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Radiology in suspected non-accidental injury: theory and practice in The Netherlands
R R van Rijn1, N Kieviet, R Hoekstra
1Department of Radiology, Academic Medical Centre/Emma Children's Hospital, Amsterdam, The Netherlands. r.r.vanrijn@amc.uva.nl
Introduction:
This study evaluates radiological imaging in suspected non accidental injury (NAI) in children below the age of 2 years in the Netherlands.
Material And Methods:
The study consisted of two parts; first an on-line questionnaire on suspected NAI, amongst radiological practices within the Netherlands. The second part of the study was a retrospective analysis of skeletal surveys in children under the age of 2 years, which were reviewed in an expert centre of forensic medicine on request of the public prosecutor.
Results:
Out of 116 hospitals 45 (39%) radiologists completed the on-line questionnaire; 8 (8%) of the proposed skeletal surveys complied with the ACR criteria. A total of 29 skeletal surveys in 26 children were reviewed. The median age at the time of the radiographic exam was 3 months for both boys and girls. Only 2 (7%) studies complied with the ACR criteria.
Discussion:
The results of our study show that, in theory as well as in practice, Dutch radiological practices show a large variation in imaging protocols for suspected NAI.
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