upper extremity, including a portion of the hemithorax, as…
Differential diagnosis II: disorders of calcium and phosphorus metabolism
Figure 8.1 Rickets, radiologic–pathologic correlation. Images in 4-year-old child with rickets. A, Frontal radiograph of distal femur shows fraying and cupping of metaphysis, widening of physis, and partial loss of…
Abusive head trauma: intracranial imaging strategies
Figure 20.1 Blood adjacent to the superior sagittal sinus. A, Axial NECT image shows SDHs in the left frontal region and within the interhemispheric fissure (arrow), which is difficult to…
Dating fractures
Figure 6.1 Fatal abuse in an eight-month-old with fractures of at least three different ages. (See same patient in Fig. 2.9.) A, AP portable supine radiograph obtained at the time…
Skeletal imaging strategies
Figure 14.1 Impact of rigorous serial imaging on the legal process. A nine-month-old infant undergoing skeletal assessment because of bilateral distal humeral SH injuries and multiple lower extremity CMLs in…
The radiologist’s response to child abuse
Daubert v. Merrell Dow Pharmaceuticals Incorporated.113 U.S. Supreme Court 2786 (1993) (1, 2) Introduction The traditional role of the diagnostic radiologist to supervise, evaluate, and reach conclusions regarding imaging examinations…
Abusive head trauma: clinical, biomechanical, and imaging considerations
html xmlns=”http://www.w3.org/1999/xhtml”> Chapter 16 Abusive head trauma: clinical, biomechanical, and imaging considerations Lori D. Frasier and Brittany Coats Diagnostic Imaging of Child Abuse, third edition, ed. Paul K. Kleinman. Published…
Evidence-based radiology and child abuse
Excellent Systematic review Multicenter studies Good RCTs Observational studies Fair Uncontrolled trials with dramatic results Before and after studies Non-RCTs Poor Descriptive studies Case studies Expert opinion Studies of poor…
