Evidence map›Paper›PMID 26471745›Full record

ArticleAJNR. American journal of neuroradiology2016

Parenchymal Brain Laceration as a Predictor of Abusive Head Trauma.

L A Palifka, L D Frasier, R R Metzger, G L Hedlund

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Parenchymal Insults in Abuse-A Potential Key to Diagnosis.Diagnostics (Basel, Switzerland) · 2022
    Review
  4. Review
  5. Review
  6. [Diagnostic Imaging for Physical Abuse in Children].Taehan Yongsang Uihakhoe chi · 2020
    Review
  7. Article
  8. Review
  9. Neonatal subcortical bruising.Clinical case reports · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

L A PalifkaFrom the Department of Radiology (L.A.P.), Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire lpalifka@hitchock.org.ORCID http://orcid.org/0000-0003-3406-3205
L D FrasierDivision of Child Abuse Pediatrics (L.D.F.), Penn State Milton S. Hershey Children's Hospital, Hershey, Pennsylvania.ORCID http://orcid.org/0000-0001-5735-3593
R R MetzgerDivision of Pediatric Surgery (R.R.M.), University of Utah, Salt Lake City, Utah.ORCID http://orcid.org/0000-0003-0906-7108
G L HedlundDepartment of Medical Imaging (G.L.H.), Primary Children's Medical Center, Salt Lake City, Utah.ORCID http://orcid.org/0000-0003-1727-0683
Dartmouth–Hitchcock Medical Center · USPenn State Milton S. Hershey Medical Center · USPrimary Children's Hospital · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAccurate differentiation of abusive head trauma and accidental head injury in infants and young children is critical and impacts clinical care, patient prognosis, forensic investigations, and medicolegal proceedings. No specific finding seen on cross-sectional brain imaging has been reported to distinguish abusive head trauma from accidental injury. Our study investigated whether a specific imaging finding, parenchymal brain laceration, is unique to children diagnosed with abusive head trauma. MATERIALS AND

methodsWe retrospectively identified 137 patients with abusive head trauma and 28 patients who incurred moderate to severe accidental brain injury. Brain MR imaging represented the imaging standard for characterizing intracranial injuries.

resultsAmong the abusive head trauma cohort, parenchymal brain lacerations were identified in 18 patients, while none were identified in any patients with accidental injury.

conclusionsOur findings are in concurrence with the existing forensic, pathology, and imaging literature, which suggests that parenchymal brain lacerations may be related to abusive injury mechanisms.

Indexed as

AccidentsMagnetic Resonance ImagingTomography, X-Ray ComputedBrain InjuriesChildChild AbuseChild, PreschoolCohort StudiesCraniocerebral TraumaCross-Sectional StudiesDiagnosis, DifferentialFemaleHumansInfantInfant, NewbornMale

Identifiers

PMID26471745
PMCPMC7960215
OpenAlexW2178872587

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.