Three-dimensional skull models as a problem-solving tool in suspected child abuse.
Background: The value of 3-D skull models in evaluation of young children with suspected child abuse is not known.Objective: The purpose of this study was to assess the value of 3-D skull models as a problem-solving tool in children younger than 2 years.Materials and Methods: We performed a retrospe...
| Published in: | Pediatric Radiology Vol. 43; no. 3; pp. 575 - 582 |
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| Main Authors: | , , , |
| Format: | research Journal Article |
| Published: |
Springer Nature
Mar2013
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109855832&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109855832 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03010449 O03 jtl: Pediatric Radiology issn: 03010449 maglogo: N pubinfo: dt: Mar2013 vid: 43 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 109855832 109855832 NLM23184067 2012086382 10.1007/s00247-012-2546-4 NLM23184067 109855832 ppf: 575 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Three-dimensional skull models as a problem-solving tool in suspected child abuse. aug: au: Prabhu, Sanjay P Newton, Alice W Perez-Rossello, Jeannette M Kleinman, Paul K affil: Department of Radiology, Harvard Medical School, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA, sanjay.prabhu@childrens.harvard.edu. sug: subj: Child Abuse Diagnosis Imaging, Three-Dimensional Methods Models, Anatomic Problem Solving Radiographic Image Interpretation, Computer-Assisted Methods Skull Fractures Ultrasonography Child Abuse Prevention and Control Computer Simulation Diagnosis, Differential Female Human Infant Infant, Newborn Male Reproducibility of Results Sensitivity and Specificity Infant: 1-23 months Infant, Newborn: birth-1 month Female Male ab: Background: The value of 3-D skull models in evaluation of young children with suspected child abuse is not known.Objective: The purpose of this study was to assess the value of 3-D skull models as a problem-solving tool in children younger than 2 years.Materials and Methods: We performed a retrospective study on 73 children (ages 0-24 months) seen by a child protection team (CPT) who were undergoing head CT between August 2007 and July 2009.Results: Of the 73 children, volume-rendered 3-D models were obtained in 26 (35.6%). Three-dimensional models changed initial CT interpretation in nine instances (34.6%). Findings thought to be fractures were confirmed as normal variants in four children. Depressed fractures were correctly shown to be ping-pong fractures in two cases. In one case, an uncertain finding was confirmed as a fracture, and an additional contralateral fracture was identified in one child. A fracture seen on skull radiographs but not seen on axial CT images was identified on the 3-D model in one case. Changes in interpretation led to modification in management in five children.Conclusion: Use of 3-D skull models can be a problem-solving tool when there is discordance among the CT reading, subsequent radiographic investigations and clinical evaluation. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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