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Neuroimaging disagreements and consequences among pediatric transfers with concern for abuse
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DOI：10.1016/j.chiabu.2026.108182.png)
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Abstract
En 中文
• Little is known about differences in pediatric and non-pediatric radiologist neuroimaging interpretation in child abuse. • Comparative analysis of 100 cases of pediatric neuroimaging reads revealed 33 in disagreement, with 15 major and 21 minor. • Common major disagreements involved missed skull fractures and missed intracranial hemorrhages. • Consequences of major disagreements included radiation exposure, CPS involvement, and law enforcement involvement. • Accurate neuroradiology interpretations are essential for clinical and investigative aspects of child abuse evaluation.
Keywords:
Child abuse
Neuroradiology
Pediatric neuroimaging
Physical abuse
CT
computed tomography scan
MRI
magnetic resonance imaging
OSH
outside hospital
OSHR
outside hospital radiologists
PNR
pediatric neuroradiologists
CPS
child protective services
LE
law enforcement
SDH
subdural hemorrhage/hematoma
SAH
subarachnoid hemorrhage/hematoma
EDH
epidural hemorrhage/hematoma
ICH
intracranial hemorrhage/hematoma
DC
discharge
ED
emergency department
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