Merten D F
J Radiol. 1985 Aug-Sep;66(8-9):485-95.
Radiological imaging plays an important role in diagnosis of the child abuse syndrome. The radiologist must identify specific foci of injury and document that such injuries are the result of abuse. The capacity to identify abuse-related injuries (sensitivity) has been greatly enhanced by technological advances in radiological imaging including radionuclide scintigraphy (skeletal injury); cranial computed tomography (craniocerebral injuries); and body computed tomography/ultrasonography (abdominal injury). This increased sensitivity has resulted in a greater appreciation of the magnitude of abuse related injuries. Specificity, differentiation between accidental and non-accidental injuries, depends on knowledge of the radiologic characteristics and pattern of abuse-related trauma. Specific injuries must be viewed in light of known pathologic response of anatomic structures to mechanical forces, and determination of the chronology of trauma.
放射影像学在虐待儿童综合征的诊断中起着重要作用。放射科医生必须识别出特定的损伤病灶，并证明此类损伤是虐待所致。放射影像学技术的进步，包括放射性核素闪烁扫描（骨骼损伤）、头颅计算机断层扫描（颅脑损伤）以及身体计算机断层扫描/超声检查（腹部损伤），极大地提高了识别与虐待相关损伤的能力（敏感性）。这种敏感性的提高使得人们更加认识到与虐待相关损伤的严重程度。特异性，即区分意外伤害和非意外伤害，取决于对与虐待相关创伤的放射学特征和模式的了解。必须根据解剖结构对机械力的已知病理反应以及创伤时间顺序来观察特定损伤。
