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Imaging in suspected child abuse: necessity or radiation hazard?
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  • Published on:
    Imaging in suspected child abuse

    Monika Bajaj and Amaka Offiah are to be commended for their thoughtful and helpful review of the benefits and risks of skeletal imaging in cases of suspected child abuse.(1) The diagnosis of child abuse is a complex process which requires an evidence-informed approach combining clinical acumen with collaborative multi-agency working. Skeletal imaging, including CT scans, provide a valuable tool for the clinician, but,...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re:The Skeletal Survey in suspected abuse- how necessary is it?
    • Amaka C Offiah, Reader, University of Sheffield
    • Other Contributors:
      • Monika Bajaj

    We thank Dr Cohn and his colleagues for their interest in our article and agree - as stated within our paper - that there is considerable variability in the reported fracture yield of skeletal surveys. This variability is not only dependent on methods of data display (as Dr Cohn et al illustrate), but also on epidemiological and demographic differences between reported study populations and on the process by which clinicia...

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    Conflict of Interest:
    None declared.
  • Published on:
    The Skeletal Survey in suspected abuse- how necessary is it?
    • anthony cohn, Consultant paediatrican
    • Other Contributors:
      • Shaneil Patel, Adam Blackstock

    Drs Bajaj and Offiah present compelling reasons for performing skeletal surveys in all children under 2 years of age with unexplained injury, as recommended by the RCPCH guidelines. We have followed this practice for a number of years but an audit of our skeletal surveys came to a very different conclusion.

    We reviewed the results of the skeletal surveys requested in our hospital over a period of 7 years and 4...

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    Conflict of Interest:
    None declared.