ArticlePediatric radiology2019
Susceptibility-weighted imaging of retinal hemorrhages in abusive head trauma.
Article in Pediatric radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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.
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
13 citing papers in PubMed, 24 citations in OpenAlex.
- Magnetic resonance imaging-based detection of retinal hemorrhages in a multicenter cohort of abusive head trauma.Pediatric radiology · 2026Article
- Evaluating a novel MR imaging biomarker for retinal hemorrhage.Pediatric radiology · 2025Article
- A Systematic Review of Pediatric Abusive Head Trauma: What a Surgeon Needs to Know Before Using a Knife.Cureus · 2025Review
- Utility of balanced steady-state field precession sequence in the evaluation of retinal and subdural hemorrhages in patients with abusive head trauma.Pediatric radiology · 2023Article
- Controversial aspects of imaging in child abuse: a second roundtable discussion from the ESPR child abuse taskforce.Pediatric radiology · 2023Article
- Imaging of Abusive Head Trauma : A Radiologists' Perspective.Journal of Korean Neurosurgical Society · 2022Article
- Is orbital susceptibility-weighted imaging superior to standard brain gradient echo sequences for detecting retinal hemorrhages?Pediatric radiology · 2022Article
- Role of Susceptibility-Weighted Imaging in Detecting Retinal Hemorrhages in Children with Head Trauma.Clinical neuroradiology · 2021Article
- Neuroimaging of retinal hemorrhage utilizing adjunct orbital susceptibility-weighted imaging.Pediatric radiology · 2021Review
- Magnetic resonance imaging of optic nerve and optic sheath hemorrhages in child abuse.Pediatric radiology · 2021Review
- Pediatric Abusive Head Trauma: A Systematic Review.Diagnostics (Basel, Switzerland) · 2021Review
- Quantitative susceptibility mapping shows lower brain iron content in children with autism.European radiology · 2021Article
- Ocular findings in the evaluation of abusive head trauma in children.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological SocietyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRetinal hemorrhages are one of the most important supportive evidences for abusive head trauma (AHT). Susceptibility-weighted imaging (SWI) is highly suited to identify various forms of intracranial hemorrhage in AHT. However its utility in imaging retinal hemorrhage is not well established.
objectiveSWI is a sensitive sequence for identifying retinal hemorrhage on MRI. MATERIALS AND
methodsIn this retrospective analysis, 26 consecutive infants and young children with a suspected admission diagnosis of AHT underwent indirect ophthalmoscopy and brain MRI protocol for AHT along with SWI. Brain susceptibility-weighted images of 14 age-matched children were used as controls. For detecting retinal hemorrhage, susceptibility-weighted images of patients and controls were reviewed randomly and independently by two neuroradiologists who were blinded to the history and ophthalmology findings. A pediatric ophthalmologist graded the indirect ophthalmoscopy images.
resultsA diagnosis of AHT was confirmed in all 26 cases from a multidisciplinary meeting. Indirect ophthalmoscopy images were available in 21 cases. Ophthalmoscopy was positive for retinal hemorrhage in the right eye in 18 cases (85.7%) and in the left eye in 16 cases (76.2%). On SWI, retinal hemorrhage was identified in the right eye in 9/21 cases (42.8%) and in the left eye in 8/21 cases (38.1%) of AHT. Analysis of SWI in 21 cases of AHT demonstrated a sensitivity of 50%, specificity of 100%, positive predictive value of 100% and negative predictive value of 32% for detecting retinal hemorrhage.
conclusionSWI is moderately sensitive and highly specific for identifying retinal hemorrhage in AHT. Further studies are needed to identify steps to improve the efficiency of SWI in detecting retinal hemorrhage.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.