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[虐待儿童的警示信号:儿科放射学与法医学方面]

[Red flags for child abuse : Pediatric radiological and forensic aspects].

作者信息

Hahnemann Maria L, Wittschieber Daniel, Mentzel Hans-Joachim

机构信息

Klinik für Diagnostische und Interventionelle Neuroradiologie und Kinderneuroradiologie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.

Institut für Rechtsmedizin, Universitätsklinikum Bonn, Stiftsplatz 12, 53111, Bonn, Deutschland.

出版信息

Radiologie (Heidelb). 2024 Nov;64(11):868-874. doi: 10.1007/s00117-024-01360-7. Epub 2024 Aug 19.

Abstract

CLINICAL ISSUE

The diagnostics of physical child abuse are usually performed by a multidisciplinary team and frequently represent a clinical challenge. Radiological expertise is particularly important for the recognition of abusive injuries to the skeletal system and the central nervous system. The aim of the article is to give an overview of red flags of child abuse in radiological imaging.

IMAGING METHODS

For the diagnostics of child abuse, conventional projection radiography of the skeletal system as well as computed tomography (CT) and magnetic resonance imaging (MRI) of the head are especially relevant. There is insufficient evidence with respect to sonography.

CONCLUSION

Radiological imaging plays a key role for recognizing physical child abuse. Radiological red flags of child abuse can be crucial for making the diagnosis.

摘要

临床问题

身体虐待儿童的诊断通常由多学科团队进行,且常常是一项临床挑战。放射学专业知识对于识别骨骼系统和中枢神经系统的虐待性损伤尤为重要。本文旨在概述放射影像学中儿童虐待的警示信号。

成像方法

对于儿童虐待的诊断,骨骼系统的传统投影放射摄影以及头部的计算机断层扫描(CT)和磁共振成像(MRI)尤为相关。关于超声检查的证据不足。

结论

放射影像学在识别身体虐待儿童方面起着关键作用。儿童虐待的放射学警示信号对于做出诊断可能至关重要。

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