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European survey of imaging in non-accidental injury demonstrates a need for a consensus protocol

Oliver S Hulson1, Rick R van Rijn, Amaka C Offiah

  • 1Department of Radiology Leeds General Infirmary, Leeds, UK.

Pediatric Radiology
|July 6, 2014
PubMed

Insights

Imaging practices for suspected paediatric non-accidental injury vary widely across Europe. A European consensus protocol is needed to standardize the assessment of child abuse, adopting existing UK guidelines.

Area of Science:

  • Paediatric Radiology
  • Medical Imaging
  • Child Protection

Background:

  • Paediatric non-accidental injury (NAI) is a significant health concern requiring accurate imaging assessment.
  • UK guidelines from RCR/RCPCH (2008) aimed to standardize imaging protocols for NAI.
  • Previous efforts focused on achieving a consensus approach within the United Kingdom.

Purpose of the Study:

  • To survey current European practices in imaging for suspected paediatric non-accidental injury.
  • To assess the adoption and variation of imaging protocols among European Society of Paediatric Radiology (ESPR) members.
  • To identify the need for a European-wide consensus on NAI imaging.

Main Methods:

  • A web-based survey was designed and distributed to active ESPR members.
  • Responses were collected from members across 24 European countries.
  • Data analysis focused on current institutional practices regarding NAI imaging.

Main Results:

  • 134 responses were received, representing 37% of the ESPR membership.
  • Significant variations in imaging practices were observed across European institutions.
  • No consensus was found regarding radiographic and cross-sectional imaging for suspected NAI.

Conclusions:

  • A European consensus protocol for imaging in suspected non-accidental injury is urgently required.
  • The study supports the adoption of the joint RCR/RCPCH guidance by European institutions.
  • ESPR members indicated support for implementing standardized imaging protocols.
Abstract

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