ReviewJournal of medical radiation sciences2018
Imaging of non-accidental injury; what is clinical best practice?
Review in Journal of medical radiation sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Computed tomography versus radiography for the detection of rib and skull fractures in paediatric suspected physical abuse: a systematic review.European journal of pediatrics · 2024Pooled it
- Radiation Dose and Risk in the Radiological Investigation of Suspected Non-Accidental Injury (NAI).Journal of medical radiation sciences · 2026Article
- Evaluation of ultra-low and low-dose CT skeletal survey for fracture detection in assessments for suspected non-accidental injury: a prospective post-mortem study.Skeletal radiology · 2026Article
- Impact of trauma center status on radiology resident performance in detecting non-accidental trauma on the WIDI SIM exam.Pediatric radiology · 2025Article
- Reports of Maltreatment in a Children's Hospital: Evaluation of the Epidemiological Profile and Its Relationship with the Outcome in Fractures.Revista brasileira de ortopedia · 2024Article
- Current utilization of pediatric postmortem imaging in North America: a questionnaire-based survey.Pediatric radiology · 2023Article
- Controversial aspects of imaging in child abuse: a second roundtable discussion from the ESPR child abuse taskforce.Pediatric radiology · 2023Article
- Typical median effective radiation doses using an anthropomorphic bone fracture phantom for initial radiographic skeletal surveys in the investigation of suspected physical abuse.Pediatric radiology · 2023Article
- A Multispecialty Approach to the Identification and Diagnosis of Nonaccidental Trauma in Children.Cureus · 2022Review
- Imaging of non-accidental injury; what is clinical best practice?Journal of medical radiation sciences · 2018Review
- Improving Follow-Up Skeletal Survey Completion in Children with Suspected Nonaccidental Trauma.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Non-accidental injury (NAI) remains the leading cause of morbidity and mortality in children. Fractures are the second most common findings of NAI, after cutaneous lesions such as bruises and contusions. Imaging in NAI remains a controversial issue with little agreement concerning how, when and what imaging modalities should be used in the investigation of suspected cases. This review addresses the radiological investigations and findings of NAI, and the differential diagnoses of these findings. Adherence to the international guidelines for skeletal survey imaging is recommended. This ensures the content and quality of the radiographic series are of an optimal standard to improve the detection of occult fractures, and ensuring the accurate reporting of images. The involvement of a paediatric radiologist is important, if not essential in the diagnosis of NAI. In the evaluation of suspected cases, the role of the radiologist includes the detection of radiological findings suggestive of NAI, and the differentiation of these findings from normal variants and underlying pathologies. The diagnosis of NAI relies not only on radiological imaging, but also a combination of clinical and social findings. It is mandatory that all physicians work in close collaboration to improve diagnostic accuracy, as failure to diagnose NAI carries significant risk for morbidity.
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Registered trials
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