Evidence map›Paper›PMID 40044319›Full record

ArticleJournal of the American College of Radiology : JACR2025

Using Radiology as a Screening Tool to Identify Intimate Partner Violence.

Patrick J Lenehan, Anji Tang, Gaurav V Watane, Rahul Gujrathi, Hyesun Park, Babina Gosangi, Richard Thomas, Felipe Boschini Franco, Krishna Patel, Ilana Warsofsky and 2 more

Abstract read
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Patrick J LenehanTrauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Anji TangTrauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, Massachusetts; Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts.
Gaurav V WataneTrauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, Massachusetts.
Rahul GujrathiTrauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, Massachusetts.
Hyesun ParkTrauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, Massachusetts.
Babina GosangiTrauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, Massachusetts.
Richard ThomasTrauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, Massachusetts.
Felipe Boschini FrancoTrauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, Massachusetts.
Krishna PatelDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts.
Ilana WarsofskyDepartment of Radiology, Brigham and Women's Hospital, Boston, Massachusetts.
Bernard RosnerDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Bharti KhuranaTrauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, Massachusetts; Founder and Director, Trauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, Massachusetts; Associate Professor of Radiology at Harvard Medical School, Boston, Massachusetts. Electronic address: bkhurana@bwh.harvard.edu.

Funding

Making the invisible visible: An automated clinical decision support tool for Intimate Partner Violence Risk and Severity Prediction (AIRS)R01EB032384 · NIBIB · BRIGHAM AND WOMEN'S HOSPITAL · PI Bharti Khurana · 2022 to 2026
$3.4M
NIBIB NIH HHS R01 EB032384
6 · The paper itself

Abstract

objectiveTo identify imaging utilization patterns and radiologically evident injuries suggestive of intimate partner violence (IPV).

methodsThis retrospective case-control study analyzed historical imaging reports from women reporting physical IPV between 2013 and 2018 ("cases"; n = 265; 6,401 imaging studies) and age- and race-matched controls not reporting IPV (n = 875; 13,462 imaging studies). Adjusted incidence rate ratios (aIRRs) were calculated using Poisson regression to compare imaging utilization by organ system or modality. Logistic regression calculated adjusted odds ratios (aORs) for canceled studies and studies conducted in the emergency department (ED), overnight, or on weekends. Injury patterns were assessed by calculating aIRRs of injury by anatomic site and comparing synchronous and asynchronous injury detection. A time-to-event analysis using Cox proportional hazards regression compared the cumulative incidence of asynchronous injury in patients with at least one injury.

resultsPatients experiencing IPV underwent imaging at a higher rate than controls (aIRR: 1.5, 95 confidence interval [CI]: 1.5-1.6). They were more likely to cancel screening mammograms (aOR: 3.2, 95% CI: 1.8-5.7) and undergo imaging in the ED (aOR: 3.8, 95% CI: 2.9-5.0), overnight (aOR: 1.6, 95% CI: 1.3-1.9) and on weekends (aOR: 1.3, 95% CI: 1.1-1.5). The injury rate was higher in cases (aIRR: 15.1, 95% CI: 12.5-18.1), particularly for cranial (aIRR: 104.5, 95% CI: 14.2-770.1), facial (aIRR: 47.0, 95% CI: 18.9-117.0), and thoracic (aIRR: 32.6, 95% CI: 11.5-92.2) injuries. Cases were more likely to have multiple injuries in a single encounter (aOR: 4.7, 95% CI: 1.5-14.1) or multiple encounters with unique injuries (hazard ratio: 4.9, 95% CI: 2.6-9.3).

conclusionPatients experiencing IPV had higher rates of imaging studies, imaging utilization in the ED, weekend, and overnight settings, screening examination cancellation, and radiologically evident injuries than controls.

Indexed as

Intimate Partner ViolenceWounds and InjuriesAdultCase-Control StudiesEmergency Service, HospitalFemaleHumansMass ScreeningMiddle AgedRetrospective Studies

Identifiers

PMID40044319
PMCPMC11887577

What OpenQuestion holds

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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.