ArticlePediatric radiology2016
Development of a screening MRI for infants at risk for abusive head trauma.
Article in Pediatric radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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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.
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Who cites it
20 citing papers in PubMed, 48 citations in OpenAlex.
- Clinical Utility of Rapid-Sequence Magnetic Resonance Imaging (rMRI) in Pediatric Neurosurgery: Enhancing Assessment of Hydrocephalic Changes.Children (Basel, Switzerland) · 2026Article
- Focused Abbreviated Survey Technique (FAST) brain magnetic resonance imaging in children: results from a European Society of Pediatric Radiology survey.Pediatric radiology · 2026Article
- Yield of injury testing for contacts of children evaluated for physical abuse.Child abuse & neglect · 2026Article
- Implementation of a Survey Spine MR Imaging Protocol for Cord Compression in the Emergency Department: Experience at a Level 1 Trauma Center.AJNR. American journal of neuroradiology · 2024Article
- Focused Abbreviated Survey MRI Protocols for Brain and Spine Imaging.Radiographics : a review publication of the Radiological Society of North America, Inc · 2023Article
- Abusive Head Trauma Animal Models: Focus on Biomarkers.International journal of molecular sciences · 2023Review
- Abusive head trauma in children: radiographs of the skull do not provide additional information in the diagnosis of skull fracture when multiplanar computed tomography with three-dimensional reconstructions is available.Pediatric radiology · 2022Article
- Imaging of Abusive Head Trauma : A Radiologists' Perspective.Journal of Korean Neurosurgical Society · 2022Article
- Parenchymal Insults in Abuse-A Potential Key to Diagnosis.Diagnostics (Basel, Switzerland) · 2022Review
- Simultaneous time of flight-MRA and T2* imaging for cerebrovascular MRI.Neuroradiology · 2021Article
- Shaken Baby Syndrome: Magnetic Resonance Imaging Features in Abusive Head Trauma.Brain sciences · 2021Review
- Identification of Abusive Head Trauma in High-Risk Infants: A Cost-Effectiveness Analysis.The Journal of pediatrics · 2020Article
- Trends in Use of Advanced Imaging in Pediatric Emergency Departments, 2009-2018.JAMA pediatrics · 2020Article
- Rapid brain MRI protocols reduce head computerized tomography use in the pediatric emergency department.BMC pediatrics · 2020Article
- Implementation of a brain injury screen MRI for infants at risk for abusive head trauma.Pediatric radiology · 2020Article
- Rapid magnetic resonance imaging screening for abusive head trauma.Pediatric radiology · 2020Article
- Clinically occult abusive head trauma: which age group should we screen?Pediatric radiology · 2019Article
- Article
- Improving Clinical Judgment in Abuse Case Finding.Pediatrics · 2016Article
- Replacing Computed Tomography with "Rapid" Magnetic Resonance Imaging for Ventricular Shunt Imaging.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundAbusive head trauma (AHT) is an important cause of morbidity in infants. Identifying which well-appearing infants are at risk for AHT and need neuroimaging is challenging, and concern about radiation exposure limits the use of head CT. Availability of an MRI protocol that is highly sensitive for intracranial hemorrhage would allow for AHT screening of well-appearing infants without exposing them to radiation.
objectiveTo develop a screening MRI protocol to identify intracranial hemorrhage in well-appearing infants at risk for AHT. MATERIALS AND
methodsInfants enrolled in a parent study of well-appearing infants at increased risk for AHT were eligible for the current study if they underwent both head CT and conventional brain MRI. A derivation cohort of nine infants with AHT was used to identify sequences that provided the highest sensitivity for intracranial hemorrhage. A validation cohort of 78 infants including both controls with normal neuroimaging and cases with AHT was used to evaluate the accuracy of the selected sequences.
resultsThree pulse sequences - axial T2, axial gradient recalled echo (GRE) and coronal T1-W inversion recovery - were 100% sensitive for intracranial hemorrhage in the derivation cohort. The same sequences were 100% sensitive (25/25) and 83% specific (44/53) for intracranial hemorrhage in the validation cohort.
conclusionA screening MRI protocol including axial T2, axial GRE and coronal T1-W inversion recovery sequences is highly sensitive for intracranial hemorrhage and may be useful as a screening tool to differentiate well-appearing infants at risk for AHT who should undergo head CT from those who can safely be discharged without head CT. Additional research is needed to evaluate the feasibility of this approach in clinical practice.
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Registered trials
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