Asher Street Beam, DHA, R.T.(R)(MR), MRSO, is director of the Master of Science in Magnetic Resonance Imaging program and associate professor for the Department of Radiologic Sciences at the University of Mississippi Medical Center School of Health Related Professions in Jackson.
Chelsea Palmer Stephens, EdD, R.T.(R)(N), CNMT, is director of the Master of Science in Nuclear Medicine Technology program and assistant professor for the Department of Radiologic Sciences at the University of Mississippi Medical Center School of Health Related Professions in Jackson.
Radiol Technol. 2023 Jul;94(6):419-425.
The patient described in this case received a diagnosis of severe head trauma that resulted in death. Imaging findings, along with discrepancies in the parental explanation of the incident, aided the forensic investigators to identify the case as nonaccidental trauma (NAT).
Identifying demographic risk factors and performing proper clinical evaluations can serve an important role in the diagnosis of pediatric NAT. Imaging modalities such as radiography, computed tomography, and magnetic resonance imaging can help determine the extent of trauma.
Abuse is frequent in the pediatric population. To help prevent future cases of abuse, medical professionals should be fluent in identifying differences between accidental and NAT. Using multiple imaging modalities, NAT in pediatric patients can be identified and treated adequately.
本案例中的患者被诊断为严重的头部创伤，最终导致死亡。影像学检查结果以及父母对事件的解释存在差异，有助于法医调查人员将该病例确定为非意外伤害性创伤（NAT）。
确定人口统计学危险因素并进行适当的临床评估可以在儿科 NAT 的诊断中发挥重要作用。影像学检查方法，如放射摄影、计算机断层扫描和磁共振成像，可以帮助确定创伤的程度。
虐待在儿科人群中很常见。为了帮助预防未来发生的虐待案件，医疗专业人员应熟练掌握识别意外和 NAT 之间差异的方法。通过使用多种影像学检查方法，可以识别和充分治疗儿科患者的 NAT。
